Yes, you can top dress Outlast in his regular grain. It’s meant to be fed a few times a day though. You may be able to get by with 2 feedings.
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Outlast will help raise pH for max about 4 hours, but typically really only about 2 hours. That makes it a nice thing to use right before work or something else stressful, but yeah, you have to feed it multiple times a day to get longer coverage, obviously.
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My friend will be using Outlast after ulcer treatment. I advised her it’s supposed to be fed throughout the day or prn before traveling or an event. Does feeding twice daily help after ulcer treatment is completed?
Otherwise I will try to steer her to something more longer lasting for post treatment support.
My vet gets it in a paste from a veterinary compounding supply company, it’s more effective than omeprazole in my experience and the dose is smaller…
Unfortunately, that really depends on the horse. Can it? Yes. Does (will) it? Maybe
What type of sucralfate please js? Maybe there is something cheaper than sucralox I could try.
For sure giving food before riding should help with acid splashing. I usually do alfalfa for extra buffering. I had one horse with AWFUL glandular ulcers that took 8 months to resolve. He was on pasture no riding at all for 3 months of it. And that was with gastrogard, sucralfate and miso. I bought my miso using a goodRx prescription and it cost me maybe 1/10th the price. But the whole thing was crazy expensive.
For diet, I do not feed any grain at all, they all get timothy and alfalfa hay, and beet pulp for supplements. I worked with mad barn to come up with a good diet. I add Omneity and one horse gets a vitamin E supplement as well.
The most complete supplement I have come across for ulcers is Protek GI. It is expensive but it does seem to combine all the demonstrated additives like Lecithin, Beta Glucans, Yeast, antacids and probiotics. I used to feed three different ulcer supplements including Relyne GI, and AssureGuard gold and I’ve consolidated onto Protek and seeing more comfort across the four horses I’ve tried it with.
It’s so expensive. There is no way around the expense. We’re going to put him back on the omeprazole as well and titrate it down for 2 months, vet recommended. Fortunately we can get that from a compound pharmacy, vs paying the full price for gastrogard. This is such a long process. I’ve dealt with the other type of ulcers before and they all resolved with a month of oneprazole and some supplements. This is a whole ‘nother beast.
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For anyone else who might be dealing with this, or wonder what the symptoms are, here is what I noticed in his first months with us.
- grunting under saddle
- no forward
- struggle to canter
- short-strided in both hinds with no findings in radiographs or in lameness exam
- recumbent napping during the day
- splashing himself with water
- flehmen response with no obvious stimulus
- rushing from mounting block
- spookiness
It’s a powder (flavored) form I order from my vets online pharmacy (Covetrus). A 100 scoop container 5g 15cc scoop flavored is $131 and the 200 scoop is $213, I don’t know if that’s will be cheaper or not.
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It’s supposed to be fed on an empty stomach, right? Do you make it into a paste and syringe it?
I had a super hard one of these. The thread is called Drug-Resistant Ulcers if you search.
FWIW, I’d start with 3 months of sucralfate, and misoprostol. It’s not easy because there are contraindications between sucralfate and almost everything else, and you want to give ulcerguard/gastrogard (if you choose to add it) on an empty stomach. It turns into 5-6 servings of meds per day, which not every barn is willing or able to do.
Since you are proving your horse is clear after treatment, I’d start focusing on what else in his life you can change almost right away. Is he in a good stall? Good neighbors? Visibility? Turnout schedule? Allergy test for problem feeds? Light work load? Variety? Then I’d add a probiotic and perhaps even Succeed for a while to rebuild his gut from all the meds.
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I will find that thread. I’m guessing it was a long slog for you. 
I think we’re doing better by him than how we was kept as a sale horse. Could he be out more? Maybe, but it’s so hot during the day right now, he goes out at night, 5pm-7am. He can see other horses, but we don’t do group turnout. The barn is very small and private so getting him his meds on his schedule is not an issue, fortunately.
I think the succeed and probiotic is a good idea, I’ve always had a question about his general gut health. Right now his workload is zero, he’ll be brought back into work as if he was a rehab - walking, light trotting over a course of weeks. We can keep up his groundwork, he seems to like attention. I honestly think his dream person is a 12 year old girl who will braid his mane and love on him. He’s just such a personable horse.
It is, which I did at first but then top dressed it on his grain. I would just mix the powder in some water and put it on his grain.
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