Anyone that would like to discuss the drug TILDREN and would like to have an unbias opinion please contact me as I can give you first hand advice from 2 horses that I administered the drug to this weekend October 21st 2006
I can say I had my own horse treated about 6-7 weeks ago for combined fairly bad navicular/bone spavins and the difference is amazing really as was really getting to point of giving up hope. The spring is literally back in his step and in himself he is happy again. I know it doesn't work on all horses but for my Dan it certainly is working wonders.
My boy was given this drug on 27 September for Navicular. He has also damaged his medial collateral ligaments in both front feet which showed up lame, but the navicular (medular)was/is in it's very early stages and would not have caused lameness yet - only discovered as he had an MRI scan which showed very slight changes and vet recommended treatment "in the long term". Was decided to try this drug now as it would be excluded on my insurance later and insurers approved it if done now.
Won't really be able to give you a response to it's effectiveness as we will just have to see if he develops lameness from it in the coming years. If he doesn't, then it is likely that it was successful, as navicular never gets better on it's own - always worse!
Treatment was fine though - he did not show any colicy signs which I was warned about. He is on rest until January now coz of the ligaments, so it's just fingers crossed from here on in!
Please can you pass on you experiences as I am currently thinking of using this treatment.
My horse has had IRAP therapy which worked but he has started to become footy 8 months after the initial treatment. My vet recommended Shockwave Therapy every two months but this could work out very expensive. If I were to try Tildren how much does it cost and how often does the horse need to be treated?
If I can remember my bill correctly, it was about £500 all in all + VAT.
It is a one off treatment, tho aparently some horses are given another go after 3 months if only slight improvement is shown.
Basically, all shockwave therapy does is increse the bloodflow to the area - usually only used to treat injuries rather than long term conditions such as navicular. Suggest you give your vet a call to talk over what would be best for your ponies type of navicular. Aparently the best results of Tildren are for Medular navicular i.e. degeneration from the inside out as it is the regeration process that Tildren affects.
My then 14yo Arab was diagnosed with fairly advanced navicular disease in May 2004. He was first put on two courses of Navilox; that did no good so he was then given Tildren as part of a clinical trial - I was told at the time it had around a 60% success rate. It was administered intravenously and he was kept in for 24 hours in case of colic.
Unfortunately it made no difference whatsoever and the vet advised against a second dose.
He is now comfortable in remedial shoes and a daily dose of No-Bute. He can be ridden but not on hard surfaces.
The syndrome is more or less inflammation of the bursar - or of the structures around the Nav bone - whereas disease is breakdown on changes to the bone itself.
yes definetly for disease not syndrome. Theory of drug is that it restores blood flow to the areas in which it was lost (which of course they leads to the bone degenerating) so allowing the bone to 'regrow' essentially curing the problem BUT of course you also have to work out why the blood flow was lost in the first place to try and stop reoccourances.