Can Prascend cause lameness?

Increased or decreased sweating may occur. Reproductive cycles may be abnormal or absent, potentially leading to infertility. A cause of lameness in both forelimb and hindlimb of athletic horses. Fat deposits may appear along the crest of the neck and the tail head.
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What are the side effects of Prascend in horses?

Treatment with PRASCEND has been observed to cause inappetence, with most cases being transient. Weight loss, lethargy and behavioral changes may be observed in some horses. If severe, a temporary reduction of dose may be necessary. PRASCEND has not been evaluated in breeding, pregnant or lactating horses.
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Can pergolide cause laminitis?

In some cases laminitis developed for the first time during pergolide treatment, in other cases laminitis recurred or did not improve during pergolide treatment. When considering treatment options clinicians should weigh the potential benefits of treatment against the risk of adverse effects.
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Can Prascend help laminitis?

Several studies report improvement in the clinical signs of laminitis during treatment with pergolide. However, such improvements cannot be attributed to pergolide rather than other interventions such as farriery, rest or analgesia.
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Does PPID cause laminitis?

Insulin dysregulation places horses with PPID at a higher risk of developing laminitis, which can be the most devastating complication of PPID. Laminitis (founder) is a crippling disease caused by weakening of the tissues (laminae) anchoring the hoof wall to the underlying bone.
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Prascend® (pergolide tablets) Testimonial: Spirit’s Surprising Diagnosis.



Does Cushing's cause lameness?

The lamellae suspends and supports the pedal bone within the hoof capsule. When these lamellae are disrupted, the pedal bone sinks and rotates which then causes lameness. Cushings causes a break down in the lamellae proteins and reduces lamellae blood flow. This is why horses with Cushings are predisposed to laminitis.
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Can Cushing's cause laminitis in horses?

Recurrent and often unexplained bouts of laminitis along with an abnormal hair coat are two of the most common clinical signs of a horse with Cushing's.
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How long does it take for Prascend to work in horses?

How long until I see an improvement with my horse after beginning treatment with PRASCEND? Depending on the specific clinical sign, improvement may be observed beginning within 30 days and continue through 6 months of initial treatment.
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Can you Prascend every other day?

Giving 0.5 mg every other day - the datasheet states that Prascend should be given once daily. As the average half life of pergolide has been found to be around 6 hours in horses (Abra Wright Pharmacokinetics of pergolide in normal mares, MSc thesis 2009), extending the time between doses seems counter-intuitive.
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Can you overdose a horse on Prascend?

Overdosing pergolide is considered very rare and to the authors' knowledge this is the first report with a severe overdose of pergolide (Prascend). As accidental drug overdosing is a common error in medicine, it is important to know about possible side effects and how to react in cases like this.
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What is the difference between PRASCEND and pergolide?

A. Pergolide is the name of the drug, i.e. the active ingredient (pergolide mesylate). Prascend is the only form of pergolide that is currently licensed for use in horses. It is made by Boehringer Ingelheim and comes in 1 mg tablets, which can be easily broken in half.
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Is pergolide toxic to dogs?

In dogs, no adverse effects at a dose of 0.1mg/kg/day were noted in a one-year study, however clinical signs of vomiting and lethargy have been noted with doses as low as 0.01-0.07mg/kg. The lethal dose is stated to be 25mg/kg in dogs.
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Is pergolide safe for horses?

Pergolide is FDA approved for use in horses and has been evaluated for safety. In field trials, decreased appetite occurred but was usually transient. Weight loss, anorexia, diarrhea, colic, lethargy, and behavioral changes have been observed in some horses.
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What causes equine ataxia?

By far the most common cause of ataxia in horses is spinal cord compression and, in particular, in the neck – so-called wobblers syndrome or cervical vertebral malformation / malarticulation (CVM). It is unknown exactly how common compression of the spinal cord in the neck is.
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How do you feed PRASCEND?

Starting with the easiest...
  1. Hide it in their food. ...
  2. Put it in a piece of apple or carrot. ...
  3. Wedge it in a polo or preferably three! ...
  4. Make a sandwich! ...
  5. Mix with some apple puree or custard.
  6. If your horse doesn't have laminitis you could add a small amount of molasses or honey to a handful of feed and put the tablet in.
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What is a normal ACTH level in horses?

Samples taken during this time period may have up to 3 times reference levels of ACTH in normal horses." Their normal cut-off is 35 pg/ml (outside of the seasonal rise), therefore up to 3 times this might mean an ACTH of up to 105 pg/ml might be considered negative for PPID between August and October.
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What is the half life of PRASCEND?

It has been demonstrated that Pergolide is rapidly absorbed with a short time to peak concentration. Peak concentrations (Cmax) following the dose of 10 µg/kg were low and variable with a mean of ~ 4 ng/mL and a mean terminal half life (T1/2) of ~ 6 hours.
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Does PRASCEND cause loss of appetite?

Treatment with PRASCEND may cause loss of appetite. Most cases are mild. If severe, a temporary dose reduction may be necessary. Weight loss, lack of energy, and behavioral changes also may be observed.
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How long does it take for pergolide to work?

Pergolide does not accumulate in the horse's body, and steady levels of pergolide are realized within three days of starting treatment; Pergolide is cleared from the system quickly, with a half-life less than 12 hours; and.
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How much PRASCEND should I give my horse?

PRASCEND is contraindicated in horses with hypersensitivity to pergolide mesylate or other ergot derivatives. Preserved and protected in foil blister packs, the single-scored tablets make it simple to adjust dosage. Administer orally at a starting dose of 2 mcg/kg once daily.
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How do you prevent Cushing's disease in horses?

Although Cushing's disease cannot always be prevented, there are precautions you can take to lower the risk. “The most important thing is to keep your horse's weight down, providing proper nutrition, which means to feed him only what he really needs,” Langer says. Sugar intake should be minimized.
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How do I get my horse to take his medicine for Cushings?

Standlee Premium Western Forage offers several products that can be beneficial in the feeding program of horses with Cushing's including:
  1. Premium Alfalfa Pellets or Organic Alfalfa Pellets.
  2. Premium Alfalfa Cubes.
  3. Premium Alfalfa Chopped.
  4. Alfalfa Bales – Premium Alfalfa Compressed or Premium Alfalfa Grab & Go® Compressed.
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What is the best hay to feed a horse with Cushing's?

Alfalfa averages 10-15% NSC, and oat hay is very high, averaging 22%. Alfalfa can be a good option for a horse with Cushings if they are a hard time holding their weight because it is more calorie-dense than grass hay.
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How long do horses live with Cushing's disease?

Well-managed horses should live about five to seven years or more past diagnosis. In severely affected horses, however, laminitis and recurrent infections are time-consuming and expensive to manage and can shorten the horse's anticipated life expectancy dramatically.
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Can horses with Cushings have grass?

Pasture grasses can have a high NSC content, especially during the spring and fall seasons, and the risk of colic and laminitis is greater when horses are on pasture. Since laminitis and founder are more common in horses with Cushing's disease, pasture grazing should be severely limited or totally avoided.
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