Tildren, OsPhos, Cartrophen, Arthramid?

SuperCat007

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Hi all,

I have a 26yo with mild-moderate hock arthritis (probably other arthritic changes based on his age). He's fit and sound and on vet advice & support still in full work, including jumping.

He's on Boswellia full time and bute when he's stiff but as we still compete I'm looking at other options. Last year when he had his first EMS test he was borderline, so he's lost quite a lot of weight and doing a lot more work, so I asked the vet again about options (thinking steroids were the only one - how wrong was I?!)

He's uninsured for arthritis (excluded) so we're also mindful of cost.

Vet's first suggestion was Tildren - having read about it A LOT it seems a real contender but I am incredibly concerned about the potential affect on his kidneys, kidneys were working fine when he had a full workup last year but nonetheless they aren't going to be as good as they could be due to his age. This comes from both a cost POV - if he goes into renal failure we'll have to make the decision due to cost, but also for him experience that. Though I appreciate that the risk of that is relatively low.

Second option was cartrophen - I thought this was an NSAID (was getting confused with carprophen) so kind of dismissed, but having read more I wonder if this might be a better place to start to see if it helps...

Final option (purely down to cost) is Arthramid at £250 per vial plus X-rays and considering he will likely need a few areas medicating it will likely make it quite cost prohibitive.

I would be keen on hearing personal experience of any of the above, and opinions on what others might try.

He's sound 95% of the time on Boswellia and has bute on bad days (like right now when it is so cold) or right after he's done hard work or a competition. Lameness is also more similar to stiffness than hopping lame too when he isn't quite right.

Bute does work and I wouldn't be too concerned on using it full time at his age but two things make me want to investigate other options:

1. Bute only helps kill pain & reduce inflammation, no disease modification going on.
2. We do RC qualifiers and they run under FEI doping rules meaning I need to be very careful about when I give the bute if he needs it and I would prefer to be ensuring I am definitely competition legal for fairness and just in case we were tested.
 

Magnetic Sparrow

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I had a mare with hock arthritis who was significantly helped by cartrophen. A course of three injections then one every six months or so.

I'd definitely start with the cheapest option and work my way up until you find something that works, but my experience with cartrophen was very good.
 

lynz88

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I only have experience with cartrophen and I am quite certain it makes a difference. After the initial loading doses, I give 10ml once per month plus a bute a day. He does start to get a little stiff by the time he gets to the next injection and once given, I swear I notice a difference.
 

Hollylee1989

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Only experienced osphos, injected in November. Especially in this cold weather it's worked brilliantly, plus it targets the whole body. Was about £500 including call out, and anti colic injection as it can bring on mild colic. My boy was absolutely fine having it done, no side effects.
 

Hackback

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We've had one horse with Tildren (twice) and one with Cartrophen. It's years ago now so I can't remember all the details, but I was under the impression they did different things? Ie one slows bone growth and one does something else?
 

Zoeypxo

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I have used arthramid in mild hock arthritis, paid for myself as no insurance. Was around £680 inc call out and sedation.
Only 6 months on atm but still feeling great, no toe dragging and very happy with movement in the hind end

if you suspect multiple areas i think Cartrophen is a good idea. If you think its mainly the hocks troubling him arthramid is excellent
 

SuperCat007

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Thank you everyone. Really appreciate your advice and experineces.

I think I'm going to enquire about trying Cartrophen first and see what the vet says.
 

SuperCat007

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We've had one horse with Tildren (twice) and one with Cartrophen. It's years ago now so I can't remember all the details, but I was under the impression they did different things? Ie one slows bone growth and one does something else?
They do, Tildren/OsPhos break down osteoclasts so prevent bone breakdown occurring which is beneficial for arthritis (less so for young horses) Cartrophen works to prevent further cartilage degeneration and support synovial fluid regeneration and may have anti-inflammatory properties as well.

Leaning towards Cartrophen because taking away a major bone maintenance agent is a bit terrifying to me and we'll see how that goes.
 

Sossigpoker

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I'd go for Cartrophen and Arthmid. Osphos /Tildren are probably going to bless effective due to his age, they're used to stop the deterioration of the joint surface.
Cartrophen will treat the whole body and Arthmid will fill the damaged joint space so those would be my option. Arthmid got my 8 yo sound in 48 hours.
 
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