What does Prascend do for Cushings horses?

What is Prascend? 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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How long does Prascend take 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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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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What is Prascend used for in horses?

Prascend® (pergolide tablets) Controls the Clinical Signs Associated with PPID. Pituitary pars intermedia dysfunction (PPID) is one of the most common equine endocrine disorders — but the clinical signs associated with PPID can be controlled with daily treatment.
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Prascend® (pergolide tablets) Testimonial: How Zip’s Signs of Cushing’s Disease Were Quickly Noticed



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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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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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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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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How long does pergolide take to work in horses?

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 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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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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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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How many pills come in a box of PRASCEND?

It is available in

Single or packs of 160 tablets.
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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 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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Does pergolide cause weight loss?

Findings from this study suggest that treatment with pergolide may promote weight loss and improve insulin regulation in horses with PPID, but does not impact muscle mass or markers of muscle proteolysis. Keywords: Adiposity; Equine; Insulin; Proteolysis; Weight loss.
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What does metformin do for horses?

Conclusions: Metformin resulted in reduced glycaemic and insulinaemic responses both in healthy horses and in horses with experimentally induced IR. Potential relevance: Metformin may benefit horses with naturally acquired IR by reducing glycaemic and insulinaemic responses to dietary nonstructural carbohydrates.
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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 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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How do you feed pergolide?

Conceal a tablet in a fig roll, a piece of apple of banana, a hollowed-out piece of carrot, or a ball of dampened bread. Dissolve the tablet in apple juice or water and add to a small amount of feed.
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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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