Can you reverse Cushings in horses?

The Right Medicine PPID cannot be cured, but its effects can be controlled with medication and management. The drug most commonly used to treat horses with PPID is pergolide mesylate, a dopamine agonist that helps to regulate the pituitary gland.
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Can a horse recover from Cushings?

A horse cannot recover from Cushing's disease, but it can be managed and a horse can live a quality life with effective treatment.
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Can you treat Cushings in horses naturally?

Good hoof-care combined with nutritional management and the application of other modalities, including acupuncture and Chinese and Western herbs, can complete the healing process. The successful treatment of equine Cushing's syndrome is one of the best examples of treating a disease using the holistic approach.
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How long can 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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What triggers Cushings in horses?

Causes. The underlying cause of PPID is loss of inhibition of the pars intermedia region of the pituitary gland. As a result, the gland becomes enlarged and there is a marked increase in the production of certain hormones.
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Ask the Vet - What is Cushing's Disease in horses?



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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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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What happens if you don't treat Cushings in horses?

If a horse has untreated Cushing's Disease, it is more likely to develop laminitis and the laminitis will be more difficult to control. If an equine has any of the clinical signs suggestive of Cushing's, a blood sample can be taken to check ACTH levels in the blood.
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How much does it cost to treat a horse with Cushings?

Shedding and increased energy levels are usually the first signs of improvement. Aside from the initial loss of appetite, long-term treatment with pergolide has one significant drawback– cost. The average monthly cost for treatment with pergolide is $60.
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Does a horse with Cushings need medication?

A horse with Cushings Disease will require treatment for its entire life. Although the treatment we can give is effective, many horses will still suffer from recurrent laminitis. However, early and effective treatment can give your horse a new lease of life, which can remain for many years.
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What should I feed my senior horse with Cushing's?

Increased energy requirements can be met by feeding alfalfa (lucerne) hay or chaff, super-fibers such as beet pulp and soy hulls, or a low- to moderate-NSC feed. Feeds that are higher in fat (greater than 6%) are preferred as they are less reliant on carbohydrates for energy.
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How do I know if my horse has Cushings disease?

Signs of Cushing's syndrome include: Failure or later shedding of the winter coat that may become really long, matted and curly especially around the legs. Excessive sweating. Increased drinking and urination.
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Does Cushing's cause laminitis?

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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Should you blanket a horse with Cushing's?

Since Cushing's disease makes it hard for your horse to stay cool in warm weather and warm in cool weather, blanket him in the winter as necessary, and body-clip him in the summer if necessary. Be sure he has shade, shelter, and access to fresh water.
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How common is Cushing's in horses?

Equine Cushing's disease, also known as PPID, is thought to affect 20% of horses over the age of 15, and is the 5th most common disease syndrome recognised in horses and ponies in the UK*.
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When is the best time of year to test a horse for Cushing's?

If a horse is showing symptoms of Cushing's Disease and has a normal ACTH level, then we recommend either re-testing ACTH levels during Mid-August to Mid-February, or a TRH stimulation test.
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How quickly does PRASCEND work?

Clinical improvement is usually expected within 6-12 weeks of starting Prascend treatment, however the length of time between initiation of treatment to being able to see a response can vary from one horse or pony to another.
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Do all Cushings horses get laminitis?

Equine Cushing's cases always develop laminitis if they live long enough. They may become immunosuppressed and subject to a variety of parasitic or infectious agents such as helminthiasis or pneumonia. Many cases show muscle loss and become polydipsic and polyphagic; they may be diabetic.
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Can Cushings horses have oats?

Even though oats are the grain lowest in sugar and starch, at around 45 to 50% starch they are still far too high in starch for horses on a low sugar and starch diet, eg insulin resistant horses, horses prone to laminitis, those with disorders like Cushings or PSSM etc, as well as many horses who are prone to ulcers, ...
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Can you ride a horse with PPID?

Many PPID horses that are in otherwise good health and condition and are well managed with proper nutrition, hoof care, and medication, can still be physically active.
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How do you prevent Cushings 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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Can you stop Prascend?

No. There is currently no cure for PPID. It is a chronic, lifelong disease that requires daily medical treatment. However, treatment with PRASCEND can reduce clinical signs of the disease, improving the quality of life for the affected horse.
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How long can horses be on PRASCEND?

24-month stability at labeled storage conditions which allows for consistent, reliable dosing. PRASCEND is for use in horses only.
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Can a horse overdose on PRASCEND?

Pergolide overdose in horses is rare. Side effects of pergolide overdose in horses are related to dopaminergic central nervous effects. Paraffin oil and activated charcoal via a nasogastric tube might prevent systemic absorption of pergolide if overdosed.
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What are the side effects of PRASCEND in horses?

Side effects

Prascend® is well tolerated in horses. Potential adverse reactions in horses include inappetence, transient anorexia and lethargy, mild central nervous system signs (e.g. mild depression, mild ataxia and mild hyperexcitability), diarrhoea and colic. These signs are usually mild and transient in nature.
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