I put her salt, Jiaogulan, thyro L, vitamin E oil, and her Metformin with milk of magnesia in the syringe. So everything in her grain she likes! Balancer, Stabul and flax. Thinking about it I could probably quit giving her the Stabul too. It's a half cup but more carbs but I only used it to get meds down.
is it ok to syringe it all? She was spitting out/leaving vitamin E caplets, didn’t like Jiaogulan, and didn’t like even a tsp of salt.
Hi Pam. I would think it would be ok to syringe it all especially if she's easy and accepts the syringe without a fuss. Just not sure if the milk of magnesium might bind with any of the vitamins/minerals in the U-balance. Maybe Dr. K will chime in on that piece.
New CH for Dolly https://ch.ecirhorse.org/case-history.php?id=50
Dolly and Hope's Case Histories
HOW TO SEARCH THE ARCHIVES: https://ecir.groups.io/g/main/wiki/1993
Milk of magnesia will complex with the levothyroxine in Thyro-L making it less effective. Calcium containing supplements will do the same. The general recommendation for people taking thyroid hormones is to have an hour gap between thyroid medications and calcium or magnesium compounds. There are interaction with other drugs as well, especially from the equine point of view, omeprazole and the like.
Joined February, 2023
East Andover, New Hampshire
Fortune favors the prepared mind
Good morning, Faith. Welcome to ECIR from another New Englander! This informational welcome comes to you courtesy of your first post here. We hope you will feel free to make many more. Not using Thyro-L, Milk of magnesia or metformin at this point in time, I hadn’t really thought of their interactions although they sound totally plausible. Many of the people here use Thyro-L when it’s not really helping the horse as we only recommend it for jump starting weight loss. There is a misunderstanding out there that it helps to control insulin. Metformin, on the other hand, will help to lower insulin in most horses if given at the correct dose so maybe your note will encourage some people to drop the Thyro-L in favor of comfortable metformin administration. Now, I’d like to know more about your thoughts on omeprazole.
The attached document will tell you more about what we do and how you can help your laminitic horse in an emergency. That’s what brings many people here but, once the laminitis is under control, they want to know how to manage their horse to prevent a recurrence so helping those struggling with issues of high insulin and ensuing laminitis is our primary goal.
Below is your personal introduction to DDT+E, the ECIR Group protocol found to immediately address the comfort and welfare of the metabolic equine. Bookmark this message so that during your journey you may return when you need to review more information. Blue font links in each section will lead to further evidence-based and sourced information. We include a folder specifically for vets and other pros. Links previously opened will display in grey when you return to this message.
IMPORTANT STEPS DURING ACTIVE LAMINITIS
START YOUR CASE HISTORY. Request membership in the ECIR Group Case History site. Completing a case history is critical for in-depth, individual help. Bookmark this link. Our new Case History site is designed so that once you are registered and approved, and you have enrolled your equine, you can come in and select which section you wish to work on, returning as you need to add or update information. Please add copies of all your bloodwork results to support the details of your history. Further guidance to get you started is available in the Wiki.
INFORMATION FOR YOUR VETERINARIAN. After two decades, the ECIR Group knows recommendations in DDT+ E are often different from the equine veterinary community. We offer documentation of protocols, with deep background, evidence, and the science behind recommendations in the Veterinary Information folder. Please review and share this valuable supportive info with the team working on the ground with you.
DIET: Crucial for an EMS/IR horse to lower insulin, the correct diet also supports the PPID equine’s delicate immune system.
In active laminitis, your first step is:
Your ultimate goal is:
EXERCISE: The equine must be non-laminitic, off NSAIDs and comfortable.
For a one-on-one, visual explanation of DDT+E, see ECIR Group Films.
For members outside North America, there are country-specific folders in the files and international lists in the Wiki to help you find local resources.
ecirhorse.org will provide more in-depth information. The FAQ section answers questions many new members have.
ECIR Group Facebook page.
ECIR Group Resources, printable for quick-scan access to more information when needed, such as in your barn.
ECIR discussion group Wiki provides information on the use of the Groups.io site including how to access the Case History site, information in the start here folder, message etiquette, and many how-to pages.
Bookmark these pages, as well as this message, for easier access when you need more info.--
Martha in Vermont
ECIR Group Primary Response
Logo (dec. 7/20/19), Tobit(EC) and Pumpkin, Handy and Silver (EC/IR)
Martha and Logo
|1 - 4 of 4|