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. Treatment with PRASCEND has been observed to cause inappetence, with most cases being transient.
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Can you take a horse off PRASCEND?

Currently the USEF rule states that horses must be pulled off of Prascend 24 hours prior to competition. This does not benefit the horse as he or she can experience increased ACTH levels and thus increased levels of the body's own steroid production during that time.
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Does PRASCEND stop 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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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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Can PRASCEND be given 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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How to Give a Horse a Prascend (or any) Pill



How much Prascend can a horse have?

Administer orally at a starting dose of 2 mcg/kg once daily. Dosage may be adjusted to effect, not to exceed 4 mcg/kg daily. Most horses respond to therapy at an average dose of 2 mcg pergolide/kg body weight.
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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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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 is the difference between PRASCEND and pergolide?

Pergolide is available for veterinary use. Under the trade name Prascend, manufactured by Boehringer Ingelheim, it is commonly used for the treatment of pituitary hyperplasia at the pars intermedia or Equine Cushing's Syndrome (ECS) in horses.
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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 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 do Prascend tablets do?

Prascend Tablets are commonly used in the treatment of Equine Cushing's Disease, now known as Pituitary Pars Intermedia Dysfunction (PPID). Previously thought an older horse disease, PPID is now frequently diagnosed in horses as young as five when excess cortisol is present in the body.
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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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What hay should you feed a horse with Cushings?

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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What do you feed a horse with Cushings?

Horses and ponies diagnosed with PPID/Cushing's Disease should be fed a low sugar and starch diet.
...
Horse Feeds for those that maintain a healthy weight:
  1. Hi-Fi Molasses Free.
  2. Healthy Hooves.
  3. Healthy Hooves Molasses Free.
  4. Alfa-A Lite.
  5. Alfalfa Pellets.
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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 generic for Prascend?

Pergolide mesylate is a synthetic ergot derivative and is a potent dopamine receptor agonist. The chemical name of pergolide mesylate is 8β-[(Methylthio) methyl]-6-propylergoline monomethanesulfonate.
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What happens if Cushing's is left untreated 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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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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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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How long does it take for pergolide to work on a horse?

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 many pills come in a box of Prascend?

It is available in

Single or packs of 160 tablets.
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Can Prascend cause diarrhea?

Treatment with Prascend may cause loss of appetite, lethargy, diarrhea, and other behavioral changes.
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Can pergolide cause colic?

Pergolide may also cause stomach and intestinal upset and may cause symptoms of colic in your horse.
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