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Topic:Ivermectin

Ivermectin is an antiparasitic agent widely used in equine medicine to manage and control parasitic infections in horses. It belongs to the macrocyclic lactone class of drugs and is effective against a broad spectrum of internal and external parasites, including nematodes, bots, and some ectoparasites. Ivermectin functions by interfering with the nervous system of parasites, leading to paralysis and death. This page compiles peer-reviewed research studies and scholarly articles that explore the pharmacokinetics, efficacy, safety, and resistance patterns of ivermectin in equine populations. The collected works provide insights into dosing strategies, administration routes, and the impact of ivermectin use on equine health and parasite management.
Nicotine-sensitive acetylcholine receptors are relevant pharmacological targets for the control of multidrug resistant parasitic nematodes.
International journal for parasitology. Drugs and drug resistance    November 20, 2018   Volume 8, Issue 3 540-549 doi: 10.1016/j.ijpddr.2018.11.003
Charvet CL, Guégnard F, Courtot E, Cortet J, Neveu C.The control of parasitic nematodes impacting animal health relies on the use of broad spectrum anthelmintics. However, intensive use of these drugs has led to the selection of resistant parasites in livestock industry. In that respect, there is currently an urgent need for novel compounds able to control resistant parasites. Nicotine has also historically been used as a de-wormer but was removed from the market when modern anthelmintics became available. The pharmacological target of nicotine has been identified in nematodes as acetylcholine-gated ion channels. Nicotinic-sensitive acetylcholin...
Anthelmintic drugs used in equine species.
Veterinary parasitology    August 7, 2018   Volume 261 27-52 doi: 10.1016/j.vetpar.2018.08.002
Gokbulut C, McKellar QA.Internal parasites of horses comprise an intractable problem conferring disease, production and performance losses. Parasitism can rarely be controlled in grazing horses by management alone and anthelmintic drugs have formed the basis of therapy and prophylaxis for the last sixty years. The pharmacology of the anthelmintic drugs available dictate their spectrum of activity and degree of efficacy, their optimal routes of administration and characteristics which prevent some routes of administration, their safety tolerance and potential toxicities and as a consequence of their persistence in the...
Equine strongyle communities are constrained by horse sex and species dipersal-fecundity trade-off.
Parasites & vectors    May 2, 2018   Volume 11, Issue 1 279 doi: 10.1186/s13071-018-2858-9
Sallé G, Kornaś S, Basiaga M.Equine strongyles are a major health issue. Large strongyles can cause death of horses while cyathostomins (small strongyles) have shown increased resistance to anthelmintics worldwide. Description of strongyle communities have accumulated but little is known about the diversity of these communities and underpinning environmental factors. Strongyles were recovered after ivermectin treatment from 48 horses located in six premises in Poland. Correlation between previously published species fecundity and the observed relative abundance and prevalence were estimated. Significance of horse sex was ...
Case series: periocular habronemiasis in five horses in the Netherlands.
The Veterinary record    April 25, 2018   Volume 182, Issue 26 746 doi: 10.1136/vr.104265
Verhaar N, Hermans H, van Rooij E, van Oldruitenborgh-Oosterbaan MS, Ensink J.In tropical and subtropical climates, infection of periocular tissue by Habronema larvae is a recognised cause of conjunctivitis or blepharitis. To the authors' knowledge, only a few cases of habronemiasis have been described in Western Europe, and it has not been documented previously in the Netherlands. The objective of this report is to describe the occurrence of five cases of (peri)ocular habronemiasis in the Netherlands, of which four date from the past few years. The diagnosis was based on the history, clinical signs and histopathologic examination of biopsy specimens. A granulomatous co...
A combined effort to avoid strongyle infection in horses in an oceanic climate region: rotational grazing and parasiticidal fungi.
Parasites & vectors    April 12, 2018   Volume 11, Issue 1 240 doi: 10.1186/s13071-018-2827-3
Hernández JÁ, Sánchez-Andrade R, Cazapal-Monteiro CF, Arroyo FL, Sanchís JM, Paz-Silva A, Arias MS.An approach to preventing strongyle infection in horses was tested, comprising rotational pasturing and the administration of spores of two parasiticidal fungi, Mucor circinelloides and Duddingtonia flagrans. Twenty-two adult Spanish Sport Horses were dewormed with ivermectin (1 mg pour-on/kg body weight) and then randomly divided into three groups. G-1 was maintained with continuous grazing, and G-2 and G-3 were kept on a four-paddock rotation system. Commercial pelleted feed (2.5 kg/horse) was supplied to G-1 and G-2 twice a week; horses in G-3 received pellets containing 2 × 10 spores/kg o...
Characteristics of parasitic egg shedding over a 1-year period in foals and their dams in 2 farms in central Saskatchewan.
The Canadian veterinary journal = La revue veterinaire canadienne    March 31, 2018   Volume 59, Issue 3 284-292 
Misuno E, Clark CR, Anderson SL, Jenkins E, Wagner B, Dembek K, Petrie L.The goals of this study were to report the seasonal shedding patterns of strongyle and spp. eggs in repeated fecal samples for mares ( = 38) and foals ( = 39), and to evaluate the efficacy of ivermectin treatment in mares from 2 selected horse breeding farms in central Saskatchewan. Median strongyle fecal egg counts (FEC) peaked in July and August in adult horses. The farms differed significantly ( = 0.0005) in regard to strongyle shedding categories ( 500 eggs/g) over time, but for each individual horse (both farms combined) these categories did not differ over time ( = 0.13) on samples coll...
Cyathostomine egg reappearance period following ivermectin treatment in a cohort of UK Thoroughbreds.
Parasites & vectors    January 25, 2018   Volume 11, Issue 1 61 doi: 10.1186/s13071-018-2638-6
Molena RA, Peachey LE, Di Cesare A, Traversa D, Cantacessi C.In spite of the emergence of populations of drug-resistant cyathostomines worldwide, little is known of parasite species responsible for 'early egg shedding' in cohorts of horses subjected to treatment with widely used anthelmintics, e.g. ivermectin (IVM). In this study, we determined the cyathostomine egg reappearance period (ERP) after IVM treatment in a cohort of yearlings from a large Thoroughbred (TB) stud farm in the United Kingdom, and identified species of cyathostomines with reduced ERP using a combination of fundamental parasitology techniques coupled with advanced molecular tools. ...
In vitro evaluation of ivermectin, moxidectin, albendazole and pyrantel against cyathostomins of horses. Molento MB, Canever RJ.Cyathostomins are the most prevalent nematodes of horses, and multidrug resistance has been reported worldwide. There is a need to implement alternative drug monitoring analytical tests. The objective of this study was to determine the consistency (5 repetitions) of the larval migration on agar test (LMAT) using ivermectin, moxidectin, pyrantel or albendazole against cyathostomin infective-stage larvae in eight different concentrations. LMAT showed a strong coefficient of determination (R2 > 0.91), between the test repetitions (n=5). The average 50% effective concentration (EC50) for iverme...
P-glycoproteins play a role in ivermectin resistance in cyathostomins.
International journal for parasitology. Drugs and drug resistance    October 25, 2017   Volume 7, Issue 3 388-398 doi: 10.1016/j.ijpddr.2017.10.006
Peachey LE, Pinchbeck GL, Matthews JB, Burden FA, Lespine A, von Samson-Himmelstjerna G, Krücken J, Hodgkinson JE.Anthelmintic resistance is a global problem that threatens sustainable control of the equine gastrointestinal cyathostomins (Phylum Nematoda; Superfamily Strongyloidea). Of the three novel anthelmintic classes that have reached the veterinary market in the last decade, none are currently licenced in horses, hence current control regimens focus on prolonging the useful lifespan of licenced anthelmintics. This approach would be facilitated by knowledge of the resistance mechanisms to the most widely used anthelmintics, the macrocyclic lactones (ML). There are no data regarding resistance mechani...
Adaptation of a 96-well plate larval migration inhibition test for measuring the sensitivity of cyathostomins to macrocyclic lactone anthelmintics.
Veterinary parasitology    August 18, 2017   Volume 245 55-61 doi: 10.1016/j.vetpar.2017.08.010
Beasley AM, Coleman GT, Kotze AC.The use of macrocyclic lactone drugs for control of equine cyathostomins is threatened by increasing levels of resistance. Detection of changes in drug sensitivity is important for effective and sustainable management of cyathostomins, however, at present such detection relies on the use of the faecal egg count reduction test, which is known to be an insensitive method. The present study therefore aimed to examine the use of a 96-well plate larval migration inhibition test for detection of resistance to macrocyclic lactone drugs in cyathostomins. We optimised conditions for migration of larvae...
Searching for ivermectin resistance in a Strongylidae population of horses stabled in Poland.
BMC veterinary research    July 3, 2017   Volume 13, Issue 1 210 doi: 10.1186/s12917-017-1133-1
Zak A, Siwinska N, Slowikowska M, Borowicz H, Kubiak K, Hildebrand J, Popiolek M, Niedzwiedz A.There are no available studies describing the possible resistance of strongyles to ivermectin in horses in Poland. One hundred seventy three horses from nine stud farms from South-Western Poland were studied. The effectiveness of ivermectin was studied on the 14th day after ivermectin administration using the fecal egg count reduction test, and a long-term observation of the egg reappearance period was carried out. The fecal study was carried out using a modified McMaster method, which typically detects 20 eggs per gram of stool. The results were subjected to statistical analysis that enabled ...
A field study on the anthelmintic resistance of Parascaris spp. in Arab foals in the Riyadh region, Saudi Arabia.
The veterinary quarterly    May 26, 2017   Volume 37, Issue 1 200-205 doi: 10.1080/01652176.2017.1334981
Alanazi AD, Mukbel RM, Alyousif MS, AlShehri ZS, Alanazi IO, Al-Mohammed HI.In the last decade, Parascaris spp. resistance to anthelmintics has been recorded in many countries. In Saudi Arabia, there are limited data available on Parascaris spp. resistance to anthelmintics. Objective: To determine the current status of ivermectin, abamectin and praziquantel combined, and fenbendazole resistance to Parascaris spp. in horses in Saudi Arabia. Methods: Three hundred and forty-one foals from eleven different farms were examined by faecal egg count (FEC). The foals were all Arab horses aged 17.2 ± 4.5 (SD) months. Ivermectin (n = 46 foals), abamectin and praziquantel combi...
A survey of macrocyclic lactone efficacy in Australian cyathostomin populations.
Veterinary parasitology, regional studies and reports    March 21, 2017   Volume 8 127-132 doi: 10.1016/j.vprsr.2017.03.009
Beasley AM, Kotze AC, Allen K, Coleman GT.The macrocyclic lactone (ML) drugs are central to the control of equine strongyles but recent international reports raise concerns about reduced efficacy of these drugs against cyathostomins. The objectives of the present study were firstly, to evaluate the efficacy of ML drugs against cyathostomins on a cross-section of Australian horse farms, and secondly, to determine the egg reappearance period (ERP) following treatment of horses with MLs. A total of 419 horses on 43 properties were treated orally with ivermectin, abamectin or moxidectin, at recommended dose rates and drug efficacy was det...
Efficacy of moxidectin and an ivermectin-praziquantel combination against ascarids, strongyles, and tapeworms in Thoroughbred yearlings in field tests on a farm in Central Kentucky in 2016.
Veterinary parasitology, regional studies and reports    March 20, 2017   Volume 8 123-126 doi: 10.1016/j.vprsr.2017.03.006
Lyons ET, Bellaw JL, Dorton AR, Tolliver SC.Field tests were performed on Thoroughbred yearlings (n=143), evaluating efficacy of moxidectin (MOX) against ascarids and strongyles and the efficacy of an ivermectin (IVM)-praziquantel (PRAZ) combination against those nematodes and tapeworms on a farm in Central Kentucky. The study was started on March 1, 2016 and completed on August 23, 2016. Fecal samples were collected from yearlings every two weeks for counts of ascarid and strongyle eggs per gram of feces (EPGs) and for determining the presence of tapeworm eggs. MOX was given to 88 yearlings on March 1; 55 yearlings were nontreated cont...
Efficacy of a morantel-abamectin combination for the treatment of resistant ascarids in foals.
Australian veterinary journal    February 28, 2017   Volume 95, Issue 3 85-88 doi: 10.1111/avj.12559
Wilkes E, McConaghy FF, Thompson RL, Dawson K, Sangster NC, Hughes KJ.This study was performed to investigate the efficacy of a morantel-abamectin combination for the treatment of macrocyclic lactone (ML)-resistant Parascaris spp. infections in foals. Methods: Foals on five properties with a Parascaris faecal egg count (FEC) > 50 eggs per gram were used to estimate the FEC reduction (FECR) and efficacy of the anthelmintic combination. Conclusions: On all properties, resistance to ivermectin and abamectin was present and the Parascaris FECR in foals administered the morantel-abamectin combination was > 99%, indicating that this combination effective...
Anthelmintic Resistance of Strongyle Nematodes to Ivermectin and Fenbendazole on Cart Horses in Gondar, Northwest Ethiopia.
BioMed research international    February 7, 2017   Volume 2017 5163968 doi: 10.1155/2017/5163968
Seyoum Z, Zewdu A, Dagnachew S, Bogale B.A study was conducted from November 2015 to April 2016 to determine fenbendazole and ivermectin resistance status of intestinal nematodes of cart horses in Gondar, Northwest Ethiopia. Forty-five strongyle infected animals were used for this study. The animals were randomly allocated into three groups (15 horses per group). Group I was treated with fenbendazole and Group II with ivermectin and Group III was left untreated. Faecal samples were collected from each cart horse before and after treatment. Accordingly, the reduction in the mean fecal egg count at fourteen days of treatment for iverme...
The efficacy of Ivermectin against strongyles in yearlings on Thoroughbred breeding farms in New Zealand.
Veterinary parasitology, regional studies and reports    February 4, 2017   Volume 8 70-74 doi: 10.1016/j.vprsr.2017.02.001
Rosanowski SM, Bolwell CF, Scott I, Sells PD, Rogers CW.Against a global background of increasing anthelmintic resistance in parasites and a domestic over-reliance on anthelmintics to control gastrointestinal parasites, little is currently known about the resistance status of equine parasites in New Zealand. The objective of the study was to investigate the efficacy of ivermectin in yearling Thoroughbreds. Data were collected from six stud farms from November 2014 to January 2015. Yearlings were selected based on not being treated with anthelmintics for a minimum of six weeks previously and on having a preliminary screening strongyle faecal egg cou...
The route of administration drastically affects ivermectin activity against small strongyles in horses.
Veterinary parasitology    February 4, 2017   Volume 236 62-67 doi: 10.1016/j.vetpar.2017.01.025
The goal of the current study was to evaluate the comparative efficacy of ivermectin (IVM) against small strongyles (cyathostomins) following its oral and intramuscular (IM) administration, in naturally parasitized horses. The parasitological data were complemented with the assessment of the plasma disposition kinetics of IVM. The trial included two different experiments. In experiment I, 40 horses naturally infected with small strongyles were randomly allocated into four experimental groups (n=10) and treated with IVM (0.2mg/kg) as follows: IVM oral paste, animals were orally treated with Eqv...
Efficacy of two extra-label anthelmintic formulations against equine strongyles in Cuba.
Veterinary parasitology, regional studies and reports    February 1, 2017   Volume 8 39-42 doi: 10.1016/j.vprsr.2017.01.010
Salas-Romero J, Gomez-Cabrera K, Molento MB, Lyons ET, Delgado A, González L, Arenal A, Nielsen MK.Equine cyathostomin parasites are ubiquitous in grazing horses and have been shown to cause severe inflammatory disease in the large intestine of horses. Decades of intensive anthelmintic therapy have led to widespread anthelmintic resistance in cyathostomins across the world. In Cuba, no anthelmintic products are formulated and sold for equine usage and little is known about anthelmintic efficacy of ruminant and swine formulations used. A strongyle fecal egg count reduction test was used to assess the efficacy of a liquid formulation of ivermectin labelled for use in swine, ruminants and carn...
Shortened egg reappearance after ivermectin or moxidectin use in horses in the UK.
Veterinary journal (London, England : 1997)    November 14, 2016   Volume 218 36-39 doi: 10.1016/j.tvjl.2016.11.003
Daniels SP, Proudman CJ.This study reports ivermectin and moxidectin egg reappearance periods (ERP) from UK horses with persistently positive faecal egg counts (FEC), defined as positive FEC within the ERP of an anthelmintic post-treatment, or with FECs that remained positive after the normal ERP post-anthelmintic treatment. A selected population of UK pleasure horses deemed at high risk of strongyle infection was studied. The earliest ERP recorded after ivermectin or moxidectin, using first positive FEC, was 5 weeks. From 16 premises where moxidectin was used, five had ERP ≥12 weeks using two further metrics. For ...
Time required by different anthelmintics to reach expected efficacy levels in horses infected by strongyles.
Veterinary parasitology    October 4, 2016   Volume 229 90-92 doi: 10.1016/j.vetpar.2016.10.002
Saes IL, Vera JHS, Fachiolli DF, Yamada PH, Dellaqua JVT, Saes RL, Amarante AFT, Soutello RVG.The aim of this study was to determine the time required by different anthelmintic agents to reduce strongyle egg shedding in horses. Fifty horses were divided into five homogenous groups based on faecal egg counts (FECs). Treatment groups received either ivermectin; moxidectin; fenbendazole; piperazine; or no treatment (control group). Faecal examinations were performed 4, 8, 12, 18, 24, 36 and 48h after the anthelmintic treatment. After this period, faecal samples were taken every 24h over the next 12days and finally on alternate days (48-h intervals) for another 14days until the end of the ...
Ivermectin failure in the control of Oxyuris equi in a herd of ponies in France.
Veterinary parasitology    September 29, 2016   Volume 229 73-75 doi: 10.1016/j.vetpar.2016.09.020
Sallé G, Cortet J, Koch C, Gascogne T, Reigner F, Cabaret J.Drug resistance in equine gastro-intestinal parasitic nematodes has been reported throughout the world. While the focus is usually put on cyathostomins, observations of macrocylic lactone failure against Oxyuris equi have accumulated over the last decade. Here we report the failure of ivermectin in the control of O. equi in an experimental Welsh pony herd. In a first trial, 6 ponies previously drenched with moxidectin and showing patent O. equi infections were administered ivermectin and subsequently monitored for O. equi egg excretion over one month. This trial demonstrated a failure of iverm...
Gasterophilus (Diptera, Gasterophilidae) infestation of equids in the Kalamaili Nature Reserve, China.
Parasite (Paris, France)    September 5, 2016   Volume 23 36 doi: 10.1051/parasite/2016036
Huang H, Zhang B, Chu H, Zhang D, Li K.We investigated infections with Gasterophilus spp. in three equids within the Kalamaili Nature Reserve (northern China). We conducted necropsies on 6 Przewalski's horses (Equus ferus przewalskii) and 6 Mongolian wild asses (Equus hemionus) and administered ivermectin to 10 overwintering domestic horses to expel parasites during winter periods. All 22 equids studied (100%) were infested with Gasterophilus spp. and a total of 17,225 larvae were collected. These included six species: G. haemorrhoidalis, G. inermis, G. intestinalis, G. nasalis, G. nigricornis, and G. pecorum. The mean intensity of...
Species composition of larvae cultured after anthelmintic treatment indicates reduced moxidectin susceptibility of immature Cylicocyclus species in horses.
Veterinary parasitology    July 26, 2016   Volume 227 77-84 doi: 10.1016/j.vetpar.2016.07.029
Kooyman FN, van Doorn DC, Geurden T, Mughini-Gras L, Ploeger HW, Wagenaar JA.For the control of cyathostomins in horses, the macrocyclic lactones (MLs), moxidectin (MOX) and ivermectin (IVM) are the most commonly used anthelmintics. However, reduced activity, observed as shortening of the egg reappearance period (ERP) has been described. Shortening of the ERP may be caused by a decreased susceptibility of immature worms for MLs. Alternatively, immature worms may develop faster into egg producing adults as a result of repeated ML treatments. The species composition of the larval cultures obtained shortly after ML and pyrantel (PYR) treatment can confirm the hypothesis o...
Electroretinographic changes after intravenous lipid emulsion therapy in a dog and a foal with ivermectin toxicosis.
Veterinary ophthalmology    July 20, 2016   Volume 21, Issue 1 82-87 doi: 10.1111/vop.12410
Pollio D, Michau TM, Weaver E, Kuebelbeck KL.This case report describes ivermectin-induced blindness in a dog and a foal with normal ophthalmic fundic examinations and attenuated electroretinography (ERG). Subsequent recovery in ERG was noted following intravenous lipid emulsion (ILE) therapy. A dog and a foal were evaluated for ivermectin-induced blindness. Clinical signs included dull mentation, absent pupillary light reflexes (PLRs), and absent menace on presentation. The animals had normal fundoscopic examinations; however, in both cases ERG was consistent with neurosensory retinal dysfunction. Following ILE therapy for ivermectin to...
Comparative plasma and milk dispositions, faecal excretion and efficacy of per os ivermectin and pour-on eprinomectin in horses.
Journal of veterinary pharmacology and therapeutics    March 25, 2016   Volume 39, Issue 6 584-591 doi: 10.1111/jvp.12308
Gokbulut C, Ozuicli M, Aksit D, Aksoz E, Korkut O, Yalcinkaya M, Cirak VY.The horse milk gains increasing interest as a food product for sensitive consumers, such as children with food allergies or elderly people. We investigated the plasma and milk disposition, faecal excretion and efficacy of per os ivermectin (IVM) and pour-on eprinomectin (EPM) in horses. Ten mares were divided into two groups. The equine paste formulation of IVM and bovine pour-on formulation of EPM were administered orally and topically at dosage of 0.2 and 0.5 mg/kg bodyweight. Blood, milk and faecal samples were analysed using high-performance liquid chromatography. The plasma concentration...
Objective evaluation of two deworming regimens in young Thoroughbreds using parasitological and performance parameters.
Veterinary parasitology    March 22, 2016   Volume 221 69-75 doi: 10.1016/j.vetpar.2016.03.018
Bellaw JL, Pagan J, Cadell S, Phethean E, Donecker JM, Nielsen MK.Parasitic helminths of equids are capable of causing ill-thrift, clinical disease, and death. Although young horses are the most susceptible to parasitic disease and are the most intensively treated cohort, deworming regimens are rarely evaluated within this age group. This study objectively evaluated the impact of deworming regimen on fecal egg counts (FECs), growth rates, and body-condition scores in young Thoroughbreds. Forty-eight Thoroughbred foals from three central Kentucky farms were randomly allocated to two treatment groups: an interval dose program receiving bi-monthly rotations of ...
Comparison of the larvicidal efficacies of moxidectin or a five-day regimen of fenbendazole in horses harboring cyathostomin populations resistant to the adulticidal dosage of fenbendazole.
Veterinary parasitology    October 21, 2015   Volume 214, Issue 1-2 100-107 doi: 10.1016/j.vetpar.2015.10.003
Reinemeyer CR, Prado JC, Nielsen MK.Despite widespread acknowledgement of cyathostomin resistance to adult icidal dosages of benzimidazole (BZD) anthelmintics, many strongyle control programs continue to feature regularly scheduled larvicidal treatment with fenbendazole (FBZ). However, no studies have been conducted to evaluate the efficacy of larvicidal regimens against encysted cyathostomins in a BZD-resistant (BZD-R) population. A masked, randomized, controlled clinical study was conducted with 18 juvenile horses harboring populations of cyathostomins that were considered BZD-R on the basis of fecal egg count reduction (FECR)...
Efficacy of selected anthelmintic drugs against cyathostomins in horses in the federal state of Brandenburg, Germany.
Parasitology research    September 4, 2015   Volume 114, Issue 12 4441-4450 doi: 10.1007/s00436-015-4685-7
Fischer JK, Hinney B, Denwood MJ, Traversa D, von Samson-Himmelstjerna G, Clausen PH.Cyathostomins are currently the most common internal parasites of horses. With the intensive use of anthelmintic drugs over the past decades, resistance of cyathostomins to anthelmintics is becoming a growing problem in many countries. The aim of this study was to assess the current situation on horse farms in the German federal state of Brandenburg. A pre-selected population of horses from 24 premises that had shown a prevalence of cyathostomins higher than the average in a previous study was examined for anthelmintic efficacy. Faecal egg count reduction tests (FECRTs) were performed for iver...
Suspected ivermectin resistance in a south-east Queensland Parascaris equorum population.
Australian veterinary journal    August 28, 2015   Volume 93, Issue 9 305-307 doi: 10.1111/avj.12352
Beasley A, Coleman G, Kotze AC.There have been several international reports of macrocyclic lactone (ML)-resistant Parascaris equorum over the past decade, but the resistance status of Australian P. equorum populations is largely unknown. A case of apparent reduced efficacy of ivermectin against P. equorum in Australia was investigated. Results: A faecal egg count reduction test carried out on a group of weanling foals in south-east Queensland showed the efficacy of ivermectin to be 65%. Conclusions: The case highlights the need to review current worm control strategies, especially for young horses.