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Gastric protectants: sucralfate 10-20mg/kg TID for 2-4wks
Gastric protectants: sucralfate 10-20mg/kg TID for 2-4wks
Antacids: magnesium and aluminium hydroxides (NOT recommended as have massive rebound effect)
Antacids: magnesium and aluminium hydroxides (NOT recommended as have massive rebound effect)
Foals:
Omeprazole 4mg/kg PO SID (preferred)
Ranitidine (Zantac, Zeneca, UK) 6mg/kg TID PO, 1-2mg/kg IV BID (second choice)
Sucralfate (Antepsin, Wyeth Labs, Maidenhead, UK)(intestinal mucosal protective), 2-4g total dose or 50kg per foal QID PO (in theory best effect of this compound is in acid medium so should not be given at the same time or after H2 blockers btu latest research shows it appears to work just as well if given at the same time and this reduces stress of handling), NB nto a good prophylactic
Antacids not good - rebound effect
Metocloprmade, gastrci decompression (foals with severe gastor0duodenal stenosis), analgesia (butorphenol or pethidine or morphine NOT NSAIDs)
Supportive nursing by reducing stressors, milk and saliva have preventative effects so good feeding habits should be encouraged
Corn oil (50ml q6h) reportedly anti-ulcerogenic (increases PG production)
PG analogues (Misoprostenol) 5microgram/kg PO q8h
==Prognosis==
==Prognosis==
Complications:
Complications: