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Monensin and Lasalocid Toxicity in Horses


Important Concepts



  • Ionophore Antibiotics: Monensin and lasalocid are used in poultry and ruminant feeds but are highly toxic to horses.




Clinical Signs



  • Monensin:


    • Dose-dependent toxicity.

    • Depression, incoordination, weakness, paresis, paralysis, poor performance, heart failure, unthriftiness.

    • Cardiac arrhythmias, high heart rates, prominent jugular vein distension.

    • Acute ingestion can cause death within hours; chronic exposure results in prolonged symptoms like colic, diarrhea, stiffness, and muscle weakness.





Pathological Changes



  • Cardiac Damage: Permanent damage to the heart muscles leading to heart failure and arrhythmias.




Diagnosis



  • Definitive Diagnosis: Requires feed analysis or post-mortem examination.

  • Clinical Evaluation: Symptoms suggestive of toxicity, changes in blood work reflecting dehydration and electrolyte imbalances.




Treatment



  • Supportive Care: IV fluids, oral laxatives, anti-inflammatory, and pain medication.

  • No Specific Antidote: Immediate removal of suspect feed sources is crucial.




Prevention



  • Education: Ensuring feed companies prevent cross-contamination of equine feed with ionophore antibiotics.


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