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Question:Dr, my 13 yr old female Shih-Tzu, has CHF, with a level 4 heart murmur. She's on the Lasix, 12.5 mg, twice daily, Vetmetbin 1.25 mg, twice daily, and Enalipril, once a day. However recently the last couple weeks. I have seen a steady decline in her health, along with more and more coughing, that just makes me cringe. It just appears to me, the medicines aren't working anymore and I'm scared to death for her. Is there a last ditch, a shot in the dark, thing we could do to help her?? We just lost our almost 13 yr old Doberman back in the end of June, and now it's looking like a similar fate is to follow soon for my little MeeShe, who is just the sweetest dog I've ever had, if you can see some hope for her / us, we really could use it. Sincerely, Damian J Zajac
Answer:I'm so sorry you are going through this right after losing your Dobie. Call your veterinarian and see if you can increase her dosage of Lasix and/or Vetmedin. It will depend on her last blood work and exactly how much she weighs. Ask your veterinarian if Coenzyme Q10 might be ok to add to her medications - they may carry it but you don't need a prescription for it.
Question:My chiwawa takes Vetmedin 1.25 mg.that I cannot afford.$32.00 monthly 2 twice daily.What is a cheap Generic for it & price please.She is also on 2 other meds Lasix 1&1/4 twice daily & Enalapril 1 Tab twice daily.Need Generic Prices for all Please? Thankyou
Answer:I don't know of a generic for Vetmedin (pimobendan). It might be an option to buy the 5mg tablets and cut them into 4ths BUT you would need to call the manufacturer (Boehringer Ingelheim) before you do something like that - tablets are made differently and some are not supposed to be split and some disperse the active ingredient unevenly so you definitely wouldn't want to do that if that was the case. The 1-800 number should be on your box of 1.25mg.
Question:Hello, I know this probably a strange question but I live alone and concerned. My Maltese going to be 16 yrs old sept. I have been blessed but 4 years ago she was diagnosed with blocked ventricular. My question when god for bid If the day she passes what do I do if middle of night with her till can get to vet. Thank you. Ps I worry to much . She is on vetmedian and enalapril which I buy from petmeds. Bless you for all they do !
Answer:That is a very good question - one that you need to think about before it happens. Call your veterinarian and ask them the same question because we are all different - most of us will take care of the body for you and then some areas have special cremation services available and some areas even have burial services - so see what is available in your area. You will want to keep her body cool (refrigerated or frozen) until you can get her to either your veterinarian or one of those places.
Question:My chihuahua has CHF. HE IS 11. Would fish oil be beneficial. He weighs 5 lbs.
Answer:If he is in congestive heart failure, he should be on a few different stronger medications but if you are thinking about adding it to his medications, then yes, it can be beneficial. Always check with your veterinarian who has his entire history (bloodwork, allergies, radiographs, etc) before starting him on anything. Fish oil by itself won't help CHF much though so don't use it as a single treatment.
Question:My Jack Russell has been diagnosed with COPD and the doctor has given him Theophylline, Hydrocodone, Enalapril, Prednisone, and amoxicillin 2 times a day. I gave him his meds and he is extremely shaky and is panting like he's been running for miles, but he's lying steal. What can I do? I have taken him to the vet twice & it has cost me over $700 & I cannot afford to continue taking him to the vet. I wondered if I could give him a little bit of Xanax because I cannot afford to continue taking him to the vet. I am so scared he is going to start having seizures what can be done any ideas? Thanks for your help
Answer:It is probably a side effect of the medications - call your veterinarian that prescribed them and work with them (more than likely over the phone) to decrease some of the meds. I would be most suspicious of the hydrocodone and prednisone but don't decrease anything without talking to them first.
Question:Our 12 year old spayed female ( spayed when young) has started filling up with fluid. A vet told us to give her some water pills to try to keep her comfortable There was some yellowing in the eyes. The indication was not much else could be done. We had her at the Vet on Tues. and this is Thurs. After reading online there seems to be a lot of different possibilities. Is this for sure a death sentence or could there be another possibility? We were directed to give 1.5 (1 1/2) water pills per day. The first day she looked much better but today looks as if we are back to square one. Any suggestions for Maggie? Thanks, Larry McVey
Answer:There are other medications, other than diuretics, that would probably be helpful. You would need a definitive diagnosis though before starting them - your veterinarian would need to do radiographs (X-rays) and blood work at a minimum. The "yellowing in the eyes" makes me worry that she may have something other than heart failure going on, like liver disease, but only those tests could prove or disprove that. If she is "back to square one", I would definitely take her back in for a recheck. You may just need to increase the dosage of the water pill - but don't do that until you talk to your veterinarian.
Question:Our 9 year old female Maltese has just been diagnosed with congenital heart desease. We've always known she had a heart murmour but had started coughing a couple of months back. She had x-rays and found her heart was twice the normal size. She was given a 6 on a scale of 1 to 6. She takes 3 types of medication and eats well. She's happy enough but in reality, how long will she have? She is so loved and this breaks our heart thinking about this. She lost her life long brother an 18 year old jack Russell terrier about a month ago and since then she has been really quiet and lathargic but I'm sure her condition doesn't help either. Thanks for your time. Martin
Answer:It is really hard to say but I do say all the time that we really have many of the same medications that are used to treat people to help with heart failure now, so that's good. If she is that far along, she is probably taking Vetmedin which seems to really give my heart failure patients a good bit longer (than before we had it). I am also a big Coenzyme Q10 fan - ask your veterinarian if this might be something you could add if she isn't already on it.
Question:My Cody, 22 lb dachshund, was diagnosed with chf back in January. He wasn't eating good and had swollen belly. Vet put him on enalapril, LASIK, and vetmetin. The vetmetin is a large chewable pill but he doesn't want anything to do with it. Have been getting it down with cream cheese, peanut butter, and sometimes forcing it. But he has gotten where he won't take it at all and it's a fight twice a day. I wanted to know what the effects would be to cut out the vetmetin. Can he thrive with just the LASIK and enalapril?
Answer:Good question, but no, get the vetmedin in him. Call your veterinarian and confirm, but if he is definitively in congestive heart failure, this drug does more than all the other drugs as far as improving the function of his heart. (The others are important too, but don't stop the vetmedin)
Question:What would u suggest to treat congressive heart failure
Answer:I think everything you are looking for is in this article of ours: "Congestive Heart Failure Treatment for Dogs & Cats" - it lists the medications we use for congestive heart failure and their functions along with some other treatments: https://www.1800petmeds.com/education/congestive-heart-failure-treatment-dog-cat-32.htm
Question:Is VetriScience Cell Advance safe to use with VetMedin, Spironolactone, Furosemide, Enalapril, Vetprofen, Theophylline? My miniature schnauzer is about 12 #. She was diagnosed with CHF in August 2016 and has been on these meds ever since. I am supplementing VetriScience Cardio Health and Senior Vitamin Chews. Thank you, Patty
Answer:HI Patty. Sounds like an excellent protocol you have her on, although I would speak with your local prescribing veterinarian about the need for continued Vetprofen, given the stress on the kidneys already with the furosemide, Enalopril, etc I see no problem with the Cell Advance, but make sure it is ok with your local vet
Question:My dog is almost 15 and she is a 13 1/2 lb. pug which she has weighed at her highest about 16 lbs but she was diagnosed with CHF a year ago and I am having a hard time at this point getting her to eat. She has been on the no salt green bean diet with blue buffalo life protection small chunks for seniors. Smokey has not been eating well at all so I have bee boiling white chicken breast and adding to her dry dog food and she will gobble down. I don't won't too hurt her so is that safe with her condition? Chicken wouldn't have salt in it right? Thank you, Julie King
Answer:I would not be overly concerned about the salt content of the diet at this point, but I would have vet recheck to see if any adjustments and/or additions to any prescription current meds are needed, as well as blood profile done to rule e out any other complications at this age, including liver/kidney disease, etc
Question:What is the lowest sodium dog food ?
Answer:The one I like for my congestive heart failure patients is Hill's Science Diet H/D - I don't know if it's THE lowest in sodium but it's one of them. It also has other things that help my heart failure patients like fatty acids, antioxidants, taurine and L-carnitine, etc. (Disclaimer: I am definitely not a food sales-person so I don't benefit in any way by recommending their food, but they should feel free to contact me in the future because I am a fan of their food, lol) There are really good medications for congestive heart failure right now as well so work closely with your veterinarian to find what cocktail works best for your dog.
Question:my dog previously was in congestive heart failure about two years ago. He is a 13 years old (chihuahua). he is coughing now, for the past few days, and his respiratory rate is slightly increased (usually it's 20 at rest and now its between 30-40 at rest). however, he does not seem to be having trouble breathing. he is eating and drinking fine and seems normal otherwise. should i take him into the emergency hospital tonight? or do you think he's ok to wait till tomorrow when my vet is open? I'd prefer to wait till tomorrow if you think it's safe?
Answer:I would take him to ER for evaluation and possibly lab work and definitely x rays. Additional meds may be needed like additional diuretics or adjustment in his heart meds based on this workup
Question:My Dog Has Congestive Heart Failure And Collapsed Trachea. She Has Been On Meds The Past Year And Had Responded Well. 2 Weeks Ago She Had Her Teeth Cleaned At The Vets Office. She Had To Be Put Under. She Has Coughed More Since Then And Her Behavior Has Changed. Confused. The Meds She Is On Are Lasix,Enacard And Temaril P. Thank You Jody Jamison
Answer:Best Jody To Have Your Pet Rechecked Out By Vet To Make Sure No Secondary Infection Or Aspiration Pneumonia From The Dental Procedure; Also Heart Status May Have Changed Since This Procedure And Dose Adjustments Of Heart Meds May Be Needed. See Vet In Your Area
Question:What Is The Best Dog Food, Both Canned And Dry? I Have Small American Eskimos. One Has The Start Of Congestive Heart Failure And Is On Salix 12.5mg. And Enalapriil Maleate 2.5 Mg. (male) The Female Has The Start Of Arthritis. Neither Are Over Weight. Thank You.
Answer:I Prefer Low Carb, Low Grain Diets Like Wysong Epigen Diets From 1800petmeds.