The guidelines set by the American Veterinary Medical Association are that your Akita should have annual heartworm and internal parasite testing, year-round broad spectrum parasite control (fleas, ticks, heartworms, and intestinal parasites), dental care as needed, and vaccinations. Vaccination recommendations will vary around the country depending on disease risks for that area. Discuss the appropriate vaccination schedule with your veterinarian.

As your Akita ages, more frequent visits to the vet may be appropriate.