Vetmedin (pimobendan) is the most important medication for dogs with congestive heart failure and certain heart conditions like dilated cardiomyopathy (DCM) and mitral valve disease. It is a lifelong, twice-daily medication, so cost is a significant consideration for owners.
Price Comparison
Vetmedin 5mg (100 chewable tablets):
- From your vet: £40–£70
- Online pharmacies: £25–£40
Vetmedin 1.25mg (50 chewable tablets):
- From your vet: £25–£45
- Online pharmacies: £15–£28
A medium-sized dog on Vetmedin 5mg twice daily uses roughly 60 tablets per month. Annual medication cost from the vet: £290–£500. From online pharmacies: £180–£290. Saving: £100–£250 per year.
Generic Pimobendan
Generic pimobendan tablets are becoming available in the UK and are typically 20–30% cheaper than branded Vetmedin. Ask your vet if they are willing to prescribe generic pimobendan rather than the branded product. The generic versions have passed bioequivalence testing.
Combination Therapy Costs
Dogs with heart failure often need multiple medications. A typical combination might include:
- Vetmedin (pimobendan): £180–£290/year online
- Frusemide (furosemide): £30–£60/year online
- Fortekor (benazepril) or Cardalis: £80–£150/year online
- Total medication cost: £290–£500/year (online) vs £450–£800/year (at vet)
Getting prescriptions for all heart medications and buying online can save £150–£400 per year.
Monitoring Requirements
Dogs on heart medication need regular monitoring including echocardiograms (heart ultrasounds), chest X-rays, and blood tests. These typically cost £200–£500 per check-up and are usually needed every 3–6 months. Discuss the monitoring schedule with your vet or cardiologist.
Last updated: March 2026. Sources: VetCost pharmacy price data, VMD product datasheet.