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Hi Everyone! Today I am talking about heart medications for the dog. Heart disease in dogs (big picture) Heart disease means the heart isn’t pumping blood as efficiently as it should. The most common types are: Mitral Valve Disease (MVD) – very common in small and medium dogs (like Cavaliers, Chihuahuas, Dachshunds). A leaky valve causes blood to flow backward. Dilated Cardiomyopathy (DCM) – more common in large breeds (Dobermans, Boxers, Great Danes). The heart muscle becomes weak and stretched. Over time, poor heart function can lead to congestive heart failure (CHF), where fluid builds up in the lungs or abdomen. Common signs of heart disease Pet owners often notice: Coughing (especially at night or after exercise) Fast or labored breathing Exercise intolerance or tiring easily Fainting or weakness Swollen belly (fluid buildup) Weight loss or poor appetite Medications used to manage heart disease Heart disease usually isn’t cured—but it can be managed, and these medications are the backbone of treatment. 🟡 Furosemide (Lasix) What it does: Furosemide is a diuretic (water pill). It helps the body get rid of excess fluid through urine. Why it’s used: Reduces fluid in the lungs (pulmonary edema) Helps dogs breathe easier during heart failure Key things to know: Dogs will pee more and drink more 💧 Bloodwork is important to monitor kidney function and electrolytes Too much can cause dehydration or kidney strain ➡️ This is often the most critical drug during active congestive heart failure. 🟢 Pimobendan (Vetmedin) What it does: Pimobendan is a positive inotrope and vasodilator: Helps the heart pump stronger Opens up blood vessels so blood flows more easily Why it’s used: Improves quality of life Helps dogs live longer Used in both MVD and DCM Key things to know: Usually given long-term Best given on an empty stomach Very well tolerated by most dogs ➡️ This is a game-changer medication in canine heart disease. 🔵 ACE Inhibitors (Enalapril, Benazepril, etc.) What they do: ACE inhibitors relax blood vessels and reduce harmful hormones that worsen heart disease. Why they’re used: Lower blood pressure Reduce workload on the heart Slow progression of heart failure Key things to know: Mild appetite changes or GI upset can happen Kidney values and blood pressure should be monitored Often used alongside furosemide and pimobendan How these meds work together Think of it like a team effort: Furosemide → removes extra fluid Pimobendan → helps the heart pump better ACE inhibitors → make pumping easier by lowering resistance Together, they: ✅ Improve breathing ✅ Increase energy ✅ Reduce hospital visits ✅ Extend lifespan Monitoring & long-term care Dogs with heart disease usually need: Regular vet checkups Chest X-rays or echocardiograms Bloodwork (especially kidneys & electrolytes) At-home monitoring of resting breathing rate Heart meds are often adjusted over time as the disease changes.