I’ve been researching hindgut ulcers and am wondering if anyone has a product that they feel was effective. Misoprostol looks promising. There are so many products out there. I am hoping to begin healing these without a lot of the random trial and error. Succeed, Sulfracate, Tons of tack shop supplements available… what to choose?
Sucralfate Been using it for years with great success. Abler Pharma sells it in bulk and it really cuts the cost.
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Misoprostol and Sucralfate.
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Mine is maintained on misoprostol and sucralfate. Misoprostol can make them crampy and colicky and it’s not a medication I would give without vet involvement.
Thank you for your responses. Is there any reason that a horse should not be on Ulcerguard and sucralfate at the same time? I have quite a few tubes of Ulcerguard on hand but don’t want to be counterproductive to treatment of hind gut, Vet stopping by tomorrow with sucralfate but not convinced he is up on hind gut strategies. He has used Misoprostol with racehorses. His feeling is that these hind gut treatments are used as needed but not for maintenance… will try to figure that out with him. It seems that many of you use these remedies full time?
Sucralfate and Gastroguard can be part of the same treatment plan, they just need to be given separately and spaced out properly.
The Sucralfate binds with stomach acid to create a paste that then forms a “bandaid” of sorts over ulcerated areas of the stomach to protect them from acid so they can heal. That protective coating, however, can impact absorption of other medications.
My horse was on GG and Sucralfate - we gave the GG first and then the Sucralfate at least an hour later, to ensure that the GG had time to be absorbed before the Sucralfate created a barrier on the stomach. We also only used the Sucralfate twice a day - it’s effective for roughly 8 hours so ideal protocol is 3 doses a day. Morning and evening was the best we could do, and our vet felt that was better than nothing.
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Thank you Amy3996. How long was your horse kept on this protocol? My vet has suggested a compounded mixture of omeprozol and sulcrafate. Doesn’t sound ideal.
Has Succeed been a part of anyone’s efforts to deal w hind gut ulcers?
I use Sucralfate. Horse lives on it… I had no luck with Succeed
I think it depends on the horse. I use Platinum Balance, which works for my horse. The smartpak version didn’t help. I have a friend who has used Succeed with great success.
No, as long as you manage the timing properly. However, it really depends on the diagnosis. If you have no stomach ulcers, I would skip the Ulcerguard/Gastroguard. It doesn’t do anything for the hind gut, and some people have speculated that the reduction in acid it causes can actually make things worse by allowing more undigested food to pass through the stomach, thus making the intestines work harder.
If you have stomach and hind gut ulcers, giving all three medications makes a lot of sense (Gastroguard, misoprostol, sucralfate).
So the plan is to treat with Sucralfate first to see what happens. Vet doesn’t want to muddy the waters with two products at once. Will probably start Biotic 8 Plus a little further on to maintain gut pre and probiotics. Similar I think to Succeed but more $ friendly. Thanks so much for sharing.
