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Extreme Veteran
Posts: 322
  
| I don’t want to start a lynch mob - just looking for similar experiences only!!!
We had a horse that was given a small banamine injection in its neck Monday late afternoon. We were out of town and he’s was acting sore so since we were out of bute the person gave 3cc of banamine on his left neck... Timeline goes:
- Monday night we got home about 10pm and the horse was fine.
- Tuesday morning there was just a small amount of swelling at injection site.
- Tuesday afternoon it was a bit bigger (1” wide x 2” long). Called vet and they said to start icing and give bute.
- Wednesday morning swelling was down just slightly, but by Wednesday night up just slightly (still less than Tuesday). Continued ice and bute.
- Thursday morning slightly less or close to same amount of swelling as Wednesday.
- Called vet this afternoon to update, and they highly suggested to put Surpass on it as well... so I’ve started that as of this evening.
The swelling has not grown and seems to be going down as a super super slow rate. I take his temperature daily and it remains normal. He acts 100% normal with lots of energy and usual morning whinnies and bucking until fed. There is no other swelling around head, neck or chest - and no feeling of ‘bubble wrap or air under the skin’. No soreness in neck - can flex both ways and loves his normal nightly scratches.
Has anyone else dealt with this?
How long did it take the swelling to go away?
Did an infection every come of it?
Dr. Google says it can take up to 2 weeks to see the infection!?!?
Am I overreacting??? Lol
I am watching him carefully as I’m afraid of that horrible infection. My vet doesn’t seem too worried about it with the small swelling only, but wants to stay updated daily.
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 My Heart Be Happy
Posts: 9159
      Location: Arkansas | Hoping all goes well with your guy  |
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| Mis_Trev - 2018-05-03 11:12 PM
I don’t want to start a lynch mob - just looking for similar experiences only!!!
We had a horse that was given a small banamine injection in its neck Monday late afternoon. We were out of town and he’s was acting sore so since we were out of bute the person gave 3cc of banamine on his left neck... Timeline goes:
- Monday night we got home about 10pm and the horse was fine.
- Tuesday morning there was just a small amount of swelling at injection site.
- Tuesday afternoon it was a bit bigger (1” wide x 2” long). Called vet and they said to start icing and give bute.
- Wednesday morning swelling was down just slightly, but by Wednesday night up just slightly (still less than Tuesday). Continued ice and bute.
- Thursday morning slightly less or close to same amount of swelling as Wednesday.
- Called vet this afternoon to update, and they highly suggested to put Surpass on it as well... so I’ve started that as of this evening.
The swelling has not grown and seems to be going down as a super super slow rate. I take his temperature daily and it remains normal. He acts 100% normal with lots of energy and usual morning whinnies and bucking until fed. There is no other swelling around head, neck or chest - and no feeling of ‘bubble wrap or air under the skin’. No soreness in neck - can flex both ways and loves his normal nightly scratches.
Has anyone else dealt with this?
How long did it take the swelling to go away?
Did an infection every come of it?
Dr. Google says it can take up to 2 weeks to see the infection!?!?
Am I overreacting??? Lol
I am watching him carefully as I’m afraid of that horrible infection. My vet doesn’t seem too worried about it with the small swelling only, but wants to stay updated daily.
***********************************************************
***********************************************************
Enjoyed reading your well said explanation of your issue ...
Here is the link to Surpass to make sure you are aware of the 10 day limitation
of use ... https://www.drsfostersmith.com/product/prod_display.cfm?c=9547+33793...
When people do not know how to give shots and may think a 1 1/2 inch needle
is too long you get into trouble ...
Quick shot lesson: Select shot area, pinch for 5-10 seconds, smooth wrinkle out
with finger, flick needle into neck and hold nose of syringe firmly to neck in case
horse should move, inject vaccine, continue holding firmly to neck for 5+ seconds
to allow vaccine to flow into deep muscle tissue, remove needle with one swift
movement, and apply pressure to needle puncture with a gloved finger to stop
any blood or vaccine from leaking up into skin tissue. (the pinch above hides the
prick sensation of the needle)
Check with your vet on this simple suggestion ... I would spray area with thumb pressure
water hose daily between applications of Surpass and even 30 minute cold pak
to bring blood to the area to help the healing and affects of the Surpass.
Now is the time to be aggressive to stop the spreading and creating an issue
that turns ugly very quickly ...
I like what you and your vet are doing and agree with DR. Google and as a
further precaution, I would continue the water spray and cold pak for another
10 days after your Surpass 10 days has ended. This small effort might let
the body defense system use a higher flow of healing blood to the area just
in case there is one itty bitty pocket of infection that could expand into a
problem.
This may seem like overkill to a lot of people but I have never regretted taking
that extra step of caution to prevent something from becoming an issue.
NOTE:
This type of possible infection travels downward from the injection site.
So, whether you can see anything leaking under the Surpass or not ...
wash the area below the site with a soapy paper towel and spray off
with the hose.
GOOD LUCK and keep us updated ..
Being successful treating our horses is good for everyone's souls !!
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Industrial Srength Barrel Racer
Posts: 7264
     
| Hopefully I won't get lynched either but just wanted to add that I used to IM Banamine all the time with no issues until my vet told me I could just squirt it in their mouth, so that's the route I take now (If I'm unable to get a vein). I've had good luck with it and it seems to work quicker than IM'ing in the event of a colic or tie up.
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 Experienced Mouse Trapper
Posts: 3106
   Location: North Dakota | As a general rule, never, ever IM banamine. IV (with remarkable caution) or oral only. I had a horrible experience with Banamine IV (and I'm trained as a vet tech and have given IV injections thousands of times) I wrote about it on here. The main concern with any IM injection is introducing bacteria into the muscle, which in turn will abscess and leave a horrible lesion is some occasions. Even vaccinations can do this without proper prep of the skin. Yes the possibility of the abscess greatly diminishes after 2 weeks. Keep checking the temp and at any sign of the bump increasing in size I would immediately call the vet. google : clostridium infection in horses from injections
Hope yours just reacted like some do-keep an eye open! Hope he feels better soon! |
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Extreme Veteran
Posts: 322
  
| BARRELHORSE USA - 2018-05-04 1:55 AM
Mis_Trev - 2018-05-03 11:12 PM
I don’t want to start a lynch mob - just looking for similar experiences only!!!
We had a horse that was given a small banamine injection in its neck Monday late afternoon. We were out of town and he’s was acting sore so since we were out of bute the person gave 3cc of banamine on his left neck... Timeline goes:
- Monday night we got home about 10pm and the horse was fine.
- Tuesday morning there was just a small amount of swelling at injection site.
- Tuesday afternoon it was a bit bigger (1” wide x 2” long). Called vet and they said to start icing and give bute.
- Wednesday morning swelling was down just slightly, but by Wednesday night up just slightly (still less than Tuesday). Continued ice and bute.
- Thursday morning slightly less or close to same amount of swelling as Wednesday.
- Called vet this afternoon to update, and they highly suggested to put Surpass on it as well... so I’ve started that as of this evening.
The swelling has not grown and seems to be going down as a super super slow rate. I take his temperature daily and it remains normal. He acts 100% normal with lots of energy and usual morning whinnies and bucking until fed. There is no other swelling around head, neck or chest - and no feeling of ‘bubble wrap or air under the skin’. No soreness in neck - can flex both ways and loves his normal nightly scratches.
Has anyone else dealt with this?
How long did it take the swelling to go away?
Did an infection every come of it?
Dr. Google says it can take up to 2 weeks to see the infection!?!?
Am I overreacting??? Lol
I am watching him carefully as I’m afraid of that horrible infection. My vet doesn’t seem too worried about it with the small swelling only, but wants to stay updated daily.
***********************************************************
***********************************************************
Enjoyed reading your well said explanation of your issue ...
Here is the link to Surpass to make sure you are aware of the 10 day limitation
of use ... https://www.drsfostersmith.com/product/prod_display.cfm?c=9547+33793...
When people do not know how to give shots and may think a 1 1/2 inch needle
is too long you get into trouble ...
Quick shot lesson: Select shot area, pinch for 5-10 seconds, smooth wrinkle out
with finger, flick needle into neck and hold nose of syringe firmly to neck in case
horse should move, inject vaccine, continue holding firmly to neck for 5+ seconds
to allow vaccine to flow into deep muscle tissue, remove needle with one swift
movement, and apply pressure to needle puncture with a gloved finger to stop
any blood or vaccine from leaking up into skin tissue. (the pinch above hides the
prick sensation of the needle )
Check with your vet on this simple suggestion ... I would spray area with thumb pressure
water hose daily between applications of Surpass and even 30 minute cold pak
to bring blood to the area to help the healing and affects of the Surpass.
Now is the time to be aggressive to stop the spreading and creating an issue
that turns ugly very quickly ...
I like what you and your vet are doing and agree with DR. Google and as a
further precaution, I would continue the water spray and cold pak for another
10 days after your Surpass 10 days has ended. This small effort might let
the body defense system use a higher flow of healing blood to the area just
in case there is one itty bitty pocket of infection that could expand into a
problem.
This may seem like overkill to a lot of people but I have never regretted taking
that extra step of caution to prevent something from becoming an issue.
NOTE:
This type of possible infection travels downward from the injection site.
So, whether you can see anything leaking under the Surpass or not ...
wash the area below the site with a soapy paper towel and spray off
with the hose.
GOOD LUCK and keep us updated ..
Being successful treating our horses is good for everyone's souls !!
Thank you! I am stopping by the vet today and will mention cold hosing. I don’t see why there would be a problem but I’ll just make sure he agrees. I appreciate your help! |
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Extreme Veteran
Posts: 322
  
| LMS - 2018-05-04 7:26 AM
As a general rule, never, ever IM banamine. IV (with remarkable caution) or oral only. I had a horrible experience with Banamine IV (and I'm trained as a vet tech and have given IV injections thousands of times) I wrote about it on here. The main concern with any IM injection is introducing bacteria into the muscle, which in turn will abscess and leave a horrible lesion is some occasions. Even vaccinations can do this without proper prep of the skin. Yes the possibility of the abscess greatly diminishes after 2 weeks. Keep checking the temp and at any sign of the bump increasing in size I would immediately call the vet. google : clostridium infection in horses from injections
Hope yours just reacted like some do-keep an eye open! Hope he feels better soon!
Yes, I know not to IM banamine - and I am very aware of the infection that can happen. I have done my fair share of googling, and have had the s#*t scared out of me lol... I have daily contact with my vet, but I was looking for similar first hand expiriences with this kind of reaction. |
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 A Somebody to Everybody
Posts: 41354
              Location: Under The Big Sky Of Texas | I find this to be simple and less stress on me is to just squirt it in the mouth, this way I dont have any worrys if anything is going to go wrong.. |
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 Expert
Posts: 5290
     
| I have had to deal with this about 10 years ago!!! Even though it says banamine is OK for IM, it really should never ever be used IM. There are plenty of pictures on the internet from horses that needed surgery where they had to cut open the skin on the neck to let the infection out etc. Even if you get no infection, banamine cause absolute horrible muscle soreness. The only time I ever gave it IM was because the horse was in such pain We could not hold him still for me to get an IV dose in him. And banamine is one of those like bute when given IV, you DO NOT want to miss the vein or you could cause even more problems. At that time I did not have banamine paste on hand ( I now carry 3 tubes of banamine paste with me at ALL TIMES for this very reason)I gave 10cc/full dose in the neck. I basically had to HAND FEED my horse for 2 weeks! His neck was so sore he could not lay down, put his head down to eat etc. I had to tie hay nets up really high for him and tie water buckets on the fence. Never again. |
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 Experienced Mouse Trapper
Posts: 3106
   Location: North Dakota | Mis_Trev - 2018-05-04 8:47 AM LMS - 2018-05-04 7:26 AM As a general rule, never, ever IM banamine. IV (with remarkable caution) or oral only. I had a horrible experience with Banamine IV (and I'm trained as a vet tech and have given IV injections thousands of times) I wrote about it on here. The main concern with any IM injection is introducing bacteria into the muscle, which in turn will abscess and leave a horrible lesion is some occasions. Even vaccinations can do this without proper prep of the skin. Yes the possibility of the abscess greatly diminishes after 2 weeks. Keep checking the temp and at any sign of the bump increasing in size I would immediately call the vet. google : clostridium infection in horses from injections
Hope yours just reacted like some do-keep an eye open! Hope he feels better soon! Yes, I know not to IM banamine - and I am very aware of the infection that can happen. I have done my fair share of googling, and have had the s#*t scared out of me lol... I have daily contact with my vet, but I was looking for similar first hand expiriences with this kind of reaction. I wasn't being snarky OR judgemental, why was it given IM if you know it's not supposed to be? AND to give you a little info on why I responded, heres the link to my story regarding injection reactions, and no my horse did not end up with an infection-thank goodness! http://forums.barrelhorseworld.com/forum/forums/thread-view.asp?tid=462778&start=1
edited to add: I read the original post, I see there was another person involved.......I'm sorry you're dealing with this.
Edited by LMS 2018-05-04 9:27 AM
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Extreme Veteran
Posts: 322
  
| FLITASTIC - 2018-05-04 8:12 AM I have had to deal with this about 10 years ago!!! Even though it says banamine is OK for IM, it really should never ever be used IM. There are plenty of pictures on the internet from horses that needed surgery where they had to cut open the skin on the neck to let the infection out etc. Even if you get no infection, banamine cause absolute horrible muscle soreness. The only time I ever gave it IM was because the horse was in such pain We could not hold him still for me to get an IV dose in him. And banamine is one of those like bute when given IV, you DO NOT want to miss the vein or you could cause even more problems. At that time I did not have banamine paste on hand ( I now carry 3 tubes of banamine paste with me at ALL TIMES for this very reason)I gave 10cc/full dose in the neck. I basically had to HAND FEED my horse for 2 weeks! His neck was so sore he could not lay down, put his head down to eat etc. I had to tie hay nets up really high for him and tie water buckets on the fence. Never again.
That sounds terriying! Luckily we are not to that extent, but I will surely continue to watch him closely for any soreness at all. I am going to buy some banamine paste today to keep on hand! |
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| I don't think you are overreacting at all, clostridial infections from an IM banamine injection can be very scary and disgusting to deal with! It sounds like you are doing everything right, so I hope this ordeal ends well! Good luck!
Keep us posted!  |
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 Hummer's Hero
Posts: 3071
    Location: Smack Dab in the Middle | No judgement at all. But, having dealt with Clostridial Myositis, I will only give Banamine orally or IV. However, mine didn't get CM from a Banamine injection. And there are thousands of IM injections given to every one infection. But knowing that there is a correlation between IM Banamine and infection, I just don't. CM was horrible, terrifying.
BUT, since it's a done deal, just watch out for fever (mine didn't have much of one at all), sudden swelling and stiffness in the legs, and a bubble wrap feeling in the affected area (also not present in mine).
Trust your gut...my paranoia saved my guy's life. He spent a week at OSU after surgery and almost a month on 3 antibiotics. The pain and swelling from the IM penicillin was almost as miserable as the wound itself. He's alive and well now, over a year later.
Edited by RockinGR 2018-05-04 11:25 AM
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Extreme Veteran
Posts: 542
 
| get the roll on DMSO and rub on it |
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The Advice Guru
Posts: 6419
     
| Clostridial Myosis infection from banamine I believe the stats are 1:1000, onset of the drug is faster im than oral.
A clostridial infection can occur from any injection, I had it happen on a horse twice, a year apart and both times from penicillin.
The scary photos you see on Facebook doesnt have to occur, if you vet knows what he is doing.
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Extreme Veteran
Posts: 322
  
| cheryl makofka - 2018-05-04 5:22 PM Clostridial Myosis infection from banamine I believe the stats are 1:1000, onset of the drug is faster im than oral. A clostridial infection can occur from any injection, I had it happen on a horse twice, a year apart and both times from penicillin. The scary photos you see on Facebook doesnt have to occur, if you vet knows what he is doing.
Fingers crossed we keep improving! My vet stated today it can take quite a while for the swelling to go away. Sounds like 2 weeks after injection things are back to normal (assuming there are no infections). For now I will continue with my treatment plan and lots of prayers! |
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 Take a Picture
Posts: 12838
       
| Had a mare foal early Monday morning this week. Tuesday she was down and vet said banamine would be more effective in the mouth if I could not get it in the vein than IM. I don't do IV well and it was dark as pitch out there. This is for future use for you. I think your horse should be OK. I have given IM many times without a problem. |
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 Did I miss the party?
Posts: 3864
       
| FLITASTIC - 2018-05-04 7:12 AM I have had to deal with this about 10 years ago!!! Even though it says banamine is OK for IM, it really should never ever be used IM. There are plenty of pictures on the internet from horses that needed surgery where they had to cut open the skin on the neck to let the infection out etc. Even if you get no infection, banamine cause absolute horrible muscle soreness. The only time I ever gave it IM was because the horse was in such pain We could not hold him still for me to get an IV dose in him. And banamine is one of those like bute when given IV, you DO NOT want to miss the vein or you could cause even more problems. At that time I did not have banamine paste on hand ( I now carry 3 tubes of banamine paste with me at ALL TIMES for this very reason)I gave 10cc/full dose in the neck. I basically had to HAND FEED my horse for 2 weeks! His neck was so sore he could not lay down, put his head down to eat etc. I had to tie hay nets up really high for him and tie water buckets on the fence. Never again.
Says IM is ok because it's labeled for use in cattle as well. Definitely not a good idea to give IM in horses. |
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 Did I miss the party?
Posts: 3864
       
| cheryl makofka - 2018-05-04 4:22 PM Clostridial Myosis infection from banamine I believe the stats are 1:1000, onset of the drug is faster im than oral. A clostridial infection can occur from any injection, I had it happen on a horse twice, a year apart and both times from penicillin. The scary photos you see on Facebook doesnt have to occur, if you vet knows what he is doing.
As you can see by some of the comments on this post, not everyone whose had a banamine IM reaction is reporting it to be a part of any stats. Add me to that list from way back in 2000 when my father gave a banamine IM shot to one of my horses while I was traveling (per vet instruction!). That reaction was enough for me.
Is that stat from Merck itself? No matter the source, it could potentially include the thousands upon thousands of IM injections on cattle as well.
Even if it doesn't become a full blown CM infection, the risks of swelling and soreness from banamind IM are very well known in horses.
And yes it's faster onset to give IM vs oral but, it's even faster to give IV. |
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The Advice Guru
Posts: 6419
     
| barrelracinbroke - 2018-05-05 12:13 AM
cheryl makofka - 2018-05-04 4:22 PM Clostridial Myosis infection from banamine I believe the stats are 1:1000, onset of the drug is faster im than oral. A clostridial infection can occur from any injection, I had it happen on a horse twice, a year apart and both times from penicillin. The scary photos you see on Facebook doesnt have to occur, if you vet knows what he is doing.
As you can see by some of the comments on this post, not everyone whose had a banamine IM reaction is reporting it to be a part of any stats. Add me to that list from way back in 2000 when my father gave a banamine IM shot to one of my horses while I was traveling (per vet instruction!). That reaction was enough for me.
Is that stat from Merck itself? No matter the source, it could potentially include the thousands upon thousands of IM injections on cattle as well.
Even if it doesn't become a full blown CM infection, the risks of swelling and soreness from banamind IM are very well known in horses.
And yes it's faster onset to give IM vs oral but, it's even faster to give IV.
American stats in horses specifically Im injection only, the stats are about 10 years old now. And not done by Merck, as it included the generic banamine. |
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| Mis_Trev - 2018-05-03 11:12 PM
I don’t want to start a lynch mob - just looking for similar experiences only!!!
We had a horse that was given a small banamine injection in its neck Monday late afternoon. We were out of town and he’s was acting sore so since we were out of bute the person gave 3cc of banamine on his left neck... Timeline goes:
- Monday night we got home about 10pm and the horse was fine.
- Tuesday morning there was just a small amount of swelling at injection site.
- Tuesday afternoon it was a bit bigger (1” wide x 2” long). Called vet and they said to start icing and give bute.
- Wednesday morning swelling was down just slightly, but by Wednesday night up just slightly (still less than Tuesday). Continued ice and bute.
- Thursday morning slightly less or close to same amount of swelling as Wednesday.
- Called vet this afternoon to update, and they highly suggested to put Surpass on it as well... so I’ve started that as of this evening.
The swelling has not grown and seems to be going down as a super super slow rate. I take his temperature daily and it remains normal. He acts 100% normal with lots of energy and usual morning whinnies and bucking until fed. There is no other swelling around head, neck or chest - and no feeling of ‘bubble wrap or air under the skin’. No soreness in neck - can flex both ways and loves his normal nightly scratches.
Has anyone else dealt with this?
How long did it take the swelling to go away?
Did an infection every come of it?
Dr. Google says it can take up to 2 weeks to see the infection!?!?
Am I overreacting??? Lol
I am watching him carefully as I’m afraid of that horrible infection. My vet doesn’t seem too worried about it with the small swelling only, but wants to stay updated daily.
*******************************************************
*******************************************************
I am surprised that no one has identified the real use that banamine was
invented for. It is designed to relax the digestive system for horses that
are having gut pains for colic or other reasons.
THE MAIN PROBLEM is the vets using banamine as a general pain medicine
and making it their number one overall body pain killer. This has increased
its use by nervous, untrained shot givers which is the 2nd main problem.
Whatever happened to Ace and Rompun or simple mixtures to reduce a horses
pain without the issues of using banamine ??
Before these drugs were invented plain old powdered aspirin was used and still
is used and it is the only one that affects swelling, pain and inflammation all at
one time. IMO the reason aspirin is not used is simple .... it is cheap, affective
and very little money to be made by the horse drug companies ..
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 It Goes On
Posts: 2262
     Location: Muskogee, OK | BARRELHORSE USA - 2018-05-06 12:07 AM ******************************************************* ******************************************************* I am surprised that no one has identified the real use that banamine was invented for. It is designed to relax the digestive system for horses that are having gut pains for colic or other reasons. THE MAIN PROBLEM is the vets using banamine as a general pain medicine and making it their number one overall body pain killer. This has increased its use by nervous, untrained shot givers which is the 2nd main problem. Whatever happened to Ace and Rompun or simple mixtures to reduce a horses pain without the issues of using banamine ?? Before these drugs were invented plain old powdered aspirin was used and still is used and it is the only one that affects swelling, pain and inflammation all at one time. IMO the reason aspirin is not used is simple .... it is cheap, affective and very little money to be made by the horse drug companies ..
As a veterinarian I completely disagree with this statement. I absolutely and positively do NOT prescribe banamine as a "general pain medicine". YES, there are certain instances where I believe banamine does a better job at pain control. These include colic/abdominal pain scenarios and eye-related pain issues. We wont even go into the statement about the aspirin-simply put it is absolutely the lesser pain relieving option out there for horses. There have been multiple studies proving this.
As far as the labeling goes, YES, banamine is still labeled to be given IM. Frustrates the heck out of me every single day! I will still get old timers argue with me when I tell them that they should NOT give their horse banamine in the muscle. Ultimately the reason it is still labeled as such is because it takes a LOT of money to re-label a product. This has been stated to me by many drug reps.
Ultimately whenever I prescribe banamine I recommended IV, and if owners are not comfortable with doing IV shots I tell them the only other option is oral. Oral will work, to a lesser extent and take longer to kick in but is MUCH better than a myositis reaction due to IM administration.
Edited by barrelracingchick16 2018-05-06 10:42 AM
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 Did I miss the party?
Posts: 3864
       
| barrelracingchick16 - 2018-05-06 8:41 AM BARRELHORSE USA - 2018-05-06 12:07 AM ******************************************************* ******************************************************* I am surprised that no one has identified the real use that banamine was invented for. It is designed to relax the digestive system for horses that are having gut pains for colic or other reasons. THE MAIN PROBLEM is the vets using banamine as a general pain medicine and making it their number one overall body pain killer. This has increased its use by nervous, untrained shot givers which is the 2nd main problem. Whatever happened to Ace and Rompun or simple mixtures to reduce a horses pain without the issues of using banamine ?? Before these drugs were invented plain old powdered aspirin was used and still is used and it is the only one that affects swelling, pain and inflammation all at one time. IMO the reason aspirin is not used is simple .... it is cheap, affective and very little money to be made by the horse drug companies .. As a veterinarian I completely disagree with this statement. I absolutely and positively do NOT prescribe banamine as a "general pain medicine". YES, there are certain instances where I believe banamine does a better job at pain control. These include colic/abdominal pain scenarios and eye-related pain issues. We wont even go into the statement about the aspirin-simply put it is absolutely the lesser pain relieving option out there for horses. There have been multiple studies proving this.
As far as the labeling goes, YES, banamine is still labeled to be given IM. Frustrates the heck out of me every single day! I will still get old timers argue with me when I tell them that they should NOT give their horse banamine in the muscle. Ultimately the reason it is still labeled as such is because it takes a LOT of money to re-label a product. This has been stated to me by many drug reps.
Ultimately whenever I prescribe banamine I recommended IV, and if owners are not comfortable with doing IV shots I tell them the only other option is oral. Oral will work, to a lesser extent and take longer to kick in but is MUCH better than a myositis reaction due to IM administration.
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