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EPM diagnosis....now what?

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Longneck
Reg. Mar 2004
Posted 2014-12-29 6:11 PM
Subject: EPM diagnosis....now what?


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I should recieve the Orogin in just a few days and will start it immediately.  I've also ordered some Vitamin E and should be here by the end of the week.

Can I start the Orogin without the Vit E, or will a few doses be okay before starting the Vitamin E?

The horse just got the go ahead to go back to work (legging up) about two weeks ago, but I planned on giving him another month off anyway (before the EPM was determined).... Does this require more time off or will it be okay to ride before the six week blood re-test?

I originally hauled him to a vet to get tested for EPM, but the vet didn't think we needed to draw blood.  The second vet was the one who suggested it, but didn't urge me for the blood test after his balanced was deemed okay.  Second vet (one who has been seeing him regularly for a suspensory injury) noticed he looked very different... Very atrophied in his hind end. 

  I know I was recommended reBalance a few weeks ago.... Is that something that is meant to take place of the Orogin or something to supplement inbetween treatments (assuming you do more than one treatment)?

all new to this and will take any information I can get!
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Southtxponygirl
Reg. Nov 2006
Posted 2014-12-29 6:26 PM
Subject: RE: EPM diagnosis....now what?



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I have no advice for you, I have never dealt with EPM but just wanted to give you a hug and say good luck with what you are going threw. Sounds like you are getting all your bases covered.   
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wyoming barrel racer
Reg. Apr 2006
Posted 2014-12-29 6:46 PM
Subject: RE: EPM diagnosis....now what?


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I just emailed Bob at THE about his EPM supplement. Here is his reply to me. I am still undetermined if mine has it. The blood test says no, the vets here in WY all say no because they don't deal with it at all here, but sometimes I wonder. He came out of OR 2 yrs ago. He is also healing from a ligament deal.
 
The EPM Supplement will help the horse out a lot. If you have a blood test (CBC and Chem) I can take at it and see what I found.
 
The Formula has a more Vitamin E and Folic acid plus a lot of amino acids and minerals that most people and Vet's over look.
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GoMistyGo
Reg. Feb 2004
Posted 2014-12-29 6:58 PM
Subject: RE: EPM diagnosis....now what?



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I had good success with Oroquin!
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daisycake123
Reg. Dec 2006
Posted 2014-12-29 7:15 PM
Subject: RE: EPM diagnosis....now what?


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I would advise you to internet and read, read, i did for several day. And dr. Ellerson, kept coming up. And a horse just not quite right. And body soreness, one rear leg, more right side than left. Did u c davis test, negative. Doc did not know what to say. Call doc ellerson did her blood test, treated with oriquin. Horse seems better. I have health problems, havent rode. Gettin ready to go back riding.
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RunNbarrels
Reg. Nov 2008
Posted 2014-12-29 7:46 PM
Subject: RE: EPM diagnosis....now what?


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GoMistyGo - 2014-12-29 6:58 PM

I had good success with Oroquin!

Me too.
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HorsePoorSince96
Reg. Jun 2004
Posted 2014-12-29 8:09 PM
Subject: RE: EPM diagnosis....now what?


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 I just finished 10 weeks of Marquis and Vitamin E.  The UC Davis blood test showed titers at 1:360 before treatment and at 8 weeks of treatment it came down to 1:050.  My vets were very pleased.  My horse only seemed to have left side atrophy of face and some problems chewing.  This is a very difficult disease.  I just pray he doesn't relapse.  Good luck with your treatment.
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streakysox
Reg. Jul 2008
Posted 2014-12-29 8:10 PM
Subject: RE: EPM diagnosis....now what?



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Rebalance is a treatment. Since we seem to have our EPM under control, I give mine Rebalance every 4-6 months as a preventative. As a matter of fact,he is on it right now.
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Meyerfarm
Reg. Jan 2014
Posted 2014-12-29 8:42 PM
Subject: RE: EPM diagnosis....now what?


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where do you get the rebalance
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wyoming barrel racer
Reg. Apr 2006
Posted 2014-12-29 8:49 PM
Subject: RE: EPM diagnosis....now what?


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Can you do the Rebalance first and see if you notice anything or just treat with the real stuff? I am just on the fence with mine. He had a legit injury, just not sure if what he has now is from that or something else.
http://www.drugs.com/vet/rebalance-antiprotozoal-oral-suspension.html 
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streakysox
Reg. Jul 2008
Posted 2014-12-30 2:18 AM
Subject: RE: EPM diagnosis....now what?



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It is a prescription drug. I get it from the vet. You understand this is a TREATMENT option not a supplement. My horse has also had a couple of rounds of Baycox
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FlyingJT
Reg. Jan 2014
Posted 2014-12-30 9:29 AM
Subject: RE: EPM diagnosis....now what?



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Start treating right away! don't wait for the vitamin E to come in, it's not going to effect the drugs either way. Keep him on the vitamin E for as long as you can. You might also find another supplement to help with inflammation along with the vitamin E. I've heard people talk about Duralactin, but I haven't done any research on it so i'm not sure if it works or not.
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Longneck
Reg. Mar 2004
Posted 2014-12-30 9:30 AM
Subject: RE: EPM diagnosis....now what?


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Location: Oklahoma
Thank you, everyone!  He hasn't had any trouble rolling around in the pasture (does it daily) or moving around and he passed two neuro tests so I'm hoping the damage isn't too severe. I hope to recieve a copy of his test results with the meds.

Daisy,  he has been constantly resting his right hind leg for quite some time now.  I've had vets tell me "oh, that's normal." and others say "no, that's not normal."  We're talking he takes a few steps and that leg is automatically rested.  Thought it might have been from the suspensory inflammation (same leg), but now I'm thinking that this (EPM) is the real answer.  

Krystal, I strongly urge you to get the blood drawn.  From my understanding (from reading on here) all horses have some of the protozoa in their system, just affects some differently than others.  I thought that I could blame all my problems on the suspensory injury that he has, especially after he passed two neuro tests, but the blood work was the only way we found it. 

How do you prevent a relapse... and what determines he's having a relapse?  The only thing that suggested EPM was his muscle atrophy, resting his hind leg and he's been giving me issues picking up his feet (again, always thought it was related to the suspensory injury).  He's not having problems eating, drinking or moving about (but he's also not been worked under a saddle since early September, so there could be issues there.).  Do you treat every 4-6 months without re-testing the blood?  Is there any harm in doing treatments without drawing the blood?

 
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Longneck
Reg. Mar 2004
Posted 2014-12-30 9:35 AM
Subject: RE: EPM diagnosis....now what?


Rad Dork


Posts: 5218
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Location: Oklahoma
FlyingJT - 2014-12-30 9:29 AM Start treating right away! don't wait for the vitamin E to come in, it's not going to effect the drugs either way. Keep him on the vitamin E for as long as you can. You might also find another supplement to help with inflammation along with the vitamin E. I've heard people talk about Duralactin, but I haven't done any research on it so i'm not sure if it works or not.

Thanks!  I have an inflammation blend in his THE blend, I think it helped with his suspensories so hopefully it'll keep helping with this...... Do you think I should give him some bute for a couple of days until the Orogin gets in? 
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soonergirl98
Reg. Oct 2009
Posted 2014-12-30 10:51 AM
Subject: RE: EPM diagnosis....now what?



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Once you have treated them for EPM it is very important you keep them on an immune booster. I have been told by 3 different vets they never get 100% rid of the protozoa so it is vital they have a strong immunity. You can put them on some thing like Lysine or Animal Element has the Immune formula which is an excellent way to keep them strong and healthy. I treated one for EPM last year. It was a compounded drug with DMSO I can't remember what it is called but since then have kept my gelding on the Immune formula and he is healthy and sound.
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FlyingJT
Reg. Jan 2014
Posted 2014-12-30 12:13 PM
Subject: RE: EPM diagnosis....now what?



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Longneck - 2014-12-30 9:35 AM

FlyingJT - 2014-12-30 9:29 AM Start treating right away! don't wait for the vitamin E to come in, it's not going to effect the drugs either way. Keep him on the vitamin E for as long as you can. You might also find another supplement to help with inflammation along with the vitamin E. I've heard people talk about Duralactin, but I haven't done any research on it so i'm not sure if it works or not.

Thanks!  I have an inflammation blend in his THE blend, I think it helped with his suspensories so hopefully it'll keep helping with this...... Do you think I should give him some bute for a couple of days until the Orogin gets in? 

It most certainly wouldn't hurt. 2 grams a day. I'm all for anything that will give the horse the upper hand on the EPM. And remember to give him time after treatment to allow his immune system to rebound. Same goes for when you bring him back to full work. Slow!
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wyoming barrel racer
Reg. Apr 2006
Posted 2014-12-30 12:26 PM
Subject: RE: EPM diagnosis....now what?


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FlyingJT - 2014-12-30 11:13 AM
Longneck - 2014-12-30 9:35 AM
FlyingJT - 2014-12-30 9:29 AM Start treating right away! don't wait for the vitamin E to come in, it's not going to effect the drugs either way. Keep him on the vitamin E for as long as you can. You might also find another supplement to help with inflammation along with the vitamin E. I've heard people talk about Duralactin, but I haven't done any research on it so i'm not sure if it works or not.
Thanks!  I have an inflammation blend in his THE blend, I think it helped with his suspensories so hopefully it'll keep helping with this...... Do you think I should give him some bute for a couple of days until the Orogin gets in? 
It most certainly wouldn't hurt. 2 grams a day. I'm all for anything that will give the horse the upper hand on the EPM. And remember to give him time after treatment to allow his immune system to rebound. Same goes for when you bring him back to full work. Slow!

How long do you give the Orogin/Oroquin-10 and what is a schedule to bring them back? Mine has literally been hanging out in the corral since August. I planned to give his ligament off until at least Spring-April/May. Then if he vet checks out I was going to send him off for another 30 days riding. 
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FlyingJT
Reg. Jan 2014
Posted 2014-12-30 12:58 PM
Subject: RE: EPM diagnosis....now what?



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wyoming barrel racer - 2014-12-30 12:26 PM

FlyingJT - 2014-12-30 11:13 AM
Longneck - 2014-12-30 9:35 AM
FlyingJT - 2014-12-30 9:29 AM Start treating right away! don't wait for the vitamin E to come in, it's not going to effect the drugs either way. Keep him on the vitamin E for as long as you can. You might also find another supplement to help with inflammation along with the vitamin E. I've heard people talk about Duralactin, but I haven't done any research on it so i'm not sure if it works or not.
Thanks!  I have an inflammation blend in his THE blend, I think it helped with his suspensories so hopefully it'll keep helping with this...... Do you think I should give him some bute for a couple of days until the Orogin gets in? 
It most certainly wouldn't hurt. 2 grams a day. I'm all for anything that will give the horse the upper hand on the EPM. And remember to give him time after treatment to allow his immune system to rebound. Same goes for when you bring him back to full work. Slow!

How long do you give the Orogin/Oroquin-10 and what is a schedule to bring them back? Mine has literally been hanging out in the corral since August. I planned to give his ligament off until at least Spring-April/May. Then if he vet checks out I was going to send him off for another 30 days riding. 

10 days and then you usually follow up with levamisole for another 10 days. I don't think there is really a schedule to bring them back you just want to do it slow so that you don't add to much stress. Stress, pushing them to hard to fast, can be a trigger for relapse. Once a horse gets it, some believe a majority of horses already have it just don't show signs because the protozoa is in active until triggered, they will continue to carry it and always have a chance to relapse. From your other post, what makes you think he has it if the tests have come back negative?
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Longneck
Reg. Mar 2004
Posted 2014-12-30 1:10 PM
Subject: RE: EPM diagnosis....now what?


Rad Dork


Posts: 5218
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Location: Oklahoma
FlyingJT - 2014-12-30 12:13 PM
Longneck - 2014-12-30 9:35 AM
FlyingJT - 2014-12-30 9:29 AM Start treating right away! don't wait for the vitamin E to come in, it's not going to effect the drugs either way. Keep him on the vitamin E for as long as you can. You might also find another supplement to help with inflammation along with the vitamin E. I've heard people talk about Duralactin, but I haven't done any research on it so i'm not sure if it works or not.
Thanks!  I have an inflammation blend in his THE blend, I think it helped with his suspensories so hopefully it'll keep helping with this...... Do you think I should give him some bute for a couple of days until the Orogin gets in? 
It most certainly wouldn't hurt. 2 grams a day. I'm all for anything that will give the horse the upper hand on the EPM. And remember to give him time after treatment to allow his immune system to rebound. Same goes for when you bring him back to full work. Slow!

Thanks!  I will add some bute to his (soaked) hay tonight.  Looks like I'll push his legging back up another few weeks! 
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wyoming barrel racer
Reg. Apr 2006
Posted 2014-12-30 1:30 PM
Subject: RE: EPM diagnosis....now what?


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FlyingJT - 2014-12-30 11:58 AM
wyoming barrel racer - 2014-12-30 12:26 PM
FlyingJT - 2014-12-30 11:13 AM
Longneck - 2014-12-30 9:35 AM
FlyingJT - 2014-12-30 9:29 AM Start treating right away! don't wait for the vitamin E to come in, it's not going to effect the drugs either way. Keep him on the vitamin E for as long as you can. You might also find another supplement to help with inflammation along with the vitamin E. I've heard people talk about Duralactin, but I haven't done any research on it so i'm not sure if it works or not.
Thanks!  I have an inflammation blend in his THE blend, I think it helped with his suspensories so hopefully it'll keep helping with this...... Do you think I should give him some bute for a couple of days until the Orogin gets in? 
It most certainly wouldn't hurt. 2 grams a day. I'm all for anything that will give the horse the upper hand on the EPM. And remember to give him time after treatment to allow his immune system to rebound. Same goes for when you bring him back to full work. Slow!
How long do you give the Orogin/Oroquin-10 and what is a schedule to bring them back? Mine has literally been hanging out in the corral since August. I planned to give his ligament off until at least Spring-April/May. Then if he vet checks out I was going to send him off for another 30 days riding. 
10 days and then you usually follow up with levamisole for another 10 days. I don't think there is really a schedule to bring them back you just want to do it slow so that you don't add to much stress. Stress, pushing them to hard to fast, can be a trigger for relapse. Once a horse gets it, some believe a majority of horses already have it just don't show signs because the protozoa is in active until triggered, they will continue to carry it and always have a chance to relapse. From your other post, what makes you think he has it if the tests have come back negative?
Per Pathogenes results
SAG 1, 5, 6 are 2
CRP/Lyme Titer 22
What we recommend: Use Orogin to determine treatment response, then recheck 10 days post treatement. This was from end of Aug. I called them as the results didn't say one thing or another. Kind of a try and treat and see. They basically told me to treat if I wanted, but the results didn't show he had EPM.

My vet is a good guy here, but EPM is so unheard of in WY most have never knowingly dealt with an EPM positive horse in their entire career. They have no advice to give. My vet is willing to order the meds for me if I want to try it. I did call today to get it on the way and also ordered Vitamin E/Folic Acid supplement and will use the THE EPM one. He rests a hind leg a lot, has since the front foot injury so I am unsure if one leads to the other or...


Edited by wyoming barrel racer 2014-12-30 1:43 PM
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