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Emergency drugs to have on hand

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  • Emergency drugs to have on hand

    Restocking the foaling kit and making orders.

    So I wanted to hear from other about what drugs you keep on hand?

    Bute
    Banamine
    Oxytocin

    any others??

    And - does anyone know the dosage calculation for oxtocin for postpartum care?

  • #2
    Originally posted by ThreeDays View Post
    Restocking the foaling kit and making orders.

    So I wanted to hear from other about what drugs you keep on hand?

    Bute
    Banamine
    Oxytocin

    any others??

    And - does anyone know the dosage calculation for oxtocin for postpartum care?
    Some kind of sedative. Ace is the one that vets are most comfortable dispensing.

    Comment


    • #3
      Those are the drugs I keep on hand. Incl. the ace, except that i get a few cc's of demosodan in a syringe from the vet in case of things going way bad south. It's just enough to keep anyone from getting killed until the vet arrives (or getting an hysterical mare on teh trailer with the foal in a worst-case situation), and quite honestly, my vet knows I won't use it unless she's on the phone telling me I need to. Not to mention the stuff is $10 per unit.

      As far as oxyt post-partum....I know of no set amounts. Post-partum mares have more oxytocin receptors than a non-foaling mare, and if we are talking about a retained placenta, I would not go there alone. IF the mare simply has KNOWN clearance issues post-foaling...I would speak to the vet about microdoses of oxyt every 6 hours. Yes, it keeps you up, but it's very effective without overdoing it.
      "No matter how cynical I get its just not enough to keep up." Lily Tomlin

      Comment


      • #4
        My repo vet has me give all my mares a 3cc IM dose of Oxytocin to assist with uterine tone postpartum. I do feel comfortable with this being a nurse and having given Pitocin to humans before also. Besides, my vet is at least 30 minutes away. I'm also prepared to give small doses should uterine clearance of the placenta be a concern.

        Comment


        • #5
          I have to say fsf, I have never given 3cc's of oxytocin in my life for basic clearance, i.e. "tone". That is a whole lotta hormone.

          I'm not saying it's NOT called for in a retained placenta situation, where time is your enemy ...That's a situation I've not had to deal with so far (watch - it'll happen to me tonight)
          "No matter how cynical I get its just not enough to keep up." Lily Tomlin

          Comment


          • #6
            I asked my vet this morning about oxytocin, not for post-partum issues, because for a retained placenta, I want my vet on the job, but for letting down milk. Two years ago I had a maiden foal with a milk bag that felt like it was full of rocks. The on call vet came out and when neither of us could do anything, she left me with oxytocin to administer every hour. It worked, or something did, because the foal was able nurse easily within about five hours. When I asked me about having it on hand, he didn't seem to think there was a whole lot of necessity for it, but he didn't reject the plan. I suspect if I had said it was because I wanted to deal with a retained placenta or uterine tone, he would have looked at me like I was mad.
            Mystic Owl Sporthorses
            www.mysticowlsporthorses.com

            Comment


            • #7
              I have

              banamine, both injectable and paste
              bute
              amikacin (for newborn foal)
              tetanus toxoid (for newborn foal)

              I have two syringes, one with rompum and one with ace, in case of dystocia where I need to sedate the mare and stop the labor, while the vet rushes to assist. I hope to never need those two syringes.

              Not shots, but also keep Probias, Recover, Ivermectin. If my mares get to day 335 without nice bags, I get Domperidone. I'm on my way tomorrow to pick up seramune-- have been debating between it and plasma, and am pretty sure I will do the seramune.

              Comment


              • #8
                I've tried seramune 2x. Both times I've had to plasma the foal. THe second time I'm fairly certain that because she was one huge filly, one bag of seramune was not enough. Something to think about if you've got a big foal that you think will be FPT.

                Please Lord, don't let me need this information again.
                "No matter how cynical I get its just not enough to keep up." Lily Tomlin

                Comment


                • #9
                  bummer.

                  I have always had good igG's except for once-- and we had to do the plasma. now that I live in Texas, where rhodococcus is rampant, I've used the plasma specifically for rhodococcus protection. Very pricy and I'm not crazy about IV'ing those babies twice.

                  A friend has had great luck with seramune, and now they've bolstered to to include rhodococcus too.... so I figured it would be worth a shot. Though, if I get a weak igG, I will do the plasma for sure.

                  Comment


                  • #10
                    Okay, this is interesting! WR, you are planning on using the Seramune prophylactically...yes? Please know I was talking about FPT only.

                    I give the mare that has to foal out at the clinic rhodi vaccinations. Is that not proving effective? I know that a lot of big TB farms just plasma the foals regardless. And I guess if you are dealing with a 200k yearling in the future this is understandable.
                    "No matter how cynical I get its just not enough to keep up." Lily Tomlin

                    Comment


                    • #11
                      Might want to consider epinephrine in case an injection went wrong.
                      Cindy's Warmbloods
                      www.cindyswarmbloods.com Cindy's Warmbloods
                      www.facebook.com/CindysWarmbloods Join Us on Facebook for latest updates!

                      Comment


                      • #12
                        I keep Banamine, Rompun, Oxytocin, sometimes Gentamicin & PPG.

                        If at ALL possible, Dipyrone is my #1 choice
                        anti-spasmodic for mild colic
                        muscle relaxer for choke
                        DEFINITELY repeated doses for impaction,
                        but safe, Safe, SAFE as a fever reducer for foals, unlike banamine and bute.
                        It is extrtemely effective and fast.

                        Here is an article on Retained Placenta treatment.
                        http://www.wwvc.net/ern/archives/ern1-5.htm

                        Comment


                        • #13
                          Originally posted by ahf View Post
                          I have to say fsf, I have never given 3cc's of oxytocin in my life for basic clearance, i.e. "tone". That is a whole lotta hormone.

                          I'm not saying it's NOT called for in a retained placenta situation, where time is your enemy ...That's a situation I've not had to deal with so far (watch - it'll happen to me tonight)
                          To quote Plumb's Veterinary Drug Handbook:

                          "For obstetrical use in mares 100 Units (10u/ml) IV, IM, or SQ."

                          "To augment uterine contractions during parturition in properly evlauated mares":
                          20u IM for slow, quiet foaling.
                          40-60u for safe quite quite foaling within an hour.
                          100u or more will result in rapid completion of a more active foaling.
                          For Induction Units are given IV bolus.

                          I'm not suggesting anyone else use Oxytocin without the advice of their own vet, and I would never induce a mare myself, but I do respect and follow my repo vet's advice and have NEVER had any ill effects from giving Oxytocin as he has prescribed to ME (30u IM). The OP just asked for a dosage and that's what I gave in my experience. All informed breeders and foaling attendants need to practice within their own ability.

                          Comment


                          • #14
                            Here is the article from Kathy's website http://www.equine-reproduction.com/articles/RFM.shtml dosing at 20 to 40 IU

                            Comment


                            • #15
                              Originally posted by fsf View Post
                              [COLOR=Blue][I]To quote Plumb's Veterinary Drug Handbook:

                              "For obstetrical use in mares 100 Units (10u/ml) IV, IM, or SQ."
                              When was "Plumb's Veterinary Drug Handbook" printed? 100 iu oxytocin hasn't been routinely recommended for a long time.

                              I've tried seramune 2x. Both times I've had to plasma the foal. THe second time I'm fairly certain that because she was one huge filly, one bag of seramune was not enough. Something to think about if you've got a big foal that you think will be FPT.
                              Seramune: 2 doses are generally recommended as routine, even though the manufacturers suggest one is adequate.

                              Prophylactic use of Seramune: Issue related to the fact that it (a) fills the belly and may reduce the foal's desire to nurse from the mare; and (b) may not contain antibodies specific to the locale of the foaling, whereas the mare's own colostrum may. Additionally, as it may reduce the desire to nurse, it may negatively affect bonding.

                              And, with regards to the use of oxytocin post foaling to "tone" the uterus, etc., here's some food (or research, as the case may be) for thought:

                              The effect of oxytocin and PGF2α on the uterine involution and pregnancy rates in postpartum Arabian mares

                              Mehmet Can GündüzCorresponding Author Contact Information, a, E-mail The Corresponding Author, Güven Kaşıkçıa and Huriye H. Kayaa
                              aDepartment of Obstetrics and Gynecology, Faculty of Veterinary Medicine, University of Istanbul, Avcılar 34320, Istanbul, Turkey
                              Received 22 November 2006; revised 19 January 2007; accepted 16 February 2007. Available online 22 February 2007.

                              Abstract

                              In this study, the effects of oxytocin and an analog of prostaglandin (cloprostenol) on the uterine involution and pregnancy rates were investigated. Mares received 3 ml of 0.9% NaCl in Group C (n = 10), 30 IU/mare of oxytocin in Group O (n = 10) and 250 μg/mare of cloprostenol in Group P (n = 10) within 12 h after parturition. The gravid uterine horn's cross-sectional diameter was measured by ultrasonography. The mean uterine diameters did not differ significantly between the treatment (O and P) and the control (C) groups (p > 0.05). The difference between the postpartum ovulation periods (Group C: 12.6 ± 0.72 days, Group O: 15 ± 1.33 days, Group P: 14.6 ± 1.11 days), the pregnancy rates at foal heat (Group C: 60%, Group O: 60%, Group P: 80%) and the embryonic death rates at foal heat (Group C: 33.3%, Group O: 16%, Group P: 25%) were not found to be statistically significant between the treatment and the control groups. The mean progesterone concentrations were similiar in all groups and decreased continuously from parturition to until foal heat (Group C: from 2.43 ± 0.24 to 0.66 ng/ml, Group O: from 3.07 ± 0.6 to 0.27 ± 0.27 ng/ml and Group P: from 2.8 ± 0.44 to 0 ng/ml) (p > 0.05). In conclusion, it was decided that the oxytocin and PGF2α treatments performed on the mares with the purpose of stimulating involution had no effect on the duration of parturition–first ovulation, the shrinkage of the uterus diameter, the pregnancy and embryonic death rates.

                              Hope that helps!

                              Kathy St.Martin
                              Equine Reproduction Short Courses
                              http://www.equine-reproduction.com
                              Equine-Reproduction.com Now offering one on one customized training!
                              Leg-Up Equestrian Assistance Program, Inc. A 501(c)(3) non-profit charity

                              Comment


                              • #16
                                Triple antibiotic eye ointment without steroids in it because eye injuries can cause a horse to go blind in no time flat (few days) and if you don't notice it right away you want to start treating it right away. I keep plenty of that on hand, usually a couple of tubes because I tend to drop it sometimes and lose it in the shavings. Duh. In fact my week old filly managed to scrape her cornea and I ended up treating her as soon as I found it. She wasn't too happy with me for awhile.

                                Others:
                                Gentamicin - enough to get started in an emergency situation
                                Banamine
                                Bute
                                Demorsedan - in case something gets really bad
                                Oxytocin - uterine clearance and can help with milk letdown problems
                                Epinephrine
                                E. Coli anti toxin to give at birth
                                tetanus anti toxin
                                buckets of oral antibiotics
                                DMSO is good to have on hand in the event of injuries as well as a reaction to something like a vaccine. Had to use that on a mare that reacted to her pneumabort vaccination at 7 months (but didn't react at 5 months) in addition to bute.
                                I also keep lutalyse on hand to bring a mare into heat before taking her to the clinic for breeding. Also good to have in the event of a "whoopsie breeding".
                                emergency milk replacement
                                colostrum replacement (until the vet can get there)
                                I've never had much luck using Ace.
                                Altamont Sport Horses
                                Trakehners * Knabstruppers * Appaloosa Sport Horses
                                Home of stallions: Ambrosius af Asgard "Atlantis" & Hollywood Hot Spot
                                Birmingham, AL

                                Comment


                                • #17
                                  I have had to administer oxytocin to my mares about 5 days after foaling they have suddenly stopped producing milk. I was discussing this with a vet, she said it is more common than most people realize and the theory is that it happens once the "excitement of foaling is over". Luckily I now look for it and do a combination of oxytocin and domperidone. This year I have decided to just keep them on the domperidone longer and see if I can keep them producing without waiting until I see the foal banging on an udder for more milk.

                                  Also, it is my understanding that rhodococcus is in the soil and there is no vaccine, Rotavirus is what we are vaccinating against (causes diarrhea in foals), am I incorrect in this assumption?

                                  Comment


                                  • #18
                                    Originally posted by patch work farm View Post
                                    I have had to administer oxytocin to my mares about 5 days after foaling they have suddenly stopped producing milk.
                                    Oxytocin will do absolutely nothing to stimulate milk production. It will assist in milk letdown, but beyond that, it won't assist a mare that suddenly stops producing milk.

                                    Luckily I now look for it and do a combination of oxytocin and domperidone. This year I have decided to just keep them on the domperidone longer and see if I can keep them producing without waiting until I see the foal banging on an udder for more milk.
                                    Dompereidone "will" assist in inducing milk production. But, also be aware that the foal nursing and banging on the mare's udder is part of what stimulates the mare to produce more. Supply and demand and all...

                                    Also, it is my understanding that rhodococcus is in the soil and there is no vaccine, Rotavirus is what we are vaccinating against (causes diarrhea in foals), am I incorrect in this assumption?
                                    Yes. There is a vaccine that can be given to the mare at 8, 9 and 10 months of gestation for Rotavirus. Rhodococcus is just one of those insidious diseases that you just need to be on your toes for and be aware that the foal may not display classic symptoms of being ill until it's too late. If caught early enough, it usually has a good outcome, however.

                                    Hope that helps.

                                    Kathy St.Martin
                                    Equine Reproduction Short Courses
                                    http://www.equine-reproduction.com
                                    Equine-Reproduction.com Now offering one on one customized training!
                                    Leg-Up Equestrian Assistance Program, Inc. A 501(c)(3) non-profit charity

                                    Comment


                                    • #19
                                      Was Banamine off the market for a while?

                                      I used to have something for colic pain and it was no longer available.
                                      www.oakhollowstable.blogspot.com

                                      Comment


                                      • #20
                                        Sally, you're thinking of Dipyrone. It was off the market for horses for some time. It's once again attainable from Wedgewood.

                                        It is a great drug - will help a gas colic, but won't mask a twist. Fever reducer too.
                                        "No matter how cynical I get its just not enough to keep up." Lily Tomlin

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