PimoPET® Tablets should be administered orally at a dose of 0.2 mg to 0.6 mg pimobendan/kg body weight per day. The preferable daily dose is 0.5 mg pimobendan/kg bodyweight. The daily dose should be divided into two equal administrations, one half of the dose given in the morning and the other half approximately 12 hours later. Each dose should be given approximately one hour before feeding. 
                   Determine the bodyweight accurately before prescribing to ensure administration of the correct
                   See dosing below.
 PimoPET® 5.0 mg Tablets Dosage Guide
 Bodyweight Daily Dosage: Twice daily (as described  above).          
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< 5(kg) ¼ - ½ Tab
  
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5-10(kg) ½ - 1 Tab
  
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11-20(kg) 1 - 2 Tab
  
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21-40(kg) 2 - 4 Tab
  
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41-60(kg) 4 - 6 Ta
  
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> 60(kg) 6 Tab
  
                        
 PimoPET® Tablets may be combined with a diuretic treatment such as furosemide.     
                  Contraindications, warnings, etc
                          PimoPET® Tablets should not be used in cases of hypertrophic cardiomyopathies or clinical conditions where an augmentation of cardiac output is not possible for functional or anatomical reasons (e.g. aortic stenosis). The product should only be used in dogs with cardiac insufficiency.
                   A moderate positive chronotropic effect and vomiting may occur in rare cases. However, these effects are dose-dependent and may be avoided by reducing the dose in these cases. In rare cases transient diarrhea, anorexia or lethargy have been observed.
 In studies with rats and rabbits pimobendan had no effect on fertility and embryotoxic effects only occurred at maternotoxic doses. In rat experiments it has been shown that pimobendan is excreted into milk. Therefore, the product should only be administered to pregnant and lactating females if the expected therapeutic benefits outweigh the potential risk.
                   The pimobendan-induced increase in contractility of the heart is attenuated in the presence of the calcium antagonist verapamil and the β-antagonist propranolol. In pharmacological studies no interaction between the cardiac glycoside ouabain and pimobendan was detected. Do not exceed the recommended dosage.
 In the case of overdose, symptomatic treatment should be initiated.
                   Any unused product or waste material derived from such veterinary medicinal product should be disposed of in accordance with local requirements.
 For animal treatment only.
 In case of accidental ingestion, seek medical advice immediately and show the package leaflet or the label to the physician. Wash hands after use. Advice to doctors: accidental ingestion, especially by a child, may lead to the occurrence of tachycardia, orthostatic hypotension, flushing of the face and headaches.
               
         
                    Pharmaceutical precautions 
                          Do not store above 25°C.
 Store in the original package tightly closed in order to protect from moisture.
                   Keep out of reach and sight of children.
              
         
                    Packaging Quantities
                  30 tablets or 100 tablets of 5.0 mg tablets packed in white child-resistant polypropylene bottles.             
                     Further information 
        Pharmacodynamic properties
       Pimobendan, a benzimidazole-pyridazinone derivative, is a non-sympathomimetic, non-glycoside inotropic substance with potent vasodilatative properties.
       Pimobendan exerts its stimulatory myocardial effect by a dual mechanism of action: increase in calcium sensitivity of cardiac myofilaments and inhibition of phosphodiesterase (type III). It also exhibits a vasodilating action through an inhibitory action on phosphodiesterase III activity. The combined evidence from cell culture, laboratory animal and small studies in the target species suggests that the combination of the specific PD properties of pimobendan may reduce the progression of myocardial damage in dogs with MVD and DCM when used together with other standard therapy.
 Pharmacokinetic particulars
 Absorption: Following oral administration of pimobendan, the absolute biovailability of the active principle is 60 - 63 %. Since this bioavailability is considerably reduced when pimobendan is administered with food or shortly thereafter, it is recommended to treat animals approximately 1 hour before feeding.
 Distribution: The volume of distribution is 2.6 l/kg, indicating that pimobendan is distributed readily into the tissues. This means plasma protein binding is 93 %.
 Metabolism: The compound is oxidatively demethylated to its major active metabolite (UD-CG 212). Further metabolic pathways are phase II conjugates of UD-CG 212, in essence glucuronides and sulfates.
 Elimination: The plasma elimination half-life of pimobendan is 0.4 + 0.1 hours, consistent with the high clearance of 90 + 19 ml/min/kg and a short mean residence time of 0.5 + 0.1 hours.
 The main active metabolite is eliminated with a plasma elimination half-life of 2.0 + 0.3 hours. Almost the entire dose is eliminated via feces.
   
                   Marketing authorisation number 
    V/NRP/17/0046 PimoPET® 5.0 mg Tablets.