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They concluded that: "Treatment with ARBs, such as telmisartan, or combined ARB and ACE2 [angiotensin converting enzyme 2] treatment represents a potential treatment strategy for dogs with DMVD and warrants additional preclinical study." In a December 2024 study of 36 dogs divided into 3 groups (D1 group - enalapril was used, D2 - enalapril and spironolactone, D3 - telmisartan), the telmisartan group was foound "effective for treating dogs with MMVD because it lowers blood pressure, blocks angiotensin II receptors and improves hemodynamics, reducing the strain on the kidneys and myocardium." RETURN TO TOP --- alpha & beta blockers in Stage C Alpha and beta blockers and alternatives include: Carvedilol (Coreg) Bisoprolol Nebivolol (Bystolic) Propranolol Phenoxybenzamine ( Dibenzyline) Atenolol (Tenormin, Tenoretic) Nicorandil (Ikorel, Angedil, Dancor, Nikoran-PCA, Aprior, Nitorubin, Sigmart) Carvedilol (Coreg), bisoprolol, nebivolol (Bystolic), and propranolol also are being prescribed for Stage C MVD by some cardiologists

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