I think they changed their directions after so many people were reporting bad reactions from the IM shots (including me). I declined their suggestion to give it IV after both of my horses had such a dramatic reaction. Um, no thank-you. Yes, I have mentioned this on other threads too (sorry, but it’s true). I also had a problem three years ago with one bottle from Wedgewood, but have not had any issues since. I have a new bottle and have given two shots from it.
For any type of IM injection I always do a very thorough scrubbing of the area first using a spray bottle of alcohol and a towel. Then I let it dry and repeat with alcohol and clean paper towels, wiping it clean each time. I then spray on a light layer of alcohol on and let it air dry, and THEN I give the shot.
I also keep my bottle in the house in it’s plastic bottle (or zip-lock bag). I take the bottle out and blot the top with alcohol and let that dry before drawing up a syringe.
RaceHorseMeds and HorsePreRace are the same company, by the way. They go by another name, too, but I forget what that is.