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IM Banamine?

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  • IM Banamine?

    One of my horses has been having bouts of mild colic, especially when the weather changes. These episodes have usually been on the weekend/holidays when it's impossible and very expensive to get the vet out. So I went to my vet to get some banamine to give to the horse when he has these spells. I thought I would get banamine paste. The vet tells me that they don't make banamine paste anymore but he has the injectable. I ask if that doesn't have to be given IV since I don't know how to do IV shots. The vet says no, it can be given IM. I checked the directions on the bottle and it says it can be given IM to horses but that in "rare instances fatal or non-fatal cloistridal (sp?) infections have occurred at the injection site".

    I've always heard on here and other horse forums that banamine must be given IV. What do y'all think of giving it IM? The brand name of the stuff I got is Prevail, IIRC.

    Horse has also been started on Metamucil and vegetable oil.
    I'm a second hand Vegan. Cows eat grass. I eat cows.

  • #2
    Don't give it IM. If you can't competently give an IV injection just squirt the injectible in their mouth.
    McDowell Racing Stables

    Home Away From Home


    • #3
      I second what Laurie said.

      It is quick and easy, just squirt it into their mouth.


      • #4
        DON'T give it IM.

        I don't know if any of you saw the horrid photos of the horses a few months ago that were circulating on Facebook. They were at my vet clinic and I saw them when I happened to be there.
        Kanoe Godby
        See, I was raised by wolves and am really behind the 8-ball on diplomatic issue resolution.


        • #5
          Can it be given IM? Sure. Is it worth the risk to ME? No. Especially since you can take the injectible and give it PO and it works nearly as quickly.

          I would either learn to give IV injections or give it PO. But I wouldn't give it IM unless there was some sort of crazy situation where that was a last resort. Like some kind of wild beast in stocks that you couldn't get near with a 10 foot pole.
          A good horseman doesn't have to tell anyone...the horse already knows.

          Might be a reason, never an excuse...


          • #6
            Hmmm. It might be a good time to look for a new Vet. We just got some tubes of Banamine paste at the Hagyard Pharmacy in Lexington, KY. Our Vet, who works at Hagyard Equine Hospital, has told us never to give it IM.

            My BO used the squirt in the mouth method with her horse. Apparently, it tastes really bad. The faces that her horse made were quite interesting.

            What sort of feeding program are you using? Have you thought about ulcers? Is your horse drinking enough water?

            My mare used to be the Queen of colic. We would have three or more episodes every year. I completely changed her nutritional program. She gets a probiotic (Probios) and EquiShure, which helps with her low gut motility. During one of the colic episodes that resulted in a trip to Rood and Riddle, she was scoped and found that she has a tough time moving hay out of her gut. She gets a small amount of soaked beet pulp, with McCauley Brothers M-10, which is a ration balancer. She is on free choice Brome hay. My mare loves warm/hot water, even in the summer. She will scarf down 2/3rds of a bucket if you fill it with warm/hot water. Whenever she goes to shows, I start giving an ulcer preventative before, during and after the show. Since being on this program, which took me four years to find what worked for her, she has not coliced in two years. Knocking on wood!

            I know that this was much more information than you asked for in your OP. However, finding a program that will help to reduce the number or stop the number of colics that you are having will save you a whole lot of grief.

            Good luck. Shoot the liquid Banamine in her mouth.
            When in Doubt, let your horse do the Thinking!


            • #7
              This is why you never give banamine IM:



              • #8
                Having been the one who have an IM injection of Banamine once (and only once, in my younger less informed years) and having it result in said clostridium infection and a two week hospitalization, no never give it IM.


                • #9
                  Originally posted by Simkie View Post
                  This is why you never give banamine IM:

                  That is my vet clinic being quoted and one of the less horrific photos.
                  Kanoe Godby
                  See, I was raised by wolves and am really behind the 8-ball on diplomatic issue resolution.


                  • #10
                    Just squirt it in the mouth. Easy and effective. It goes into system through the gums. Takes a litter longer than IV, but very safe way to do it.

                    Approved by our vet.


                    • #11
                      Originally posted by Simkie View Post
                      This is why you never give banamine IM:

                      That is the picture I was looking for! That should scare anyone into NOT giving banamine IM!
                      Boyle Heights Kid 1998 16.1h OTTB Dark Bay Gelding
                      Tinner's Way x Sculpture by Hail to Reason
                      "Once you go off track, you never go back!"


                      • #12
                        Banamine is labelled for IM and IV use since that is the way it was originally approved by the FDA. After it came out, the problems and side effects from IM use were seen, and while the original label wasn't changed, it is no longer common practice to administer banamine IM (but I do remember doing it in school, in food animals).

                        Interestingly the clostridial infection seems to be somewhat regional - some areas don't see it as much, some see it all the time. Not worth the potentially devastating consequences to me....


                        • #13
                          Originally posted by CDE Driver View Post
                          That is my vet clinic being quoted and one of the less horrific photos.
                          I have seen more horrific pics (not sure if from your place or not) and hoped to find some of the really gory ones...as they say, a picture is worth a thousand words! Do you have the more, ah, illustrative photos available?

                          I think everyone who uses banamine should understand the potential risks of giving it IM and what it entails. Clostridial myositis isn't common, but even a small risk is too great (in most circumstances, at least.)


                          • #14
                            My vet also recently gave me the paste. Is the paste going to be discontinued?
                            "I am still under the impression there is nothing alive quite so beautiful
                            as a thoroughbred horse."

                            -JOHN GALSWORTHY


                            • #15

                              This one is particularly horrific: http://www.baywindfarm.com/forum/showthread.php?t=8911

                              Originally posted by Simkie View Post
                              I have seen more horrific pics (not sure if from your place or not) and hoped to find some of the really gory ones...as they say, a picture is worth a thousand words! Do you have the more, ah, illustrative photos available?

                              I think everyone who uses banamine should understand the potential risks of giving it IM and what it entails. Clostridial myositis isn't common, but even a small risk is too great (in most circumstances, at least.)


                              • Original Poster

                                Thanks for the information. If he needs it, I think I'll just squirt it in his mouth. I was eating lunch so I didn't open all the gross pictures but the one with all the drains in the horse's neck were bad enough. I hve given banamine IM once before I knew there were risks attached. There wasn't any bad reaction but IIRC, I gave the injection in the top of the hip, not the neck. Maybe the injection site has something to do with it.

                                The horse is a 10-15 yo grade, grey QH gelding. He stands around 14hh and weighs around 600-700#. He's out 24/7 and was just getting a mixed grass hay. When he had his first episode, I moved him to the geriatric pasture and put him on beet pulp, senior pellets, and chopped alfalfa. I was adding vegetable oil to his feed and was advised to give him metamucil but I stopped because he seemed better. I have started the vegetable oil and metamucil again and will keep it up. I soak his food to increase his water intake. As far as I know he's drinking water but he shares a pasture with 5 other horses so its hard to tell. The vet thinks he may have sand colic because its been dry here and grass is very short.

                                As far as my vet goes, there aren't a lot of large animal vets around her and this one is the best of the lot. The other two are getting close to retirement and are hard to get out in an emergency. This vet is really good about calling back and coming out when I need him. Plus he's young and has the facilities to handle some of my unhandled colts. I really do like him.
                                I'm a second hand Vegan. Cows eat grass. I eat cows.


                                • #17
                                  sand colic

                                  The metamucil will help clear up the sand colic and will help prevent sand colic if you use it daily. You can use a cheaper substitute from walmart or cvs, etc, but make sure it has the psyllium in it.

                                  Did your vet put some manure in a bucket of water to see if sand fell to the bottom? My vet always checks for that.


                                  • #18
                                    "Just squirting it in his mouth" is probably less effective than giving it along the mucous membranes, which is how it gets absorbed a little more quickly and bypasses part of the first pass through the liver. Squirt it between cheek and lower teeth.
                                    Click here before you buy.


                                    • #19
                                      This is good to know, and terrifying. We gave banamine IM for years, thank goodness the only reaction we had was a small lump sometimes that went away after a day or two. Just thought it was irritation from getting stuck.


                                      • #20
                                        Actually the paper that is always quoted as one of the scientific pillars supporting the discontinuation of the use of IM banamine gave a list of many other drugs that had also caused clostridial infections, many of which are given with no qualms whatsoever, which I find endlessly curious. The authors of that paper implicated sloppy handling of drugs and poor technique and not the drug banamine itself. I still would not use it unless there was some sort of dire circumstance with no option, but I am a LOT more cautious about giving IM injections, period, than I once was.
                                        Click here before you buy.