Hello I am Dr. Joey. Thanks for trusting me to help you and your pet today. I am a licensed veterinarian with over 15 years of experience. I look forward to working with you.
This is not available as a generic and definitely not over-the-counter. There is no alternative to pimobendan. It is a wonderful drug but owned by its one company. It is expensive and this is a bummer. It has a different effect on the heart than any other available drug.
You may be able to ask your vet if using a different category of medication for right now, such as benazepril, might be a valid option. It is significantly less expensive and can often help in the early phases of heart issues. However, our decision on type of drug that is used is often based on an echocardiogram (ultrasound of the heart).
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