Nexium for Horses?

CastlelackSportHorses

CastlelackSportHorses

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Seen a lot of people on COTH using Nexium 20mg for horses.
Apparently giving 3 x 20mg tablets every day and is meant to help with mild ulcer symptoms?

Has anyone had any experience?
 
My vet recommended it to me as routine maintenance for competition horses, pre travelling/galloping/other stress.

You can buy 40mg enteric generic tablets. 3 of those costs approx £1/time

PS that is not a treatment dose for ulcers btw.
 
Vet recommended similar to IHW for Ben when we were going through the process of breaking him to ride. I bought the esomeprazole tablets on line as they were a lot cheaper than Nexium over the counter. Ben will eat anything so he just had them from the hand followed by a slice of carrot.

But again this was preventative rather than ulcer treatment.
 
JenJ said:
Nexium is just esomeprazole.

This thread may be useful to you. https://forums.horseandhound.co.uk/threads/esomeprazole.844185/

Though the recommended dosage seems to be 1-2mg per kg bodyweight, meaning 25-50 tablets a day for a 500kg horse.
Click to expand...
www.farmaciasdirect.eu

Omekaste 20 mg Blister Pack, 14 Gastro-resistant Capsules

Capsules for the treatment of reflux symptoms, such as heartburn or acid regurgitation. At Farmaciasdirect you can buy Omekaste 20 mg Blister, 14 Gastrorresistant Capsules
www.farmaciasdirect.eu www.farmaciasdirect.eu

I found this online.
Vets are giving me a course of Equizol which is the same as Gastrogaurd as they said to just treat the symptoms instead of scoping.

But thought the esomeprazole would be good to have after treatment.
 
CastlelackSportHorses said:
www.farmaciasdirect.eu

Omekaste 20 mg Blister Pack, 14 Gastro-resistant Capsules

Capsules for the treatment of reflux symptoms, such as heartburn or acid regurgitation. At Farmaciasdirect you can buy Omekaste 20 mg Blister, 14 Gastrorresistant Capsules
www.farmaciasdirect.eu www.farmaciasdirect.eu

I found this online.
Vets are giving me a course of Equizol which is the same as Gastrogaurd as they said to just treat the symptoms instead of scoping.

But thought the esomeprazole would be good to have after treatment.
Click to expand...

Check with your vet but you probably want tablets rather than capsules
 
ihatework said:
Check with your vet but you probably want tablets rather than capsules
Click to expand...
Defo will ask.
Have you come across Equizol before? Its a new omeprazole med and seems much cheaper than the Gastrogaurd.
cura-pet.co.uk

Equizol granules for horses (400mg)

Equizol Granules 400mg are indicated for the treatment of gastric ulcers in horses. Apple flavoured for palatability. Available with vet prescription.
cura-pet.co.uk cura-pet.co.uk
 
Is it cheaper? Assuming my maths correct:

A generic syringe is about £18 for what is 2.28g of omeprazole

Those sachets are £7 for 400mg!
 
CastlelackSportHorses said:
2 tubes of gastrogaurd a day? Versus 2 sachets a day?
I think it's cheaper!
And they are working out at around €5.30 per sachet.
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But a sachet isn’t equivalent to a tube is it??
One sachet gives you less drug than a quarter of a tube (again assuming my maths is correct)

Unless those sachets are 400mg/g which isn’t clear from the web, in which case 2g and deffo cheaper!
 
ihatework said:
But a sachet isn’t equivalent to a tube is it??
One sachet gives you less drug than a quarter of a tube (again assuming my maths is correct)
Click to expand...
I guess, but the vets are saying its just as good. And I guess if the horse isnt falling away and showing very bad signs its probably a good route to go?
2 tubes of GG a day would work out at €670 for 2 week treatment, and vet reckons 1 box of sachets I should see improvent.
 
You need about 6 sachets to give you the equivalent omeprazole dose to 2 syringes from what I can tell.

Your 2 sachets a day would be similar/cheaper to just give a partial syringe. Thats a low maintenance/preventative dose, not a full therapeutic dose.
 

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Where are you getting that you need 2 tubes of GG per day from? A tube of GG does a horse of about 750kg IIRC. So you’d be looking at max one per day.
 
CastlelackSportHorses said:
Sachets are a fiver, GG is like €25 a tube? 2 sachets are just over €10?
Click to expand...

But the sachets have less active drug in them so are no where near equivalent. Look attachment up thread. One sachet per 200kg of horse is needed for the recommended dose. So for a 600kg horse, 3 sachets.
For a 600kg horse that’s approx equivalent to 3/4 tube.

Bit like someone saying this £30 sack of balancer is so much more expensive than this £10 sack of pony nuts for vitamins and minerals. The amount of balancer you have to feed is much less than pony nuts to meet the RDA.

I’m out now!!

BTW never buy GG now! Loads of equivalent generics. Just checked online and can get a generic for £14/tube
 
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CastlelackSportHorses said:
Sachets are a fiver, GG is like €25 a tube? 2 sachets are just over €10?
Click to expand...

But the sachets contain less omeprazole per KG so you need to give more, which makes it more expensive if you’re going to give the correct dosage.

Assuming your horse is 600kg, to feed the recommended treatment dose of 4mg/KG, you would need 3 sachets a day. That works out at £21 per day.

If you use GG, one syringe at £19 will treat him (with some left over).

So the sachets work out about £50 more expensive overall.
 
IrishMilo said:
But the sachets contain less omeprazole per KG so you need to give more, which makes it more expensive if you’re going to give the correct dosage.

Assuming your horse is 600kg, to feed the recommended treatment dose of 4mg/KG, you would need 3 sachets a day. That works out at £21 per day.

If you use GG, one syringe at £19 will treat him (with some left over).

So the sachets work out about £50 more expensive overall.
Click to expand...
Vet was ok to perscribe the sachets instead of GG though?
 
ihatework said:
But the sachets have less active drug in them so are no where near equivalent. Look attachment up thread. One sachet per 200kg of horse is needed for the recommended dose. So for a 600kg horse, 3 sachets.
For a 600kg horse that’s approx equivalent to 3/4 tube.

Bit like someone saying this £30 sack of balancer is so much more expensive than this £10 sack of pony nuts for vitamins and minerals. The amount of balancer you have to feed is much less than pony nuts to meet the RDA.

I’m out now!!

BTW never buy GG now! Loads of equivalent generics. Just checked online and can get a generic for £14/tube
Click to expand...
Cant find it here.
 
CastlelackSportHorses said:
Cant find it here.
Click to expand...

Not sure how do-able it is, but if you are able to import POM from UK, might be worth doing:

www.equinehealthdirect.co.uk

BIMEPRAZOL ORAL PASTE FOR HORSES from £13.25 per syringe

Legal Category: POM-VIn order to purchase you will need to supply evidence of your prescription. Equine Health Direct reserves the right to charge a cancellation fee of £10 to customers who fail to present a valid prescription after ordering Prescription Only Medicine. Active Ingredient:Each...
www.equinehealthdirect.co.uk
 
ihatework said:
Not sure how do-able it is, but if you are able to import POM from UK, might be worth doing:

www.equinehealthdirect.co.uk

BIMEPRAZOL ORAL PASTE FOR HORSES from £13.25 per syringe

Legal Category: POM-VIn order to purchase you will need to supply evidence of your prescription. Equine Health Direct reserves the right to charge a cancellation fee of £10 to customers who fail to present a valid prescription after ordering Prescription Only Medicine. Active Ingredient:Each...
www.equinehealthdirect.co.uk
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Ill chat to vet and see if he can source it for me.

Thank you!
 
My horse was prescribed 25 esomeprazole tablets a day for ulcer treatment (following a course of injections and alongside sucralfate). I got a months worth on prescription for £117 I think.
 
I got Equizol sachets at €125 for 28 sachets, vets wanted her on 6 sachets a day but I dont think she needs that much as shes only showing very mild signs. So will give 2 a day for the course of the box and see how she gets on.
 
CastlelackSportHorses said:
Seen a lot of people on COTH using Nexium 20mg for horses.
Apparently giving 3 x 20mg tablets every day and is meant to help with mild ulcer symptoms?

Has anyone had any experience?
Click to expand...
Yes, I use generic Nexium for mine as he's super stressy and ulcer prone.

I buy the generic ones in bulk off of ebay (although I have a friend who had a complete bulk load from medication she was on and she gave that to me) and have been using them on him and other horses in my care for many many years with great success. You will want the capsules, not the tablets. I chuck 4 in a feed (make sure the feed is dry) and treat for 40 days. You actually only need 3 for a 600kg horse but I use 4 as a fail safe as a maintenance dose.

The first week I treat with 6.

It has never not worked in my own experience.
 
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