Pimobendan for Dogs & Cats: Congestive Heart Failure Treatment

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Vetmedin (Pimobendan) is an inotrope, which means that its job is to make the heart pump more forcibly, so I would say that what you are seeing clinically is the medication doing its job. I would not recommend discontinuing this medication. But also, if you feel that your pet Ruby has any other adverse effects to this medication, then it will be necessary to have her seen and examined by a vet in person in order to get any recommendations as to what, if any, changes in her medication are needed in the future. Best of luck with Ruby and I hope that her condition can be stabilized well with her medication. Best wishes and take care.

Unfortunately, many Cavalier King Charles Spaniels experience heart disease at some point in their lives. Since Tabitha was diagnosed with mitral valve disease (MVD), I assume that she had an echocardiogram (ultrasound of the heart) performed by a veterinary cardiologist, as this is the only way to confirm this diagnosis. Good for you for doing your research about this condition. You are correct - more recent studies have shown a benefit to starting dogs with *severe* MVD on pimobendan (Vetmedin) prior to the onset of congestive heart failure. Again, if Tabitha has not yet been evaluated by a veterinary cardiologist, it would be best to do so prior to starting any medication to determine the severity of her MVD, as well as any potential concurrent heart issues not overtly apparent. I hope this helps and that all goes well!

Unfortunately the dilation of the heart cannot be reversed, but the medications will help to slow its progression and improve the other side effects of enlarged heart. The vetmedin helps the heart pump faster and harder, the furosemide reduces fluid build up in the lungs and the benazepril stops maladaptive pathways being activated. You should see a difference in him within a week or two, the medication can help to improve quality of life greatly.

The active ingredient of Vetmedin is Pimobendan. This is a medication that is also used in humans, therefore I suggest you call a human poison control or your doctor or a hospital to find out what to expect and whether the dosage is harmless or not. From articles I found the normal human dose is 2.5 mg, so 5mg is double and I strongly suggest your consult with a doctor. We are veterinary doctors and not qualified to assess this. Please call your nearest hospital.

With my research I was able to find a reliable source that contradicts the use of both Young at heart and Pimobendan (Vetmedin). Since your pet is already on Vetmedin, he should not be on this supplement. The other heart medication, Enalapril, can be given with this supplement however, but I am unsure if this is indicated for your pets specific heart condition or not. https://veterinarypartner.vin.com/default.aspx?pid=19239&id=8501760 I would however suggest getting him on a prescription dog food for pets with heart disease such as Hill's H/D or Royal Canin Cardiac. I hope that Krystal's condition stabilizes soon with her heart medications. The best we can hope for is to help her compensate for her heart defect as long as feasibly possible. Best of luck to you and take care!

It appears that nebivolol is being researched for many different possible uses in many lab animal species, but I could not find any information on its use in cats. From the information I could find, most vets have mixed feelings on using atenolol in cats with HCM. There does seem to be a consensus among specialists that it could help in cats with HCM that have Systolic Anterior Motion (SAM) of the mitral valve (seen on echo), but there are no studies showing a positive benefit.

For now there is very little you can do except start the medication prescribed and wait for them to work. Your dog should start feeling a lot better within the next few days with less fluid in his lungs and better cardiac function. You can start feeding a special diet for dogs with congestive heart failure, such as Hills Prescription h/d. Such diets typically have restricted sodium levels to limit fluid retention, added taurine and L-carnitine, and amino acids that may help support heart function, added B-vitamins and magnesium. Here is some good information: http://www.vermontveterinarycardiology.com/index.php/for-clients/feeding-the-cardiac-patient