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Strategic Deworming

By Billie Zeller-Barrett, DVM

When it comes to deworming many horses owners believe more is better. For many years, horse owners have used the standard 4-6 weeks deworming protocol with an anthelmintic (dewormer) of choice. Most horse owners rotate anthelmintics while others find what seems to work and stick with it. Equine scientists have recently been cautioned that these current deworming strategies may cause parasite resistance for our horses.

Over the last 40 years, researchers have witnessed parasite resistance to anthelmintics in sheep, goats, and cattle. It is only natural to assume that the same would happen in horses. There have been many studies documenting drug resistance on equine farms with a history of frequent deworming, especially when using the same class of dewormer, rather than rotating. Because there are no new anthelmintic drugs on the horizon preventing parasite drug resistance must be a priority for veterinarians and horse owners.

There is not a universal or “cookbook” deworming protocol available since parasite prevalence depends on so many factors (geographic location, pasture exposure and rotation, individual horse immunity, etc.). There are several suggested deworming protocols that have recently been made. You as a horse owner should educate yourself on the various protocols and work with your veterinarian to determine what works best for your farm.

A valuable tool your veterinarian can use when planning a deworming strategy for your horse farm is a fecal egg count. Fecal egg counts can be used to identify what types of worms infest your horse, the shedding status of your horse and with repeated use can help identify anthelmintic resistance. Initially, a fecal egg count should be performed on all horses on the premises. If you have a high number of horses you can sample horses from different categories (weanlings, yearlings, 2 year olds, adult horses, broodmares, geriatric, etc).

When the fecal egg count results are available, your veterinarian can classify your horses into 1 of 3 shedding categories; low, medium and high. The cut off number for these categories is not universally agreed upon but are similar. Horses that fall in the low shedding category will have less than 250 Eggs Per Gram, medium shedders 250-500 EPG and high shedders will have greater than 500 EPG. High shedders are thought to make up about 35% of the horse population but are responsible for approximately 85% of the pasture burden. For this reason high shedders should be dewormed more frequently.

When your veterinarian is using fecal egg counts, for the purpose of determining drug resistance, it is necessary to do an initial fecal to get an egg count, administer the anthelmintic and then do a repeat fecal egg count 10-14 days later. If the drug is still effective against the parasite you should see at least a 90% reduction in the egg count.

The most practical approach to deworming is a quarterly rotation program recommended by researchers at Texas Tech University. This quarterly rotation protocol includes different anthelmintics targeting adult parasites, larval parasites, tapeworms and bots. It is important to base your deworming strategy on the range of parasites that may possibly infest your horse. It is important to consider the season or time of year when choosing the anthelmintic each quarter. There are 4 major categories of anthelmintics that we rotate through; Praziquantel, macrocyclic lactones (moxidectin, ivermectin), pyrantel salts, and benzimadozoles (fenbendazole, oxybendazole). Each of these categories has a slightly different target and should be used at different times of year. Praziquantel is primarily used to control tapeworms (Anoplocephala) and should typically be administered in the Fall. Macrocyclic lactones (Ivermectin and Moxidectin) are used to control large strongyles and bots (Gasterophilus) and should be administered in the spring and fall. The Panacur Power pak, which is a benzimidazole, should be saved to treat encysted cyathestomes (redworms) and should only be administered when the fecal egg count is above 500 EPG. This rotational program was developed by taking the egg reappearance period of each drug into consideration.

Each anthelmintic is effective for a specific amount of time. The egg reappearance period is the amount of time it takes the parasite eggs to reappear in the feces after the anthelmintic is administered. The egg reappearance period for each commonly used drug is as follows: Moxidectin (Quest) 12 weeks, Ivermectin 8weeks, Pyrantel salts 4-6 weeks, Benzimadozoles 4 weeks. For high shedders the quarterly rotation may not be enough. These horses may need a 6 time a year rotation, still waiting the appropriate egg reappearance period.

Good management practices should be combined with any deworming schedule. Management practices focus on decreasing the worm population in the environment. These practices include removing manure from grazing areas weekly, rotating pastures, planting a winter annual grass such as rye or wheat grass, rotating different livestock within your horse pastures, and holding newcomers in a quarantine area. A common practice of spreading or disking manure in pastures may need to be reconsidered. The current recommendation is to only disc pastures or spread manure in the summer when the temperature is above 85 degrees and the horses can be held off of the pasture for at least a week. When the parasite eggs are exposed to this high of a temperature for 3 consecutive days they will die. Unlike the various deworming protocols, these recommended management practices are agreed upon universally.

The rotational strategy is just one of several strategies that can be utilized when deworming your horses. Using a rotating schedule and waiting the appropriate egg reappearance period or longer (for low shedder) can help preserve the anthelmintics we currently have available. There are several factors that should be evaluated when deciding on a deworming protocol that fits your farm. The number of horses and frequency of horses entering and leaving your farm, the amount of pasture exposure, genetics and the age of horses you are treating are all factors that should be considered when choosing a deworming protocol. Working with your veterinarian to discuss the best possible option for your individual situation is the best way to ensure preservation of our current anthelmintic effectiveness.

Contact Surgi-Care Center for Horses at 813-643-7177 or

email lkuebelbeck@surgi-carecenter.com with any questions regarding this topic.

This article was originally published in Horse & Pony magazine and is reprinted with their permission.

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