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 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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Does pergolide 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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What are the side effects of pergolide in 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. CNS effects may include ataxia and dyskinesia.
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Does Prascend have to be given at the same time every day?

Does it matter what time of day I give Prascend/pergolide? A. No. There is currently no recommendation for giving Prascend/pergolide at any particular time of day - this was confirmed by Dr Marian Little in The Horse.com's Ask the Vet Live Managing Horses with PPID in February 2014 - see notes.
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Animation to show the changes in the pituitary gland in Equine Cushing's disease



How quickly does pergolide 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 do I get my horse to eat 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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How do I get my horse to eat pergolide?

Dissolve the tablet in apple juice or water and add to a small amount of feed. Ensure the horse eats every last bit. Buy empty gelatine pill capsules (size one) online and place the tablet inside. Then just add them to a feed.
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How do you feed a horse pergolide?

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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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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Can horses with Cushings graze?

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 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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Is beet pulp good for horses with Cushings?

Triple Crown Senior (http://www.triplecrownfeed.com/products/feeds/senior-horse-feed- formula-seniorhorsefeed) is a beet pulp-based, textured feed recommended for Cushing's horses that have a hard time maintaining weight and need a little extra fat, without the extra carbohydrates.
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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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Can you overdose a horse on Prascend?

Highlights. 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 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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Can horses with Cushings eat 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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Does pergolide need to be refrigerated?

Compounded pergolide formulations in aqueous vehicles should be stored in a dark container, protected from light, and refrigerated and should not be used >30 days after produced. Formulations that have undergone a color change should be considered unstable and discarded.
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Can a Cushings horse have alfalfa pellets?

Regular exercise reduces blood glucose levels, so it will help horses with Cushing's disease. Standlee Premium Western Forage offers several products that can be beneficial in the feeding program of horses with Cushing's including: Premium Alfalfa Pellets or Organic Alfalfa Pellets.
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How can a horse with Cushings gain weight?

Extra fat can be added by top-dressing feed with 0.5 to 1 cup (125 to 250 ml) of vegetable oil twice daily. An alternative is to give about twice that amount of stabilized rice bran each day. Rice bran often contains added vitamin E and selenium, which are valuable contributors to antioxidant status.
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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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What are the side effects of Prascend?

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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When do you clip a horse with Cushings?

Clipping a horse suffering from Cushing's disease, even with a partial clip, allows a horse to regulate their body temperature more effectively in the summer and winter months. Additionally, during winter months, you may perform a trace clip on a horse to better diffuse heat while working.
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Is Cushing's painful for horses?

As long as horses with Cushing's disease are treated and monitored closely for any signs of pain (due to laminitis) or other abnormal characteristics of decreased quality of life, they are not thought to be suffering.
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What happens if you don't treat Cushing's 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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