VETMEDIN® (pimobendan) Family of Products New Indication Announcements and Resources

Last Updated March 31, 2026

VETMEDIN®(pimobendan) Chewable Tablets and VETMEDIN Solution (pimobendan oral solution) have been approved by the FDA for the delay of onset of congestive heart failure (CHF) in dogs with Stage B2 preclinical myxomatous mitral valve disease (MMVD). VETMEDIN is the only medication approved to treat preclinical heart disease in dogs and prolong their symptom-free life.

This approval is the first time the FDA has granted a full approval of an animal drug indication that was initially conditionally approved under the agency's expanded conditional approval authority. The full approval was based on two multi-site studies. In the EPIC study, VETMEDIN delayed the onset of CHF or cardiac-related death by up to an average of 15.6 months in dogs with Stage B2 preclinical MMVD, compared to the control arm.1 In a second study, 79% of dogs with Stage B2 preclinical MMVD were successfully treated with VETMEDIN for one year without developing CHF.2

The approval adds an additional indication to those already included in the VETMEDIN label - the management of the signs of mild, moderate, or severe congestive heart failure in dogs due to clinical MMVD or dilated cardiomyopathy(DCM), for use with concurrent therapy for congestive heart failure(e.g., furosemide, etc.) as appropriate on a case-by-case basis. Studies have shown that VETMEDIN can help improve the survival time and quality of life for dogs with CHF due to MMVD or DCM. 3-5

With the recently approved B2 indication, the VETMEDIN portfolio is the only one with both chewable tablets 
and an oral solution that is approved by the FDA to treat canine patients starting at the Stage B2 preclinical phase of MMVD, as well as Stages C and D of CHF due to MMVD or DCM.

See below for updated documentation related to safety and prescribing information and packaging and shipping updates
 

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IMPORTANT SAFETY INFORMATION: VETMEDIN® (pimobendan) Chewable Tablets and VETMEDIN® Solution (pimobendan oral solution) are for use only in dogs with Stage B2 preclinical myxomatous mitral valve disease (MMVD) or congestive heart failure (CHF) due to clinical MMVD or dilated cardiomyopathy (DCM). The most common non-cardiac adverse reactions reported in field studies, were poor appetite, lethargy, diarrhea, dyspnea, vomiting, musculoskeletal pain, and ataxia.  For more information, please see full prescribing information for Solution or full prescribing information for Chewable Tablets.

 

IMPORTANT SAFETY INFORMATION: VETMEDIN®-CA1 (pimobendan) It is a violation of Federal law to use VETMEDIN-CA1 other than as directed in the labeling. VETMEDIN-CA1 is conditionally approved by FDA pending a full demonstration of effectiveness under application number 141-556. Adverse reactions not related to disease progression in dogs receiving VETMEDIN-CA1 included diarrhea, vomiting, pain, lameness, arthritis, urinary tract infection, and seizure. For more information, please refer to the package insert.

Trademark

VETMEDIN® is a registered trademark of Boehringer Ingelheim Vetmedica GmbH, used under license. All other trademarks are the property of their respective owner. ©2026 Boehringer Ingelheim Animal Health USA Inc., Duluth, GA. All rights reserved.

References

1Boswood A, Haggstrom J, Gordon SG, et al. Effect of Pimobendan in Dogs with Preclinical Myxomatous Mitra I Valve Disease and Cardiomegaly: The EPIC Study-A Randomized Clinical Trial. J Vet Intern Med. 2016 Nov;30(6):1765-1779. doi: 10.1111/jvim.14586. Epub 2016 Sep 28.

 

2 VETMEDIN® Solution (pimobendan oral solution) [Freedom of Information Summary; NADA 141-575]. Duluth, GA: Boehringer

lngelheim animal Health USA, Inc.; 2026.

VETMEDIN® (pimobendan) Chewable Tablets [Freedom of Information Summary; NADA 141-273]. Duluth, GA: Boehringer lngelheim animal Health USA, Inc.; 2025.

 

3 Haggstrom J, et al. Effect of pimobendan or benazepril hydrochloride on survival times in dogs with congestive heart failure caused by naturally occurring myxomatous mitral valve disease: the QUEST Study, J Vet Intern Med. 2008; 22(5): 1124-1135. 

 

4 Lombard, Christophe W, et al. "Clinical efficacy of pimobendan versus benazepril for the treatment of acquired atrioventricular valvular disease in dogs." Journal of the American Animal Hospital Association vol. 42,4 (2006): 249-61. doi:10.5326/0420249. 

 

5 Luis Fuentes V et al, Double-blind Randomized Placebo-Controlled Study of Pimobendan in Dogs with Dilated Cardiomyopathy JVIM 2002"

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