cheaper alternative to vetmedin furosemidehungary no longer a democracy Posted March 13, 2023

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Lisinopril works as an angiotensin-converting enzyme (ACE) inhibitor. He has been taking Vetmedin for 4 months and has been great. You've selected a type of pharmacy that doesn't exist in this area. If you think you may have a medical emergency, immediately call your physician or dial 911. Ive got a bug duck. Diuretics can cause dehydration and electrolyte imbalance. The medication is less expensive through Walmart and was backordered by other pharmacies. Survival was also greater than in animals treated with Benazepril instead of Vetmedin (along with or separately from furosemide). include lifestyle changes and diet modifications to help keep blood pressure in a healthy range or to decrease, . When this medicine was unavailable everywhere, Walmart has it in stock. Both are sweet-tasting liquids that may be easier And the customer service is fantastic!! In addition, it is expensive and the price goes up often. I know how stressful it is when your pet needs this med to live and it is not available. Its makes my 17 yr old Chihuahua/Rat Terrier mix feel better. Half the cost and twice the convenience!!! There is no FDA-approved alternative to Vetmedin. This measure should help fill recent gaps in the supply of Vetmedin in the U.S. Vetmedin capsules, chews and chewable tablets all contain the same active ingredient, pimobendan. However, there are differences in the way these products are labeled. What a difference, you wouldn't know she has any issues. Any alternatives or tips to Very competitive price, easy to order and convenient shipping. Has helped him enormously the coughing is now Minimal along with the spitting up of his water. The savings has allowed me to keep treating my old buddy. Received my order very quickly. WebThe other 6 dogs received furosemide (2.0 mg/kg, PO, q 12 h) and pimobendan (0.6 mg/kg, PO, q 12 h) for 10 days. After describing my issues and the fact that I hadn't received my order which was showing it had been delivered I was overnighted a duplicate order which I did receive the very next day! If cost is a concern for switching medications, can help with savings on prescription costs at, if the prescribing doctor has been consulted and decided stopping the medication is safe. This medication has managed my Chihuahua's heart disease for 3 plus years now. Flexible Our dog has heart problems and this is the best thing for it on the market for our dog. She loves these. Didnt know Walmart had a pet pharmacy. My Great Dane was diagnosed with cardiomyopathy and this medication seems to make him have a better quality of life and is well tolerated. She loves these. This constant shortage of Vetmedin drives me crazy. Trademarks, brands, logos, and copyrights are the property of their respective owners. Do not let your supply run low. WebGoodRx lowest price $48.99 medication Availability Brand only Get 20% off your first order with code GOODRX20 Shop Vetmedin at Americas #1 Pet Pharmacy for the best pet FUROSEMIDE is a diuretic. It helps you make more urine and to lose salt and excess water from your body. This medicine is used to treat high blood pressure, and edema or swelling from heart, kidney, or liver disease. The lowest GoodRx price for the most common version of furosemide is around $2.40, 79% off the average retail price of $11.45. I can get a 120-day (4 months) supply of Pimobendan through this compounding pharmacy for $199.95 which works out to be $1.67/day less than half the cost of Vetmedin through the least expensive supplier Ive found. Walmart offers this at a much more affordable price than my vet office. Good luck to him and you. So grateful Walmart has this medication. QVC's Privacy Statement does not apply to these third-party web sites. He must take it twice a day and when he looks forward to it, it makes my life easier. Almost immediately improved my dog's heart condition. Vetmedin relieves the symptoms of heart failure and improves the pet's quality of life. We will continue to order this medication from Walmart. People can either avoid or limit their time spent outdoors on hot days and always carry a water bottle. I usually order this from Chewy, but they are always on back order and more expensive. By far, Walmart is the cheapest to me, and a plus is free shipping! Amazing Service! Reasonable cost for my pet's medication. Easier for me than running to the vet to get them. Additionally, the AHA recommends adults with elevated blood pressure or hypertension who currently consume alcohol should limit their intake to no more than 2 standard drinks for men and 1 standard drink for women per day. Depending on the reason furosemide is being prescribed, there are several classes of medications that could be used as alternatives. Great customer service and so convenient. The vet told me then she could give me another year with him on this medication. An alternative to. With auto ship Walmart has the best price for this medication for our dog. If side effects occur, consult your veterinarian. Likewise, no legal liability or responsibility is assumed for the accuracy or completeness of any information, or usefulness of products discussed. Lisinopril is recommended as a first-line medication for treating hypertension according to the AHA hypertension guidelines. Pimobendan, a benzimidazole This drug has been approved by the FDA, but isn't available in pharmacies at this time. My chihuahua was diagnosed with chf. I hope availability improves. Good for my dog and shopping & price is nice. She was almost 14 when her legs gave out and although her heart was v bad it was still under control, Ok, that sounds hopeful thankyou. This medication makes her heart stronger and helps her immensely. Re: Vetmedin Availability and Alternatives. Thank you Walmart! It stimulates the kidneys to produce The drug demonstrates positive inotropic effects mainly by increasing the sensitivity of the contractile structures of the heart to intracellular calcium. Im a new customer. Help!! My dog needs this drug and its out of stock at Chewy. Then I found out about Walmart Pet Rx and getting this was not only easy, but I got double the amount for the same price at my vet's office. I had assumed that was the only dose for his body weight. Hopefully we can keep her around and make her comfortable for a good while longer. To date, there are no published studies on the pharmacokinetics of pimobendan in cats. This product at a low dose was able to help my dogs breathing and allow her to be sedated for a teeth cleaning. Dont know something or cant find the information you are looking for? We have used the Walmartpetrx and it has proven to be the Most reliable avenue to order our Chihuahuas Vetmedin. For those on a low income that love their pets this is the way to go. Issued by FDA Center for Veterinary Medicine. price is great half of previous purchase at other source. providers determine if the medication plan is working or not. Other online retailers are out of this med. My dog does not mind taking this medication. In general, Pimobendan enhances systolic function by improving the efficiency of heart contractions. Keeping a blood pressure journal can help. Furosemide is available as an oral tablet and oral solution and may be prescribed for either short-term or long-term treatment of edema. This diet also aims to decrease sodium, foods and beverages with added sugars, and red meat. Fortekor is used for both cardiac and kidney disease. Walmart has it in stock for 2/3 the price. The older dogs get, the more susceptible they are to heart disease and heart failure.4 With early diagnosis and treatment of clinical signs, you can significantly prolong and improve your dogs quality of life., Be sure to talk to your veterinarian about VETMEDIN for dogs to determine the proper regimen for your pet. I used to have Cavalier King Charles Spaniels, and many of them had mitral valve disease (MVD). This mechanism of vasodilation is also useful in the treatment of pulmonary hypertension (PH). It depends on the characteristics of a particular dog, its breed, age, and the cause of the disease. Note: Any trademarks are the property of their respective companies. The advantage of this option is that dogs are more likely to swallow capsules than chew tablets, which have to be masked by placing them in boiled vegetables such as carrots or beets, or in minced meat. My dogs heart disease isnt progressing on this medicine!!! Last October she passed away while sitting on the floor looking at me. I ordered this medication on 8/17 and need it to be refilled every 2 months. Our golden retriever requires these meds and Walmart has the best pricing, Very easy to order. He would constantly cough like whooping cough if to humans. The medications that she is on have worked beautifully and she has her quality of life back. She's now 17. For example, all medications that contain ACE, (such as lisinopril and enalapril) and ARBs (such as valsartan and losartan) must not be used in pregnant women or women planning on becoming pregnant. I just saved $30. Everyone is talking about how expensive it is and I have not had that problem in Mississippi,yet. My vet has frequent back order problems. Sometimes Vetmedin generics are available as capsules for oral administration. She was not even 8 years old. My bulldog Rocky has dilated cardiomyopathy and needs it in order to survive. My elderly dog has quality of life thanks to vetmedin. I agree, it would be difficult to split a 10 mg pill into a 2.5 dose. I think her poor little heart just gave out. I need these ASAP because my dog is out. Once the order is filled THEN it ships in 2 days. The pharmacies will fill those orders first. good way for meds without waiting at the pharmacy. Possible side effects of spironolactone include breast enlargement or swelling (gynecomastia), elevated potassium levels in the blood (hyperkalemia), decreased sexual drive, menstrual irregularities, dehydration, electrolyte disturbances, dizziness, and muscle cramps. The manufacturer of branded Vetmedin is the German family pharmaceutical company Boehringer Ingelheim. If one dose is missed, the drug is resumed at the same dose and according to the same scheme. may be considered for certain individuals such as elderly people or those who have difficulty with urination. The information presented is for educational purposes only and is intended to be a supplement to, and not a substitute for, the expertise and professional judgment of your veterinarian. Thank You Walmart! , chlorthalidone is recommended as a first-line medication for treating, treatment, chlorthalidone can be used to treat, and decrease swelling of fluid trapped in the bodys tissues. Although the imported Vetmedin products have not been evaluated or approved by FDA, they are approved in their countries of origin and subject to those countries regulatory standards, including adherence to good manufacturing practices. This diet also aims to decrease sodium, foods and beverages with added sugars, and red meat. At the same time, Vetmedin has a direct effect on the heart muscle, helping it beat stronger and pump blood more efficiently. Some foods have diuretic effects that can help people reduce water retention and swelling. When used in the asymptomatic (preclinical) phase of diseases, it increases the time until the first symptoms of CHF appear and prolongs the dog's life for up to several years. Find recent orders, do a return or exchange, create a Wish List & more. fast and easy, quality meds, great prices. In the past, when i had to speak with an agent, it went Very well. The loop diuretics torsemide and bumetanide have an oral bioavailability (the fraction of drug that reaches systemic circulation) of 80 to 100%, while furosemide has a wide variant bioavailability of 10 to 100%. They were easy to find on the website, easy to order and free delivery. The CHF disease per the Vet appears in remission. There are other options available to treat, . I love this for my 11 year old mini pinch mixed Yorkie he loves it. problem is that is too expensive. Very sad for us who have to one watch our little fur babies die. Ships fast. They always are available and the price is way less expensive than other sites. Thanks Walmart! Learn how we can help. Lisinopril is. I'm so glad for my sweetheart dog. The active substance of the drug with trade name Vetmedin is Pimobendan. The, have an oral bioavailability (the fraction of drug that reaches systemic circulation) of 80 to 100%, while. In the absence of quality medical care, the risk of developing cardiogenic pulmonary edema, which can lead to the death of the animal, increases significantly. Loops diuretics work to increase the bodys elimination of water and salt that leads to a reduction in excess fluids from the bodys tissues and lower blood pressure. I went to a new vets because although I love my old vets they were a fair way from home now we have just moved house even further. Prevention measures - a balanced diet, physical activity in accordance with the characteristics of the breed. Sometimes Vetmedin is prescribed in combination with other medicines from a veterinary or human pharmacy. Prescribed by our vet and available through Walmart. The dose should be divided into two administrations (0.25 mg/kg each), one half of the dose in the This is my suggestions for getting and keeping asupply. My Schnauzer has used this medicine for 4+ years due to a heart condition and it must be doing a good job because she is 16+ and takes this med right out of my hand. Other pet med companies are all our of stock of this medication. *If your pet is in need of urgent or emergency care, contact your pet's veterinarian immediately. Vetmedin is a critical medication used to treat dogs with congestive heart failure due to valvular insufficiency or dilated cardiomyopathy. RX Needed by your Vet. My vet prescribed Vetmedin, and subsequent echocardiograms have been stable. The refills arrived timely, and accurately. My vet prescribed this for my Yorkie and it has been keeping her alive. 0.5 to 10 mg per day by mouth divided into one to two doses, 5 to 40 mg per day by mouth divided into one to two doses, 40 to 120 mg per day by mouth divided into one to two doses (edema), 10 to 40 mg tablet by mouth twice daily (hypertension), 10 to 200 mg tablet by mouth once daily (edema), 5 to 10 mg tablet by mouth once daily (hypertension), 500 to 1000 mg tablet by mouth once to twice daily (edema), 250 to 500 mg tablet by mouth once to twice daily (hypertension), 25 to 200 mg tablet by mouth once daily (edema), 12.5 to 50 mg capsule/tablet by mouth once daily (hypertension), 50 to 100 mg tablet by mouth once daily (edema), 12.5 to 25 mg tablet by mouth once daily (hypertension), Edema associated with hepatic cirrhosis or nephrotic syndrome, 12.5 to 50 mg by mouth per day divided into one to two doses (heart failure), 25 to 100 mg by mouth per day divided into one to two doses (hypertension), 25 to 200 mg by mouth per day divided into one to two doses (edema), 100 to 400 mg tablet by mouth once daily (hyperaldosteronism), Stroke prevention in hypertension and left ventricular hypertrophy, 80 to 320 mg tablet by mouth once daily (hypertension), 160 mg tablet by mouth twice daily (heart failure and post-MI), Reduction of mortality in acute myocardial infarction, Asymptomatic left ventricular dysfunction. The main differences between generics and the original drug are the color of the tablets and their size. Symptoms of dehydration and electrolyte imbalances include dry mouth, thirst, weakness, lethargy, drowsiness, restlessness, muscle pains or cramps, muscular fatigue, hypotension, low urine output, fast heart rate, irregular heartbeat, or gastrointestinal disturbances such as nausea and vomiting. People can NOT believe ACTIVE PLAYFUL BELLA is 16- yet alone a dog with a HEART condition. She still coughs a little, but she can get a comfortable nights rest. Without it, we would have lost our little lady. I have a 17 year old female that is in congestive heart failure. Valsartan works as an angiotensin II receptor blocker (ARB). This medication is for my dog's heart function. Autoship is awesome but not as awesome as the price. 0 Report. The following are some of the most common alternatives to furosemide. Previously ordered from Chewy, but it is temporarily out of stock. Some alternatives should be used with caution or avoided with certain, . She said it was hard to find, but Walmart had it!! My Cavachon was diagnosed with a grade 3 heart murmur about 4 years ago. . I saved almost half for my dogs monthly supply of heart medicine. These fruits contain minerals and enzymes that cause water release from the kidneys. The most common side effects are poor appetite, lethargy, diarrhea, shortness of breath, weakness, and ataxia (lack of muscle control and coordination). WebYour veterinarian uses furosemide to treat dogs with some critical conditions. I usually procrastinate on ordering and then its backordered. Easiest way to give this. Since the pills are easy to break in half, you might be able to buy the pills with twice the MG your dog needs for one dozing and give half. In patients with chronic renal insufficiency, furosemide has been shown to have a variable dose response compared with a more consistent dose effect with bumetanide due to altered metabolism of furosemide in patients with kidney disease. When considering alternative prescription medication, its important to consider the specific condition being treated. Heart failure in dogs often occurs with age. I buy for my dog her heart problems she doing good with this medication, Ive used this before for an older lab who was in congestive heart failure and it gave us another year with him. i do feel your pain though, because my chihuahua was on it for many years. I stockpiled 18 months worth of RX for my dog just to be sure she would not run out. In dogs, the This is the best price for the medicine online, especially because of the free shipping and best service from Walmart! Best of luck. Good alternative if your regular pet pharmacy. My dog did not like the compounded meds. price very good. However, it may be rational to use it in chronic heart failure caused by all cardiomyopathies, in part due to the additional properties of pimobendan. Metabolites of the drug are excreted from the body of the dog without accumulating. T. Rohla. These chewables make giving her meds so much easier! What are some good alternatives to furosemide? Its release form is chewable tablets for oral use. WebVetmedin (pimobendan) (439) | 309 Questions Answered Prescription Item $53.99 Reg. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. Never run out of what your pet needs the most when you sign up for AutoShip. The cough can be bothersome to some people and require a change in medication. Oszukowska M, Michalak I, Gutfreund K, et al. Miracle drug for my 11 year old chihuahua with heart disease. I had no idea Walmart could fill pet prescriptions. WebPimobendan, VETMEDINs active ingredient, decreases stress on the heart muscle while increasing cardiac output, without raising oxygen or energy consumption. Finally, I sent it to my dog's breeder who has a dog who used it as well. I didn't want to throw it out and the pharmacy would not take a return. Most often in veterinary medicine, Vetmedin is used at a dosage of 5 mg. @Carmie, I get the 2.5mg dose and give 1/2 twice a day. in the blood (hyperkalemia), decreased sexual drive, menstrual irregularities, dehydration. These treatment options may be more suitable for certain individuals due to their different uses, side effect profiles, and dosages. I trust Walmart pet pharmacy to provide prompt and professional service. Depending on the reason furosemide is being prescribed, there are several classes of medications that could be used as alternatives including other loop diuretics, thiazide diuretics, potassium-sparing diuretics, angiotensin II receptor blockers (ARBs), angiotensin-converting enzyme (ACE) inhibitors, calcium-channel blockers (CCBs), beta blockers, alpha blockers, and central alpha agonists. . Increases the ability of the heart to pump blood. Share. WebCheaper Alternative to Vetmedin Vetmedin Generic (vetmedin 5mg generic, vetmedin 2.5 mg generic) The modern market of veterinary drugs offers dog owners not only the Watermelon has been found to have diuretic activity which may be attributed to increase in salt excretion ability. Quick and easy ordering. When they do come back in stock, it's not easy storing up a big supply since the pills are so expensive. Neither the Company nor any of its employees or consultants make any warranties, expressed or implied, or representations about the accuracy or completeness of the content or the content of any site or external sites. Our pet was in need of this heart medication and Wal-mart PetRX not only had it in stock but offered the best price on the web. Pet has heart problems n save on price. When my vet was out of stock on my dogs heart meds, Walmart Pet Rx always has it in stock. People can either avoid or limit their time spent outdoors on hot days and always carry a water bottle. My dog has a heart murmur. Too much fluid in the body could become life threatening. It is commonly used to treat heart failure in dogs and is more affordable than Vetmedin. These effects are more common with higher doses and a restricted salt intake. Saved money on this website! Vetmedin tablets and their generics are produced at a convenient risk: each tablet can be divided into 4 equal parts. My vet didn't have it in stock and to my surprise, my cost is cheaper at Walmart. The safety of VETMEDIN has not been established in puppies younger than 6 months of age, or in breeding, pregnant or lactating dogs. Now, youll enjoy a streamlined experience created specifically for healthcare providers. You must log in or register to reply here. has been found to have diuretic activity which may be attributed to increase in salt excretion ability. We are very happy out vet helped us and found this medication. Much cheaper than at the vet. I searched around and lucky me Walmart to the rescue! My previous 2 places would run out of this medication and have difficulty getting back in stock. Twice a day and my girl is still staying on her daily routine and enjoying life. or those with concerns regarding bioavailability. Switching to bumetanide may be a suitable option for people who have become resistant to furosemide or those with concerns regarding bioavailability. 15% discount available for new customers only. To help our fur baby Beat stronger. web/xmlpackages/product.SimpleProduct.xml.config. My 8 year old standard poodle has heart failure. Thank you so much. Because the vet is out of it and I need for my dog heart problems. works wonders for a dog that has a heart condition. Valsartan has additional FDA indications including heart failure and post-myocardial infarction (after a heart attack). Please enable JavaScript in order to continue using our website. Walmart PetRx has the dosage I need at a reasonable price. My girl hates pills. Questions & answers are typically posted within 24 hours, pending approval. Of course the very high heat affects the efficacy of the medication. Many pet pharmacies don't have stock for this heart medicine, but Walmart has it. I was " stuck" with a lot of Vetmedin that was in the original boxes and unopened. When I couldn't get it back in November 2018 due to production issues I was so scared that I would lose my girl but the vet still had some so I lucked out. She likes the taste and readily takes it like a treat. Once again I'm finding Vetmedin in short supply with it being "currently unavailable" on multiple sites and my usual pharmacy limiting quantity to 50 tablets. However, a number of feline heart diseases are characterized by echocardiographic evidence of ventricular systolic dysfunction. My review is not about the medication but about the pharmacy. She was prescribed VETMEDIN along with Benazapril and a diuretic. Veterinarians prescribe this drug in cases of heart failure in dogs, which was caused by valvular insufficiency, mitral valve endocardiosis in the asymptomatic and clinical stages of the disease, as well as tricuspid valve endocardiosis in the clinical stage or dilated cardiomyopathy. Some alternatives have dangerous drug interactions that must be avoided. WebPimobendan (brand name: Vetmedin) is a heart medication used to treat dogs with congestive heart failure (CHF), usually caused by either dilated cardiomyopathy or valvular insufficiency. Low cost, availability of 5mg tab, auto ship and Walmart name, It seems to be helping my dog. My beagle was diagnosed with CHF. This medication seems to have made a difference in my pets life. Its use in cats to treat heart failure is off label or extra label. Some alternatives should be used with caution or avoided with certain medical conditions. Though she will have to take her HEART meds for the rest of her life BELLA has not had any wheezing nor signs of the CHF slower her down. As a similar medication to furosemide, bumetanide may also be used to help lower blood pressure. Keeping a blood pressure journal can help healthcare providers determine if the medication plan is working or not. best price by far. This is a great alternative (Generic) to the very costly Vetmedin (Name Brand). is dosed as 0.5 to 10 mg per day by mouth divided into one to two doses. Very happy to know Walmart has dog meds as well as peoples was surprised to here that. Obviously, this is due to the more neutral taste of this generic. I would discuss this with my Vet and follow his or her protocol. Thanks for supplying his medication! In The Valsartan Heart Failure Trial (Val-HeFT), valsartan significantly reduced hospitalizations for heart failure. Talk to your veterinarian before using on your dog. Customer service was very helpful. GoodRx is not sponsored by or affiliated with any of the third-party brands identified. In people with serious health conditions, such as, , diuretic withdrawal may require monitoring. I can get this prescription cheaper than through my vet. The early treatment was furosemide and enalapril. To help my pet to have a longer life and comfort. After comparing other online pet prescriptions refills WalMart had great prices,especially using auto refillGreat prices, Not on backorder like another company is all the time. These data are fully consistent with the data on the branded Vetmedin. Helps our dogs heart because she has CHF. Thanks Walmart. Have some in stock. My min pin has is ticking strong thanks to this med. He actually enjoys eating the giant pills! Vetmedin is a medication that is used to treat dogs with heart failure or other heart-related conditions. My Zeus thanks you! Other indications for use are rescue interventions, including the use of pimobendan with other therapies for the treatment of symptomatic heart failure refractory to standard therapies. The following are some of the most common alternatives to furosemide. After all, there were no external manifestations of diseases even before the veterinarian prescribed this medicine. Lasix (furosemide): The first step is to discuss coming off Lasix ( furosemide) with your doctor. VETMEDIN should only be used in accordance with instructions from your veterinarian. My dog needs medicine and cheaper through this website. Drinking water fine, active, no coughing. However, there are reports of this medication being used to treat congestive heart failure in cats at off-label doses similar to those used in dogs. You cant find it anywhere anymore? If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. My baby 9 y.o Pom with CHF. Saved my 14 year olds life. Diuretics affect the bodys regulation of urination (diuresis), water volume, and salt concentration. belongs to the class of medications called, work to increase the bodys elimination of water and salt that leads to a reduction in. My pup has a heart murmur and this is a vet prescribed medication. Many animals do not tolerate heat, suffer from lack of movement. Use extra caution on hot summer days, as people are more likely to get dehydrated and lose electrolytes. Hopefully with this medication well be able to give her a longer, healthier life. First shipping savings for me is $40, autoship will save me & $20, My pup has a heart murmer and is doing soo well with this medication. All Rights Reserved. Additionally, the AHA recommends adults with elevated blood pressure or. The autoship says Nov. 17 which is not soon enough. It's so good to see her feeling better!! Bumetanide is dosed as 0.5 to 10 mg per day by mouth divided into one to two doses. My dog use this medication for hear failure, price is excellent and delivery is always on time. Less expensive than vets office. In case of Vetmedin overdose, contact your nearest emergency animal hospital. pharmacy have been superior to other options. While I have sufficient quantity for almost a month I am finding the frequency with which Vetmedin is unavailable troubling and a little stressful. Vetmedin is an active cardio protector, that is, it is not used for the general improvement of the dogs cardiovascular system, but specifically for the treatment of diagnosed heart failure in an animal. Angiotensin-converting enzyme (ACE) inhibitors. My dog is on 2.5 mg twice per day and I can use only 1 pill per day by cutting in half. Vetmedin prolongs survival and improves clinical symptoms in dogs with CHF secondary to both CVD and DCM. Cost less, fast delivery, great customer service and the site makes ordering easy. My boy needs it to live. That's not Walmart Pet RX's fault and I consistently receive 5 Star service from them. Usually takes 2 or 3 days to fill so it would be wise to order 1 week in advance. The information is NOT to be used for diagnosis or treatment of your pet. She is able to take longer walks and actually runs like a puppy!! I also called the pharmacy and they never bothered to call back because the pills I received in high heat had a change of texture.

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cheaper alternative to vetmedin furosemide