ridecamp@endurance.net: Adequan

Adequan

Patricia Dowling DVM (dowling@sask.usask.ca)
Mon, 24 Jul 1995 16:11:39 -0700 (PDT)

Re Adequan therapy: if anyone is interested in a detailed
explanation, I can provide a bibliography. Tidbits that you
might be interested in:
Adequan comes in intramuscular and intra-articular (for
injection right into the joint) formulations. When you use
the intra-articular formulation, some horses will react to
the drug - with a lot of swelling and pain in the joint. It
goes away with a little time, but looks kinda awful to the
owner, therefore as a veterinarian, I prefer to use the
intramuscular formulation and avoid this situation. There is
another product called Legend from Bayer (formerly Miles)
that is administered intravenously that works the same way.
I have not used Legend (it's not available here in Canada),
but I've had good results with Adequan for horses with bone
spavin (arthritic hocks). It is also used for dogs with
arthritis (approved for this in Canada, not yet approved but
used anyway in the US).

As a pharmacologist, I am far more skeptical about the oral
polysulfated gylcosaminoglycan products (Cosequin, Flex
Free). These are not drugs - they call them
"nutriceuticals". They are feed additives, therefore they
don't have to meet any kind of scientific testing for
efficacy. If you look at their literature, they only claim
that they provide the "building blocks" needed to repair
damaged joints - but no proof that they actually ever reach
the joints (on the other hand, they've radioactively labeled
Adequan and demonstrated its uptake into joint cartilage).
Some people feed them and feel like their horse improves -
but that it very difficult to prove scientifically. They
certainly are not harmful, so if someone wants to spend
their money, I don't discourage them.

If you think it's expensive in the States - these products
are about 5 times more expensive in Canada!

Trisha Dowling, DVM, MS
Diplomat ACVIM, ACVCP
Associate Professor of Veterinary Clinical Pharmacology
Western College of Veterinary Medicine
Saskatoon, Saskatchewan