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"There are allowances for doctors to make their own decisions backed up by robust evidence to prescribe unapproved products to their patients," the TGA's chief medical adviser Robyn Langham said

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The new Stage B2, which will determine if and when pimobendan should be prescribed to an MVD-affected dog prior to heart failure, requires (a) that the dog have at least a grade 3 murmur, and (b) that the dog have a left atrium LA:Ao ratio of at least 1.6, and (c) that the dog have a left ventricle normalized dimension LVIDDN of at least 1.7, and (d) that the dog's VHS value be over 10.5