So if you use ivermectin at a high dose to worm your dog and they already have heartworms it will kill all the heart worms at once therefore it may cuase a blockage in the heart or lungs. I suggest getting a heartworm test done at your vet before starting ivermectin just to be safe and also have them calculate a dose for you. Because the mounthly dose is quite small.
That's right, too much and there done. It's better to under dose the dog once a week then too much once a month.