Hello! I’m a critical care MD (For humans). My ancient toy poodle has been VERY healthy/active for a 16 yr old. She suddenly had new onset murmur (wide open MR) with acute CHF a few weeks ago. On Lasix and Pimobendan, she has been home and stable, but now with frequent seizure-like activity with loss of bladder control, and profound weight loss, neither of which were a problem prior to Pimobendan. I suspect the Vetmed may be the problem. Electrolytes on CMP, all other labs normal. What other inotrope would you recommend! In humans, digoxin and milrinone ... but in dogs ...?

My small dog takes vetmedin. She is 15yrs and 13 lbs. My other dog ate 1/2 of a 2.5 vetmedin. She is 80lbs and 3years.. Will it hurt her?

I just accidentally gave my dog twice her normal dosage of Vetmedin tonight at dinner. She is suppose to get 2.5 and I gave her 5 mg

Is the any supplements that I can use for Renal failure that I need to be careful of interacting with Vetmedin?

My dog was diagnosed with Stage C degenerative mitral valve disease suspect minor chordae tendinae rupture and Stage B1 degenerative tricuspid valve disease. She had CHF in October 2019 for the first time and was put on Pimobendan (2 tablets a day) & Fursomide (3/4 tablet a day). She had CHF again on February 5, 2020 and went into the hospital for labored breathing. I was told she would need to stay over night. The next morning the doctor called and told me "there was an accident in the ER and one of the nurses gave Juicy (my dog) 11 times the amount of Pimobendan she should have received." By the time he realized, poison control said it was too late to give her charcoal and have her throw up. He said they would need to monitor closely for the next 24 hours and make sure her heart rate & blood pressure didn't drop/change drastically. It didn't (according to him). However they kept her in the hospital an additional 2 days and said it was because her breathing was still labored and they suspected she still had fluid in her lungs. They wanted to keep her additional days but obviously this was all adding up financially so I brought her home. She came home on Feb 8th so weak she could barely stand or keep her eyes opening. In discharge, they added two additional meds Spironolactone 25mg and Hydrochlorthiazide 25mg which we quickly removed because she couldn't stop vomiting. She didn't poop for 2 days and when she finally did she had diarrhea and then blood in her stool. She continues to have an extreme lack of appetite on Feb 19th almost 2 weeks since she came home from the hospital. What I want to know is - are there long/er term effects of pimobendan poisoning? I'm wondering if 1) her hospital stay was prolonged because she was poisoned and her body needed to recover and 2) are there other areas impacted by pimobendan poisoning? Like in impact to the kidney, liver, abdomen etc...?

My toy poodle, Xavier has a heart murmur. The vet has prescribed 3 medications one of them is Vetmedin, 1.25. He is prescribed 1/2 pill 2 times a day however because of timing of the 3 meds I give him a whole one in the morning. He has started coughing quite a bit in the past 24 hours. I'm wondering if I could be overdosing him at this point. He seemed much better when I did this originally. He also seems to have coordination issues, will sit or lie down and then a few minutes later he fine. Your advice is greatly appreciated!