For the treatment of congestive heart failure (NYHA decompensation grades II-IV) in dogs. Vasotop can be used in combination with diuretics and the cardiac glycosides, digoxin or methyl-digoxin.

Administration of ramipril in patients with congestive heart failure improves cardiovascular function, the related clinical signs and the prognosis. Ramipril has also been shown to reduce the mortality rate among patients with persistent or transient heart failure following an acute myocardial infarction (man, dog).