30 Day Gastric Ulcer and Hindgut Treatment Pack

Symptoms of ulcers can be subtle or outwardly noticeable. A change from being well mannered to suddenly being difficult to handle, girthy, off feed, poor performance in the ring, grinding teeth, to a dull coat and of a general lacklustre demeanor are a good indication of Equine Ulcers.

Regime: Sucralfate is a multiple daily dose medication. Length of administration depends on the condition, severity and type of ulcer being treated. The following dosage example is based on a horse weighing 450kg (990lb)

Non Glandular - Squamous Ulcers

• Loading or active treatment dose:
  • Week 1 - 4: Omeprazole (AbPrazole™) - 2 x sachets, once per day x 28 days.
  • Week 1 - 3: Sucralfate (AbSucralfate™) - 3 x sachets, two times per day for up to 28 days

• Maintenance or preventative dose:
  • Omeprazole: Gradually reduce to 1 x sachet, once per day.
  • Sucralfate: Reduce to 2 x sachets, once per day.

Glandular Ulcers

• Loading or active treatment dose:
  • Week 1 - 6*: Omeprazole (AbPrazole™) - 2 x sachets, once per day
  • Week 6 - 8: Omeprazole (AbPrazole™) - 2 x sachets, once per day (if required)
  • Week 1 - 3*: Sucralfate (AbSucralfate™) - 3 x sachets, two times per day
  • Week 3 - 8: Sucralfate (AbSucralfate™) - 2 x sachets, two times per day

• Maintenance or preventative dose:
  • Ongoing: Sucralfate 2 x sachets, two times per day.

Hindgut/Colonic Ulcers - Right Dorsal Colitis

Sucralfate has not been clinically proven to heal colonic ulcers. However, sucralfate is well known as a cytoprotective agent. It binds to GI mucosa, and acts as a "band-aid" to the ulcer crater, offering relief from pain associated with ulcers.

• Recommended dosage:
  • Week 1 - 6: Sucralfate (AbSucralfate™) - 3 x sachets, two times per day
  • Ongoing: Sucralfate (AbSucralfate™) - 2 x sachets, two times per day

AbSucralfate ™

Should be administered 30-60 minutes apart from other medication including Omeprazole (and any other medications).

First dose of the day is best administered before any other food or other medication is given. The morning is when the horses stomach is likely to be less full.

• Sprinkled onto a small feed (i.e. a few handfuls of moistened chaff).
• Mixed with water and administered via oral syringe.
• Mixed into a paste and smeared onto apples or carrots.

If a dose is missed, give as soon as possible, if next dose is within a few hours of the normal schedule, wait, and give at the regular time. Do not double the dose.

*Long term use: There is minimal absorption of sucralfate. Side effects from long term use are rare.
*Interactions: Sucralfate has been known to bind with other medications, therefore,sucralfate should be administered 30-60 minutes apart from other medication including Omeprazole (and any other medications).
Storage: Store in a cool dry atmosphere away from extreme heat. Store/Transport at 20° to 30°C (68° to 86°F).

AbPrazole ™

Sprinkle granules onto feed. To achieve maximum effectiveness, best not heated, mixed or immersed in water based food, as granules are enteric coated. For fussy eaters mix with molasses or corn syrup then mix with feed, apple or a treat.