Horse - Medication Inventory Form

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Horse - Medication Inventory Form - Example

Author:	Dr. Robert Wright - Veterinary Scientist/Equine and Alternative Livestock/OMAFRA
Creation Date:	01 August 2005
Last Reviewed:	01 August 2005

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Horse Medication Inventory Form - Example - PDF Format- 92 kb

Page _____ of _______

Owner Name: ___________________________________________________________________________

Farm Name: ____________________________________________________________________________

Refrigerator temperature: _________C° or_______ F°

I.M. - In the muscle	I.V. - in the vein	I.F. - in the feed	T - Topical
S.Q. - Under the skin	O.R. - oral	I.W. - in the water	* - vet. script/off label use

Name of Medication	Manufacturer	Treated Animal(s) (e.g. Foal)	Dosage (e.g., 2 mL/45 kg, 1 cc/10 lb, 2x/day or 200 g/t)	Route (see legend)	Significant Contraindications, Cautions or Warnings	Storage on Farm (e.g. fridge, cupboard, etc.)	Withdrawal (days)
DMSO	Fort Dodge	for use in horses in training to reduce acute swelling due to trauma	use 3 times daily; total daily dosage should not exceed 100 mL of liquid and therapy should not exceed 30 days.	T	Wear rubber gloves; apply topically to clean, dry areas to avoid carrying chemicals into systemic system. Avoid inhaling or contact with eyes.	Protect from light. Store in original closed container.	not for use in horses intended for food purposes
PEN G PROCAINE	P.V.U.	for treating bacterial infections	for a 1,000-lb horse 10 mL once daily	IM	300,000 IU/mL Observe caution when used by penicillin-sensitive persons. Shake well before use.	2 - 8^°C, avoid freezing	5 days,
EQVALAN®	Merial	all ages greater than 4 months	liquid 1 ml/50 kg paste 600 mg for 600 kg	OR	Refrain from smoking or eating when handling. Avoid contact with eyes. Wash hands after use. Ivermectin can adversely affect fish.	15 - 30^°C	not for food- producing animals
Butasone 400 (Phenylbutazone powder)	Jaapharm	cautious use in foals and ponies	4.4 - 8.8 mg/kg q24h. Do not exceed 8.8 mg/kg/day. Administer q8h. (Comes in 1 g active ingredient in 10 g of powder).	OR	Doses greater than recommended have resulted in intestinal ulcerative lesions. Necrotizing phlebitis of the portal vein has been observed in horses receiving higher doses for extended periods of time	Store between 8 - 15ºC or in a refrigerator.	not to be used in food-producing animals
Butazone Injectable	Rogar/STB		200 kg/mL IV only, 1 - 2 g/454 kg	IV	Do not use IM or SQ; it is very irritating.	15 - 30ºC
REGU-MATE® (altrenogest)	Hoechst	to surpress heat in mares	1 ml/110 lbs. for 15 days	OR	Those that should not handle this drug include: pregnant women, those with thrombophlebitis, coronary disease, women with carcinoma of the breast, estrogen dependant neoplasia or undiagnosed vaginal bleeding. Can be absorbed after skin contact, especially if wearing latex gloves.	room temperature	not for food- producing horses

Additional information:

_____________________________________________________________________

Reviewed and approved by (print) _______________on (Date) ____________ (sign)

________________________________ Owner/ Employee

and (print) ________________________________on (Date)_____________ (sign)

_______________________________________Veterinarian

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