Holistic Epm Treatment

Holistic Epm Treatment

Can you treat EPM naturally?

The nutrient that is most commonly focused on for horses with EPM is Vitamin E. Supplementation with high levels of natural Vitamin E are often encouraged, as Vitamin E is a potent antioxidant that supports nerve function and the immune system. Levels of 5,000 to 10,000 IU per day are recommended during treatment.[1]

What is the best treatment for EPM?

A six-month course of antibiotic (trimethoprim-sulfonamide) and antiprotozoal agent (pyrimethamine). A 28-day course of antiprotozoal (ponazuril). Horses may need a second round of ponazuril in some cases. This is the only FDA-approved treatment for EPM.[2]

Can a horse recover from EPM without treatment?

If left undiagnosed and untreated, EPM can cause devastating and lasting neurological deficits. The success rate for treated horses is high. Many will improve and a smaller percentage will recover completely, but 10-20% of cases may relapse within two years.[3]

What should I feed my horse with EPM?

Dietary and Management Recommendations Low starch, high fiber and added fat are recommended since there is an increased incidence of digestive disturbances (diarrhea) as a side effect of treatment. Folic acid and vitamin E have been found to aid in nerve healing and should be included in the daily regimen.[4]

Are horses in pain with EPM?

EPM can impact both the brain and spinal cord, so symptoms can vary from case to case. Pain caused by EPM lesions may also cause a horse to become grouchy.[5]

What is the best vitamin E supplement for horses?

Most vitamin E supplements consist of alpha-tocopherol because alpha-tocopherol is the most biologically available and well researched isoform of vitamin E. The most efficient way to rapidly increase levels is to administer a natural water-soluble Emcelle Stuart Product supplement (Elevate W.S. or Nano-e).[6]

Does ivermectin treat EPM?

Treatment schedule I begin treating a horse with EPM and L4 larvae at the anterior mesenteric artery (see sidebar on page xx) with a commercial de-wormer. If he does not have a history of de-worming within the past four months, my recommendation is to begin with a dose of Ivermectin.[7]

Can a horse with EPM be ridden?

A Horses that recover completely can return to their original intended use. For horses that do recover, the improvement is based on the initial severity of the clinical signs (see box). However, not all horses that “improve” according to the clinical scale are able to be safely ridden again.[8]

What are the first signs of EPM in horses?

Owners frequently notice obscure lameness, stumbling and incoordination. If the brain stem is involved, usually a head tilt is present. Clinical signs may include: Ataxia (incoordination) and weakness: Generally centered in the rear limbs, symptoms worsen when the head is elevated, or the horse moves up or down slopes.[9]

Can a horse relapse with EPM?

A: The short answer is, yes, horses with equine protozoal myeloencephalitis (EPM) can relapse.[10]

How much does it cost to treat EPM?

$800-$1000). Horses that recover can still encounter temporary or permanent deficits. It is estimated that up to 30% of horses treated may experience relapse, likely due to the lack of immune support during and post treatment.[11]

Is there a vaccine for EPM?

A vaccine against Sarcocystis neurona, a causative agent for equine protozoal myeloencephalitis (EPM), has been available since 2000, but its efficacy has been unclear.[12]