ReBalance Antiprotozoal Oral Suspension is indicated for the treatment of equine protozoal myeloencephalitis (EPM) caused by Sarcocystis neurona in horses. It is available in a 1-quart bottle and requires a prescription from your veterinarian.
ReBalance Antiprotozoal Oral Suspension contains sulfonamides and pyrimethamine, two different antimicrobial agents which inhibit folic acid synthesis at two different sites, in the same synthetic pathway. The combination of sulfonamide and pyrimethamine is synergistic, with the drug combination having an antiprotozoal effect.
Prior to treatment, EPM should be distinguished from other diseases that may cause ataxia in horses. Injuries or lameness may also complicate the evaluation of an animal with EPM. In most instances, ataxia due to EPM is asymmetrical and affects the front and/or hind limbs. The safe use of ReBalance Antiprotozoal Oral Suspension in horses used for breeding purposes, during pregnancy, or in lactating mares hasn't been evaluated. The safety of ReBalance Antiprotozoal Oral Suspension with concomitant therapies in horses hasn't been evaluated.
ReBalance Antiprotozoal Oral Suspension (PRN)
ReBalance Antiprotozoal Oral Suspension requires a prescription from your veterinarian. It is meant to be used to treat EPM in horses. ReBalance Antiprotozoal Oral Suspension is for oral use only in horses. The usual duration of treatment is dependent on clinical response, but the usual treatment regimen ranges from 90 to 270 days.
Tell your veterinarian if your pet has ever had a hypersensitivity to sulfadiazine or pyrimethamine. Tell your veterinarian if your pet has any injuries or lameness, as it can complicate the evaluation of EPM.
ReBalance Antiprotozoal Oral Suspension should be given by the mouth using a suitable oral syringe. The usual dosage is 4 ml of ReBalance Antiprotozoal Oral Suspension per 110 lbs body weight once per day. The usual duration of treatment is dependent on clinical response, but the usual treatment regimen ranges from 90 to 270 days. Administer orally by suitable dose syringe at least 1 hour prior to feeding with hay or grain. Insert nozzle of syringe through the interdental space and deposit the dose on the back of the tongue by depressing the plunger. Shake the bottle well before use.
Treatment with ReBalance Antiprotozoal Oral Suspension may cause generalized bone marrow suppression, anemia, leukopenia, neutropenia and thrombocytopenia. A complete blood count (CBC) should be performed monthly to monitor your horse for development of these conditions. The administration of ReBalance Antiprotozoal Oral Suspension may need to be discontinued and/or treatments for bone marrow suppression initiated.
Give the missed dose as soon as you remember. If it is close to the next dose, skip the missed dose and resume a normal dosing schedule.
If you suspect an overdose, contact your veterinarian right away.
Before starting ReBalance Antiprotozoal Oral Suspension, tell your veterinarian of any medications your horse is currently taking. The safety of ReBalance Antiprotozoal Oral Suspension with concomitant therapies in horses hasn't been evaluated.
Make sure your horse has access to fresh drinking water.
|All weights||Give 4 ml per 110 lbs body weight once per day or as directed by your veterinarian|
|Cats||Do not use!|
|Dogs||Do not use!|
Store at room temperature. Protect from freezing. Keep out of the reach of children and pets.
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