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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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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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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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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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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Prascend® (pergolide tablets) Testimonial: How Zip’s Signs of Cushing’s Disease Were Quickly Noticed



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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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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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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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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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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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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How does PRASCEND work in horses?

Prascend is a medicine licensed to treat the clinical signs associated with Equine Cushing's disease in horses. It contains the active ingredient pergolide. Prascend works by mimicking the action of dopamine and therefore regulating the production of hormones from the pituitary gland.
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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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Can horses with Cushings be on 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 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 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 crush PRASCEND?

PRASCEND tablets should not be crushed due to the potential for increased human exposure and care should be taken to minimize exposure when splitting tablets.
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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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Does Prascend cause diarrhea?

Treatment with Prascend may cause loss of appetite, lethargy, diarrhea, and other behavioral changes. The use of Prascend in breeding, pregnant, or lactating horses has not been evaluated.
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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 shave a horse with Cushing's disease?

To successfully clip a horse with cushings they need to be firstly nice and clean ! Clippers that can handle the thickness of coat I use lister heavy duty clippers with a course blade which will leave 2.5mm of coat If needed I then go over the clip with finer blades.
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Can Cushing's cause blindness in horses?

As a result, the gland becomes enlarged and there is a marked increase in the production of certain hormones. There can also a compression of the other areas of pituitary gland with a reduction in the production of other hormonesor compression of adjacent parts of the brain, resulting in blindness and seizures.
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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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Can equine Cushings be cured?

There is no cure for Cushing's disease but the good news is that there are medications available which usually improve the clinical signs. Improvement of clinical signs will most often improve the quality and length of life for your horse.
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