Love Pentosan - questions re: Gold, Platinum? concentrations?

I have my horse on the regular pentosan, and he is doing fabulously. He is moving better than ever, and I am thrilled with the results.

While looking at horseprerace.com I noticed that there are also platinum and gold versions with additional glucosamine and hyaluronic acid. I am tempted to think more is better, but I want to ensure my horse at least gets the same benefits of the original pentosan.

Pentosan (original) says it is pentosan 250 mg/ml in a 50 ml bottle.

Gold is comprised of pentosan 250 mg/ml and and Glucosamine 150 mg/ml in a 50 ml bottle.

Platinum is comprised of pentosan 183 mg/ml, Glucosamine 83 mg/ml, HA 3 mg/ml in 18 ml bottle.

I am not a scientist, and I know very little about how drugs are comprised. However, it seems to me that there is a risk my horse may not do as well on the platinum version because it is a lower concentration of the “pentosan,” correct?

This leads to my next question (which may be basic and silly for you science folks): Is it possible for the gold to have the same concentration level of pentosan and additional glucosamine in the same 50 ml vial?

Also, anyone with experience using the gold and platinum version, I would LOVE to hear your feedback.

I just started my mare on pentosan last week, so it’s nice to hear another positive review! I got mine compounded from Wedgewood and it was marginally more expensive than the Horseprerace ($19.20/ dose vs $16.25/ dose). I did look around a bit for info about horseprerace.com- I’ve heard of them in the past, but I’ve never ordered anything from them. It looks like there are mixed reviews here on COTH. The FDA issued them a warning (regarding some of their other products, not the pentosan) last year, and although they do have a FL address, their owner is in Panama. That seems a bit suspicious to me, but if you’ve used their products before and had good results, then good for you. I’m curious, did they require a prescription? I poked around their website and didn’t see anything about that, but I didn’t try to put an order through so I was wondering if that might come up later.

[QUOTE=DressageLin;8059593]
I am not a scientist, and I know very little about how drugs are comprised. However, it seems to me that there is a risk my horse may not do as well on the platinum version because it is a lower concentration of the “pentosan,” correct?[/QUOTE] That is correct. The dosage is listed as being the same for both (3mg/ kg, so 6mL for a 500kg horse), so with the normal pentosan there would be 1500 mg per 6mL dose, and with the platinum version there would be 1098 mg per 6mL dose. It’s hard to say whether this would be enough to make a difference for your horse.

[QUOTE=DressageLin;8059593]This leads to my next question (which may be basic and silly for you science folks): Is it possible for the gold to have the same concentration level of pentosan and additional glucosamine in the same 50 ml vial?[/QUOTE] Yes, this is possible. Think of it like this: you can dissolve a 50g of salt in 100mL of water. You can then also dissolve 50g of sugar in the same water. Then your water will have 0.5 mg/mL of salt AND 0.5 mg/ mL of sugar. If you had left out the sugar, you’d still have 0.5 mg/ mL of salt in your water. Hope that explanation makes sense!

Hyaluronate sodium is the active ingredient in Legend (at 40mg/ dose)- the horseprerace.com Pentosan platinum would give you 18mg of hyaluronic acid (not sure if that would be an equivalent form?) per dose- also Legend is given IV or IA, not IM. Given the lower dosage and the IM administration, I’m not sure you’d get any benefit. Polysulfated glucosaminoglycans are the active ingredient in Adequan (500mg/ dose) BUT the horseprerace.com products have glucosamine, not PSGAGs. N-acetyl D-glucosamine may help reduce inflammation and promote healthy joints, but it is less effective than the PSGAGs in Adequan. Horseprerace.com’s pentosan platinum would give you 498 mg/ dose, and the pentosan gold would give you 900 mg/ dose- the study I read used a 500 mg dose, so those would be appropriate, but I would confirm that it is the N-acetyl D-glucosamine and not some other form.

So, all in all, IMO you might see some added benefit from the pentosan gold, but I’d be looking into the company’s compounding processes and asking questions before making the switch (or really even just staying with the company at all).

Thank you for simplifying so this simple mind can understand! Very helpful information.

As to your other comments about the horseprerace.com, I’ve researched it, read all of the threads, and realize it looks a bit sketchy. However, the two vets in my area that have seen my horse will not provide a script for compounded drugs, so horseprerace.com is my only option for pentosan. Given the amazing results that I have seen in my horse, I am sticking with it. Hope you have excellent results as well! I saw the biggest difference after completing the “loading dose” of 4 injections one week apart each, so hang in there.

I use the Pentosan Gold from horseprerace. Had a lot of success with it. Definitely will stay with this product! I have used a couple of drugs from HPR and had great outcomes with everything!

Equine Health Resources Inc. also does Pentosan. Equinedoc.com is their website. They are here in US. No script required for pentosan. Had pentosan arrive from SD yesterday from them. Check it out!

Edit to say: Pentosan Gold & Halo is what I was actually talking about.

Gold & Halo you have to do IV. It was one injection I didn’t do - boss did it- since its worth about $250 or something insane like that. Believe it has to be injected super slowly or mixed together super well. At least one very well known racehorses died due to a reaction to it.

We only used it ass a one off for horses that have had surgery and then back to regular pentosan.

( Side note haven’t used it in 2 years since leaving Australia so double check everything! )

P.

[QUOTE=Polydor;8060512]
Gold you have to do IV. It was one injection I didn’t do - boss did it- since its worth about $250 or something insane like that. Believe it has to be injected super slowly or mixed together super well. At least one very well known racehorses died due to a reaction to it.

We only used it ass a one off for horses that have had surgery and then back to regular pentosan.

( Side note haven’t used it in 2 years since leaving Australia so double check everything! )

P.[/QUOTE]

It is supposed to be injected into the muscle, not vein.

Ok Just looked it up and I was actually talking about the Pentosan Gold & Halo product which is IV.

We did use the normal Gold and still probably used in the same manor - aka once after surgery then carried on with normal pentosan.

P.

It doesn’t require a prescription if you order from those sites? (HPR and Wedgewood)? I have been considering asking my vet about it… but if it’s going to be a fortune via vet…

[QUOTE=starhorse;8061758]
It doesn’t require a prescription if you order from those sites? (HPR and Wedgewood)? I have been considering asking my vet about it… but if it’s going to be a fortune via vet…[/QUOTE]

Wedgewood DOES require a prescription. Not sure how horseprerace gets around that. Based on what I just paid Wedgewood, it’s $19.20/ dose and based on the price listed on horseprerace.com, it’s $16.25/ dose. So the price difference isn’t huge. There is also a non-compounded form that recently became available in the US, but that’s closer to $50/ dose.

[QUOTE=cheerio280;8061785]
Wedgewood DOES require a prescription. Not sure how horseprerace gets around that. Based on what I just paid Wedgewood, it’s $19.20/ dose and based on the price listed on horseprerace.com, it’s $16.25/ dose. So the price difference isn’t huge. There is also a non-compounded form that recently became available in the US, but that’s closer to $50/ dose.[/QUOTE]

One more potentially dumb question! Would I have my vet write a script and then I somehow submit that to Wedgewood? How does it work to order online with a prescription?

[QUOTE=starhorse;8061817]
One more potentially dumb question! Would I have my vet write a script and then I somehow submit that to Wedgewood? How does it work to order online with a prescription?[/QUOTE]

My vet usually just calls in the prescription, and then the pharmacy will contact you to get your payment & shipping info. You can also get a written prescription from your vet and send it in via snail mail.

http://www.wedgewoodpetrx.com/pet-and-horse-owners/how-do-i-fill-my-new-prescription.html

If your vet office is slow you can have wedgewood call them to renew as well. I have a great vet, office is slow.

http://racehorsemeds.com/product/pentosan-gold/ it says IM

Do you dothe Gold IM as site says it should be done?I m just asking because there was mention on this post about it being done iv only…but that gal was in canada

I have used Pentosan Gold and regular Pentosan from horseprerace.com for a few years now with no issues. I prefer the Gold and am happy I can get it quickly and low cost. It is injected 6cc IM.

I just found out about horseprerace.com … and discovered that my vet has been UPCHARGING the price on the Pentosan I am receiving from them that they get from Wedgewood.

I paid $150 for a 30 mL bottle (regular Pentosan) from my vet, which comes out to $25 to $30 a dose, depending on if you give 5 mL or 6 mL per dose based on your horse’s size. If I am understanding correctly, this is illegal what my vet is doing? Adding a charge to the Rx that they get me from Wedgewood?

Horseprerace.com is only $130 for a 50 mL bottle of regular pentosan. I can almost get twice as much for the same price that my vet is charging me. And as of yet, I haven’t heard anything negative about horseprerace.com

I use the Pentosan Gold from HPR, haven’t had any issues with them and it’s deinifely helped my horse.

https://www.youtube.com/watch?feature=player_embedded&v=CN3DX6zyqXw

Pentaussie Gold (the original pentosan, glucosamine, HA product) was/is injected IV in Australia. IM has become the American way. I use to give it IM, but I switched to IV a couple of years ago due to local reactions at the IM site.

CEVA is the company providing a non-compounded pentosan product (Pentosan EQ) for the US. Like Pentaussie in Australia, here it is labeled as a post surgical joint lavage, so there was no clinical trials. The advantage is there is still FDA oversight so the concentration and validity of the expiration date is more guaranteed. It’s $40-50 depending on your vets pricing policy and seems to still have limited availability.

HPR gets “around requiring a script” as mentioned above, because they are not a US company governed by US laws. One can not distribute HPR products in the US, but you can buy for your personal use (I don’t think it’s technically legal to have the drugs in the US in your possession without a script still, but no one is checking your home.).

The SD company listed above is probably a US office/contact (usually an empty building) for a foreign company that will ship the product from out-of-country directly to the buyer’s home. Otherwise, there is NO legal way to make the product in the US and sell it without a script. Don’t be fooled that this is a US company.

[QUOTE=beau159;8139834]
I just found out about horseprerace.com … and discovered that my vet has been UPCHARGING the price on the Pentosan I am receiving from them that they get from Wedgewood.

I paid $150 for a 30 mL bottle (regular Pentosan) from my vet, which comes out to $25 to $30 a dose, depending on if you give 5 mL or 6 mL per dose based on your horse’s size. If I am understanding correctly, this is illegal what my vet is doing? Adding a charge to the Rx that they get me from Wedgewood?

Horseprerace.com is only $130 for a 50 mL bottle of regular pentosan. I can almost get twice as much for the same price that my vet is charging me. And as of yet, I haven’t heard anything negative about horseprerace.com[/QUOTE]

This is not necessarily illegal. AAEP members are given “guidelines” that they should follow. Specifically the guidelines say this, “Veterinarians are encouraged to contact their state pharmacy boards concerning the re-selling of compounded products. Some state pharmacy boards reportedly require compounded drugs to be dispensed at cost and some allow regular mark up.” So the legality of it is directed to the state. Also remember that “cost” includes shipping, handling (employee ordering and stocking) storage and the value the clinic places on the overhead for that storage, not just the charge paid to wedgewood.

See here for other AAEP compounding guidelines: http://www.aaep.org/info/drug-compounding