Ask the Vet About Congestive Heart Failure in Dogs and Cats

Ask the Vet About Congestive Heart Failure in Dogs and Cats
Dr. MichaelDym
Dr. Michael Dym

As a practicing veterinarian, Dr. Dym has over 19 years of experience and dedication to enhancing the overall health and well-being of pets. His commitment and passion for pet health continuously drives him to learn more about the art and science of homeopathy through ongoing training and education.

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Date: Apr 4, 2021
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Alternative medication
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Question:My dog just started Vetmedin or Pimobendan. Is there any alternative as she has been sick ever since. She already has a sensitive stomach but this is causing nausea, vomiting, and diarrhea

Answer:Vetmedin is the gold standard for many dogs in congestive heart failure so I wouldn't want you to change without consulting your veterinarian that prescribed it - they may need to decrease the dosage but don't even do that until you consult your veterinarian - it really depends on many variables (primarily the severity of the heart failure, but also blood work, etc. - which your veterinarian has access to).

Date: Mar 30, 2021
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Chf
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Question:My were almost 8yrs old this coming Nov 2021. He was diagnosed w/ tracheal collapsed last aug then fluid in the lungs , he was fine the after medication but this March his liver was affected then after medication his chest xray was almost white that u can hardly see the lining of the heart. Every night ir midnight hes making a sound like hes having a hard time in breathing. His doctor prescribed him 2x a day for nss nebz. Pimobendan, furosemide, liverolin vit, cardi excel(taurine vit), prednisolone Is it safe that hes taking all these medications? Were from philippines and its summer now in here. Hes having a hard time because of the weather . My question is when hes having episodes can i nebulize him with atrovent? because ventolin seems like its not working on him.

Answer:I can't figure out why he is on prednisolone - steroids are not the greatest for a dog in congestive heart failure but he may have another condition that benefits from it and I would need to know exact dosages of all of these medications, his weight, his last bloodwork, etc to really make exact recommendations so consult your veterinarian, who has access to all of those things, for the best advice.

Date: Mar 2, 2021
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Meds
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Question:My dog take 2 pills of 1.25 mg 3 times a day total of six pills sounds like a lot to me what is your info on this

Answer:Exactly what medication are you referring to - we use many kinds of medications for congestive heart failure? And how much does your dog weigh? Dosage also depends a lot on severity of the disease, x-rays and blood work, so your veterinarian will always be the best one to ask about the perfect dosage for your individual dog.

Date: Feb 24, 2021
Category: Congestive Heart Failure
Pet Type: Dog
Topic: melatonin and vetmedin
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Question: Melatonin and vetmedin ..any interaction? Also takes joint supplement.. Forgot to ask vet. Was only hearing heart murmur.

Answer:Those are usually fine together, although with most medications, it's usually ideal to spread them out a few hours, but consult your veterinarian for the best advice - they will factor in your pets entire history, age, weight, blood work, etc.

Date: Feb 6, 2021
Category: Congestive Heart Failure
Pet Type: Dog
Topic: diet supplement
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Question:My vet is recommending Taurine and Carnitine 1000mg for my dog. Where do I find these in those amounts?

Answer:I would try your local GNC store - they should have both of those.

Date: Jan 20, 2021
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Terabytaline
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Question:Is there a discount for pets fir a 2.5 mg tablet? Good experience used to give t to us fir $43.00 a month. That appears to have changef

Answer:This is the "Ask the Vet" section for medical questions. Contact customer service about any pricing issues. Here is their contact information: Toll Free Number (Call or Text) 1-800-PetMeds® (1-800-738-6337) Email Address customerservice@1800petmeds.com

Date: Jan 13, 2021
Category: Congestive Heart Failure
Pet Type: Dog
Topic: vetmedin
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Question:My 12 year old chewneeie hates pills. He will eat any food from around the pill. Does vetmedin come in a liquid form. Any suggestion would be greatly appreciated.

Answer:It does not come in liquid that I am aware of - contact the manufacturer to see for sure. If you haven't tried Greenies Pill Pockets, they work for most dogs - here is a link to read about them: https://www.1800petmeds.com/Greenies+Pill+Pockets-prod11029.html

Date: Jan 8, 2021
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Heart problem
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Question:My dog has an enlarged heart and fluid and is on vetmedin and I am wondering if she should also be taking a diuretic for the fluid or is the vetmedin enough?

Answer:It entirely depends on the severity of the fluid, so your veterinarian, who has access to her radiographs (x-rays), is the best one to ask.

Date: Dec 22, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Dosage
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Question:Hi, My dog just diagnosed Congestive heart failure. Can I give him 1.25mg instead of 2.5mg? Will 1.25mg effective? I don’t wanna add the burden on his kidneys. Thanks, Shan

Answer:That is a question for your veterinarian - it will depend on the severity of his condition based on his test results (x-rays, loudness of murmur, lutrasound, etc.), his weight and his blood work.

Date: Dec 18, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Syncopal episodes and breathing
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Question:Ok...long version Shes an 8 yr old rat-cha (rat terrier/ chihuahua) diagnosed with heartworms over the summer. Went through the entire treatment and they're gone. But there was severe heart damage. She now has CHF. She never showed any symptoms of heartworms. Just collapsed one day so I rushed her in. She made improvement until she gained weight and collapsed again so i rushed her back in. She was retaining fluid in her abdomen and having syncopal episodes. So they drained 3 lbs of fluid and put her on furosemide. Dr even told me its possibly a permanent thing and will have to be drained repeatedly. We're having to drain her every few weeks. And now shes on vetmedin and trazodone (to help keep her calm and not get triggered) as well. Dr said she's not in any pain and not suffering. Just keep an eye on her breathing and muscle mass. I made sure it was safe for her to travel up north (We're from Louisiana) and doc approved it. She seems ok most of the time. Except shes been been breathing hard and rapidly. Sleeping alot. And falling out much more often. Yesterday she fell and starting whining (maybe it scared her) and she urinated. She still cuddles and gets excited to see us and tries to play. And begs for food. Eating. Drinking. Pooping is all normal. I just worry. Shes my best friend and I need to know shes not suffering. Which We're heading home for Christmas and im gonna have her drained beforing coming back. My nerves are just bad and I wanna cry when I see her have an episode. Just asking for a little advice. I dont have the funds to bring her in right now and im so afraid something may happen. Maybe there's something I can do. I had her previous doctor email me all of her records. I dont know what to do or who to talk to.

Answer:Your veterinarian, that knows her entire history and has seen her x-rays and blood work, is definitely the best person to get advice from - they can help you adjust her medications based on her clinical signs.

Date: Dec 6, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Meds
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Question:Sadie’s Rx is being sent to me, but she just passed away yesterday. :-( Can I return the unopened Rx shipping box for any refund?

Answer:I'm so sorry to hear that about Sadie. This is the Ask the Vet section for medical questions. Contact custoer service about your question - here is their contact information: Toll Free Number (Call or Text) 1-800-PetMeds (1-800-738-6337) Email Address customerservice@1800petmeds.com

Date: Dec 5, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: VETMEDIN
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Question:Boehringer Ingelheim , manufacturers of Vetmedin/ Pimobendan, has no resolution to the complete lack of availability of this essential medication . I have exhausted all resources. My dog needs this for his heart condition. Please advise.

Answer:The smaller sizes may still be available &/or you might try reaching out to a veterinary compounding pharmacy. A veterinarian that has met your dog face-to-face will have to legally prescribe it.

Date: Nov 30, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: sodium
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Question:how much sodium can a dog have with congestive heart failure..lookin for some treats for my 113 lb lab..she wss put on a low sodium diet..

Answer:It totally depends on the severity of the heart failure, so consult your veterinarian that has access to her x-rays, ultrasound, blood work, history and has listened to her heart for the best advice.

Date: Nov 2, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: low sodium
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Question:could you give me some low sodium foods i could mix with my dogs dry food..hes eating like the new dry food the vet put him on..any help appreciated.. if theres any wet food we could mix a little with it

Answer:I would need to know the severity of his condition and what the rest of his blood work looks like to be able to make any realy good recommendations so consult your veterinarian for the best advice, but in general, when you start supplementing, they get more picky and won't eat the important prescription diet, so try the canned version of the prescription diet first - they usually make both dry and canned depending on which brand prescription food you have him on.

Date: Sep 27, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Vetmedin and Deramaxx
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Question:can I give my dog deramaxx if he has already been on vetmedin?

Answer:Probably - I would need to see his blood work to say for sure so ask your veterinarian, that has access to his blood work.

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