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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.
Transgenically expressed Parascaris P-glycoprotein-11 can modulate ivermectin susceptibility in Caenorhabditis elegans.
International journal for parasitology. Drugs and drug resistance    April 8, 2015   Volume 5, Issue 2 44-47 doi: 10.1016/j.ijpddr.2015.03.003
Janssen IJ, Krücken J, Demeler J, von Samson-Himmelstjerna G.P-glycoproteins (Pgps) are suspected to mediate drug extrusion in nematodes contributing to macrocyclic lactone resistance. This association was recently shown for Parascaris Pgp-11. Ivermectin resistance was correlated with the presence of three pgp-11 single nucleotide polymorphisms and/or increased pgp-11 mRNA levels. In the present study, the ability of Pgp-11 to modulate ivermectin susceptibility was investigated by its expression in a pgp-11-deficient Caenorhabditis elegans strain. Expression of Parascaris pgp-11 in two transgenic lines significantly decreased ivermectin susceptibility i...
Interaction between anthelmintic treatment and vaccine responses in ponies naturally infected with cyathostomins.
Veterinary immunology and immunopathology    February 7, 2015   Volume 164, Issue 3-4 110-117 doi: 10.1016/j.vetimm.2015.01.009
Nielsen MK, Rubinson EF, Chambers TM, Horohov DW, Wagner B, Betancourt A, Reedy SE, Jacobsen S.Anthelmintics and vaccines are commonly given concurrently in routine equine management, but it is unknown to what extent an interaction between the two exists. Cyathostomins can modulate the local immune response by stimulating a type 2 helper T cell (Th2) response. In addition, anti-inflammatory effects of ivermectin have been found in rodent models. It is unknown whether these anti-inflammatory effects affect the acute phase response elicited by commonly used vaccines. This study evaluated how the acute phase inflammatory response, leukocyte expression of pro-inflammatory cytokines, and vac...
Cylicocyclus species predominate during shortened egg reappearance period in horses after treatment with ivermectin and moxidectin.
Veterinary parasitology    December 3, 2014   Volume 206, Issue 3-4 246-252 doi: 10.1016/j.vetpar.2014.10.004
van Doorn DC, Ploeger HW, Eysker M, Geurden T, Wagenaar JA, Kooyman FN.The normal time interval between treatment of horses with a macrocyclic lactone (ML) and reappearance of strongyle eggs in the feces, or 'Egg Reappearance Period (ERP)', is at its shortest 8 weeks for ivermectin (IVM) and 12 weeks for moxidectin (MOX). Nowadays, it is not uncommon to find shorter ERPs, potentially indicating the beginning of the development of drug resistance. Whether all cyathostomin species contribute equally to a shortened ERP is not known. In the present study a Reverse Line Blot (RLB) on individual infective larvae was used to compare species composition before and after ...
Strongyle infections and parasitic control strategies in German horses – a risk assessment.
BMC veterinary research    November 12, 2014   Volume 10 262 doi: 10.1186/s12917-014-0262-z
Schneider S, Pfister K, Becher AM, Scheuerle MC.As a consequence of the increasing levels of anthelmintic resistance in cyathostomes, new strategies for equine parasite control are being implemented. To assess the potential risks of these, the occurrence of strongyles was evaluated in a group of 1887 horses. The distribution of fecal egg counts (FECs), the frequency of anthelmintic drug use, and the deworming intervals were also analyzed. Between June 2012 and May 2013, 1887 fecal samples from either selectively or strategically dewormed horses were collected at 195 horse farms all over Germany and analyzed quantitatively with a modified Mc...
Anthelmintic resistance in equine nematodes.
International journal for parasitology. Drugs and drug resistance    October 25, 2014   Volume 4, Issue 3 310-315 doi: 10.1016/j.ijpddr.2014.10.003
Matthews JB.Anthelmintics have been applied indiscriminately to control horse nematodes for over 40 years. Three broad-spectrum anthelmintic classes are currently registered for nematode control in horses: benzimidazoles (fenbendazole, oxibendazole), tetrahydropyrimidines (pyrantel) and macrocyclic lactones (ivermectin, moxidectin). Generally, control strategies have focused on nematode egg suppression regimens that involve the frequent application of anthelmintics to all horses at intervals based on strongyle egg reappearance periods after treatment. The widespread use of such programmes has substantial...
The efficacy of ivermectin, pyrantel and fenbendazole against Parascaris equorum infection in foals on farms in Australia.
Veterinary parasitology    September 6, 2014   Volume 205, Issue 3-4 575-580 doi: 10.1016/j.vetpar.2014.08.028
Armstrong SK, Woodgate RG, Gough S, Heller J, Sangster NC, Hughes KJ.This study was performed to estimate the prevalence of patent Parascaris equorum infections and determine the efficacy of ivermectin, pyrantel and fenbendazole against P. equorum infection in foals on farms in southern Australia. Foals aged >3 months on five farms in the south-western slopes region of New South Wales were used. Faeces were collected from each foal and foals with a P. equorum faecal egg count (FEC) of >100 eggs per gram (EPG) were used to measure anthelmintic efficacy using the FEC reduction (FECR) test, after random allocation to a control group or an ivermectin, pyrante...
Prevalence of patent Strongyloides westeri infections in Thoroughbred foals in 2014.
Parasitology research    August 23, 2014   Volume 113, Issue 11 4163-4164 doi: 10.1007/s00436-014-4088-1
Lyons ET, Tolliver SC.The prevalence of patent Strongyloides westeri infections was determined by examination for eggs in fecal samples collected from 513 Thoroughbred (TB) foals between February 25 and June 3, 2014. The study was conducted with 244 colts and 269 fillies from 11 well-managed farms in Central Kentucky. Foals ranged from 17 to 117 days of age and had never been dewormed. The mean prevalence of patent S. westeri infection was 30% (156/513 foals). This prevalence was substantially greater than historical reports from the same sampling area during the late 1990s and early 2000s. It is hypothesized that ...
Anthelmintic resistance of intestinal nematodes to ivermectin and pyrantel in Estonian horses.
Journal of helminthology    July 9, 2014   Volume 89, Issue 6 760-763 doi: 10.1017/S0022149X14000510
Lassen B, Peltola SM.There is evidence of resistance in horses to anthelmintic treatment using ivermectin and pyrantel. However, little information is available about the parasites, treatment practices or anthelmintic resistance in the horse population in Estonia. In the present study, we examined 41 trotting and riding horses aged < 3 years from four stables in Estonia. Faecal samples were collected, and horses were selected for treatment if the nematode egg count per gram faeces exceeded 200. Horses (n= 32) that shed strongyle-type eggs were treated with pyrantel, whereas Parascaris equorum-positive animals...
Decreased strongyle egg re-appearance period after treatment with ivermectin and moxidectin in horses in Belgium, Italy and The Netherlands.
Veterinary parasitology    April 26, 2014   Volume 204, Issue 3-4 291-296 doi: 10.1016/j.vetpar.2014.04.013
Geurden T, van Doorn D, Claerebout E, Kooyman F, De Keersmaecker S, Vercruysse J, Besognet B, Vanimisetti B, di Regalbono AF, Beraldo P, Di Cesare A....The objective of the present study was to evaluate the efficacy of an oral treatment with ivermectin (IVM) or moxidectin (MOX) against gastro-intestinal strongyles in naturally infected horses by performing a faecal egg count reduction test (FECRT) and by monitoring the egg reappearance period (ERP) after treatment. Therefore, a field efficacy study with a randomised complete block design for each study site was conducted, with the individual animal as the experimental unit. At least 10 study sites in Italy, Belgium and The Netherlands were selected and animals were allocated to one of the two...
Anthelmintic efficacy on UK Thoroughbred stud farms.
International journal for parasitology    April 15, 2014   Volume 44, Issue 8 507-514 doi: 10.1016/j.ijpara.2014.03.006
Relf VE, Lester HE, Morgan ER, Hodgkinson JE, Matthews JB.Anthelmintic drugs have been applied indiscriminately to control horse nematodes for over 40 years. We undertook a comprehensive study to investigate efficacy of the four available broad-spectrum anthelmintic drugs on 16 Thoroughbred stud farms using the faecal egg count reduction test. Efficacy against strongyles was determined by calculating the percentage of reduction in faecal egg count between the group mean at Day 0 and Days 14-17 post-treatment and the 95% lower confidence intervals estimated by non-parametric bootstrapping. Individual strongyle faecal egg count reduction tests (n=429) ...
Treatment of cyathostominosis with ivermectin and its influence on selected blood biochemical parameters.
Polish journal of veterinary sciences    November 8, 2013   Volume 16, Issue 3 483-486 doi: 10.2478/pjvs-2013-0067
Ras-Noryńska M, Sokół R.Infections caused by nematodes of the subfamily Cyathostominae affect nearly 100% of pastured horses. Despite of an absence of pronounced symptoms, cyathostominosis can have very serious health consequences. The aim of this study was to monitor changes in total protein levels and concentrations of selected microelements and macroelements in the blood of horses before and after ivermectin treatment. In healthy horses infected by the studied parasites, total blood protein levels were below the physiological norm, but iron (Fe), magnesium (Mg), calcium (Ca) and phosphorus (P) concentrations were ...
Sub-optimal efficacy of ivermectin against Parascaris equorum in foals on three Thoroughbred stud farms in the Manawatu region of New Zealand.
New Zealand veterinary journal    October 24, 2013   Volume 62, Issue 2 91-95 doi: 10.1080/00480169.2013.843146
Bishop RM, Scott I, Gee EK, Rogers CW, Pomroy WE, Mayhew IG.To ascertain whether resistance was present in Parascaris equorum to the macrocyclic lactone anthelmintic ivermectin, using faecal egg count reduction tests. Methods: Thirty-nine foals aged between 11 and 28 weeks on three Thoroughbred stud farms (Farms A; n=20, B; n=5 and C; n=14) were treated with ivermectin (Day 0) and faecal egg counts (FEC) were monitored before and for 21 (Farms A and B) or 14 (Farm C) days after treatment. On Farms A and B, the foals were treated with a macrocyclic lactone/benzimidazole/praziquantel combination on Day 21 and FEC assessed on Day 35. The three farms were ...
Anthelmintic efficacy against cyathostomins in horses in Southern England.
Veterinary parasitology    June 10, 2013   Volume 197, Issue 1-2 189-196 doi: 10.1016/j.vetpar.2013.06.009
Lester HE, Spanton J, Stratford CH, Bartley DJ, Morgan ER, Hodgkinson JE, Coumbe K, Mair T, Swan B, Lemon G, Cookson R, Matthews JB.Cyathostomins are considered to be the most important group of helminths to affect equids due to their high prevalence, potential pathogenicity and ability to develop anthelmintic resistance. Their control relies almost exclusively on frequent anthelmintic use. Currently, fenbendazole (FBZ), pyrantel embonate (PYR), ivermectin (IVM) and moxidectin (MOX) are licensed for use in horses in the UK. With no new anthelmintics likely to be licensed in the near future, it is essential that investigations into the efficacy of current anthelmintics in different locations are performed to help inform con...
An investigation of anthelmintic efficacy against strongyles on equine yards in Scotland.
Equine veterinary journal    May 15, 2013   Volume 46, Issue 1 17-24 doi: 10.1111/evj.12079
Stratford CH, Lester HE, Pickles KJ, McGorum BC, Matthews JB.Cyathostomins comprise 50 helminth species, considered the most problematic equine endoparasites. Three classes of anthelmintic are currently licensed for their control, namely the benzimidazoles (fenbendazole), tetrahydropyrimidines (pyrantel) and macrocyclic lactones (ivermectin and moxidectin). Anthelmintic resistance in cyathostomins is common. With no new classes expected in the near future, it is essential to determine the efficacy of the available anthelmintics to inform future control programmes. Objective: To determine the efficacy of all 3 anthelmintic classes against strongyles in e...
Genetic variants and increased expression of Parascaris equorum P-glycoprotein-11 in populations with decreased ivermectin susceptibility.
PloS one    April 24, 2013   Volume 8, Issue 4 e61635 doi: 10.1371/journal.pone.0061635
Janssen IJ, Krücken J, Demeler J, Basiaga M, Kornaś S, von Samson-Himmelstjerna G.Macrocyclic lactones (MLs) represent the major drug class for control of parasitic infections in humans and animals. However, recently reports of treatment failures became more frequent. In addition to human and ruminant parasitic nematodes this also is the case for the horse-nematode Parascaris equorum. Nevertheless, to date the molecular basis of ML resistance is still not understood. Unspecific resistance mechanisms involving transporters such as P-glycoproteins (Pgps) are expected to contribute to ML resistance in nematodes. Here, complete sequences of two P. equorum Pgps were cloned and i...
Lack of Cyathostomin sp. reduction after anthelmintic treatment in horses in Brazil.
Veterinary parasitology    December 20, 2012   Volume 194, Issue 1 35-39 doi: 10.1016/j.vetpar.2012.12.020
Canever RJ, Braga PR, Boeckh A, Grycajuck M, Bier D, Molento MB.The increase of anthelmintic resistance in the last years in the nematode population of veterinary importance has become a major concern. The objective of the present study was to evaluate the efficacy of the main anthelmintic drugs available in the market against small strongyles of horses in Brazil. A total of 498 horses from 11 horse farms, located in the states of Paraná, São Paulo, Rio de Janeiro and Minas Gerais, in Brazil, were treated with ivermectin, moxidectin, pyrantel and fenbendazole, orally at their recommended doses. The fecal egg count reduction test (FECRT) was used to deter...
[Vigilance for veterinary medicinal products: reports of adverse reactions in the year 2011].
Schweizer Archiv fur Tierheilkunde    November 29, 2012   Volume 154, Issue 12 513-519 doi: 10.1024/0036-7281/a000400
Müntener CR, Bruckner L, Kupper J, Althaus F, Caduff-Janosa P.167 adverse reactions of Swissmedic-authorized veterinary medicinal products were reported during the year 2011 (2010: 160). Species and drug classes remain comparable with previous years: most of the reactions occurred following the use of antiparasitic products (39 %), antiinfectives (20 %) or non-steroidal antiinflammatory drugs (11 %) in companion animals (85 dogs and 27 cats) followed by cattle/calves (37). We received 15 cases of adverse reactions following reconverted use, 8 of them in treated cats. Additionally the Swiss Toxicological Information Centre in Zürich processed 84 enquirie...
Ivermectin inhibits growth of Chlamydia trachomatis in epithelial cells.
PloS one    October 30, 2012   Volume 7, Issue 10 e48456 doi: 10.1371/journal.pone.0048456
Pettengill MA, Lam VW, Ollawa I, Marques-da-Silva C, Ojcius DM.Ivermectin is currently approved for treatment of both clinical and veterinary infections by nematodes, including Onchocerca cervicalis in horses and Onchocerca volvulus in humans. However, ivermectin has never been shown to be effective against bacterial pathogens. Here we show that ivermectin also inhibits infection of epithelial cells by the bacterial pathogen, Chlamydia trachomatis, at doses that could be envisioned clinically for sexually-transmitted or ocular infections by Chlamydia.
Further indication of lowered activity of ivermectin on immature small strongyles in the intestinal lumen of horses on a farm in Central Kentucky.
Parasitology research    September 5, 2012   Volume 112, Issue 2 889-891 doi: 10.1007/s00436-012-3098-0
Lyons ET, Tolliver SC.Critical tests were performed in 2011 in four weanling horses (L-1, L-2, L-29, and L-30) treated with ivermectin paste at 200 μg/kg. They were born in 2011 and raised together on a farm (MC) in Central Kentucky. The horses had not been treated previously with an antiparasitic drug. However, ivermectin had been administered repeatedly to the horse herd for several years and strongyle eggs per gram of feces (EPGs) returned sooner posttreatment than after initial usage. Critical tests in a recent previous study in this horse herd indicated that the reason for the early return of strongyle EPGs a...
Concurrent ivermectin and Solanum spp. toxicosis in a herd of horses.
Journal of veterinary internal medicine    September 4, 2012   Volume 26, Issue 6 1439-1442 doi: 10.1111/j.1939-1676.2012.00996.x
Norman TE, Chaffin MK, Norton PL, Coleman MC, Stoughton WB, Mays T.Representatives from a herd of horses with acute onset of neurologic signs after administration of ivermectin presented for evaluation and treatment. Objective: Describe clinical signs of horses intoxicated by ingestion of Solanum sp. and administered ivermectin. Methods: Six of 11 affected unrelated horses presented for evaluation and treatment. The remaining 5 affected horses were treated at the farm. Four additional horses, housed separately, were unaffected. Methods: Case series is presented. Serum ivermectin concentrations were evaluated in the 6 hospitalized horses. The remnants of the t...
Comparative performance of macrocyclic lactones against large strongyles in horses.
Parasitology international    May 8, 2012   Volume 61, Issue 4 550-553 doi: 10.1016/j.parint.2012.05.001
Toscan G, Cezar AS, Pereira RC, Silva GB, Sangioni LA, Oliveira LS, Vogel FS.Several formulations of macrocyclic lactones (abamectin, ivermectin, moxidectin), including ivermectin combined with pyrantel (tetrahydropyrimidine) and ivermectin combined with praziquantel (pyrazinoisoquinolin derivative), were tested regarding their efficacy to control gastrointestinal nematodes of horses on a stud farm in southern Brazil. In addition, we tested a pharmaceutically produced generic paste containing ivermectin 4%. Similar formulations of avermectins had different efficacies measured by reduction of EPG. Levels of efficacy of the tested drugs varied against Strongylus edentatu...
Efficacy of major anthelmintics against horse cyathostomins in France.
Veterinary parasitology    April 3, 2012   Volume 188, Issue 3-4 294-300 doi: 10.1016/j.vetpar.2012.03.048
Traversa D, Castagna G, von Samson-Himmelstjerna G, Meloni S, Bartolini R, Geurden T, Pearce MC, Woringer E, Besognet B, Milillo P, D'Espois M.This paper reports a survey conducted in France during 2011 to evaluate the efficacy of commonly used anthelmintics against horse cyathostomins. A total of 40 farms and 1089 horses were screened for the presence of cyathostomins. All farms but one were positive, with an overall animal infection rate of 53.7%, ranging from 9% to 83% on individual farms. On 445 horses from 30 of these farms, a faecal egg count reduction test (FECRT) was performed to evaluate the efficacy of oral formulations of fenbendazole (FBZ), pyrantel embonate (PYR), ivermectin (IVM) and moxidectin (MOX). Calculation of the...
Prevalence of Parascaris equorum infection in foals on French stud farms and first report of ivermectin-resistant P. equorum populations in France.
Veterinary parasitology    March 9, 2012   Volume 188, Issue 1-2 185-189 doi: 10.1016/j.vetpar.2012.02.022
Laugier C, Sevin C, Ménard S, Maillard K.No abstract available
Treatment of ivermectin overdose in a miniature Shetland Pony using intravenous administration of a lipid emulsion.
Journal of veterinary internal medicine    February 2, 2012   Volume 26, Issue 2 407-411 doi: 10.1111/j.1939-1676.2011.00865.x
Bruenisholz H, Kupper J, Muentener CR, Dally A, Kraemer T, Naegeli H, Schwarzwald CC.No abstract available
An inconvenient truth: global worming and anthelmintic resistance.
Veterinary parasitology    November 20, 2011   Volume 186, Issue 1-2 70-78 doi: 10.1016/j.vetpar.2011.11.048
Kaplan RM, Vidyashankar AN.Over the past 10-15 years, we have witnessed a rapid increase in both the prevalence and magnitude of anthelmintic resistance, and this increase appears to be a worldwide phenomenon. Reports of anthelmintic resistance to multiple drugs in individual parasite species, and in multiple parasite species across virtually all livestock hosts, are increasingly common. In addition, since the introduction of ivermectin in 1981, no novel anthelmintic classes were developed and introduced for use in livestock until recently with the launch of monepantel in New Zealand. Thus, livestock producers are often...
Macrocyclic lactones for parasite control in equids.
Current pharmaceutical biotechnology    November 2, 2011   Volume 13, Issue 6 1070-1077 doi: 10.2174/138920112800399310
Lyons ET, Tolliver SC.Macrocyclic lactones (MLs) revolutionized parasite control in horses and other animals. They are unique in that they are effective against arthropods and nematodes. The first of the widely used avermectins was ivermectin. In 1983, it was marketed for use in horses as an injectable formulation but was withdrawn in 1984 after about a year and half on the market because of adverse problems. It was replaced by a paste formulation and an oral/stomach tube liquid formulation. Ivermectin is highly active on bots, ascarids, large and small strongyles, pinworms, strongyloides, stomach worms, and some o...
Resistance to avermectin/milbemycin anthelmintics in equine cyathostomins – current situation.
Veterinary parasitology    October 18, 2011   Volume 185, Issue 1 16-24 doi: 10.1016/j.vetpar.2011.10.013
Molento MB, Nielsen MK, Kaplan RM.Avermectins and milbemycins (AM) are potent compounds against all major nematode parasites, but their continuous usage has led to the development of widespread resistance in many of the important species of ruminant and equine parasites. The exception to this has been the cyathostomins, where AM resistance was recently first reported only after decades of drug exposure. Data from a Brazilian study suggests that AM resistance has developed in cyathostomins and reports of shortened egg reappearance periods after ivermectin treatment have been published recently from USA and Germany. Thus, AM res...
Statistical and biological considerations in evaluating drug efficacy in equine strongyle parasites using fecal egg count data.
Veterinary parasitology    October 18, 2011   Volume 185, Issue 1 45-56 doi: 10.1016/j.vetpar.2011.10.011
Vidyashankar AN, Hanlon BM, Kaplan RM.Anthelmintic resistance (AR) is a serious problem for the control of equine gastrointestinal nematodes, particularly in the cyathostomins. The fecal egg count reduction test (FECRT) is the most common method for diagnosing AR and serves as the practical gold standard. However, accurate quantification of resistance and especially accurate diagnosis of emerging resistance to avermectin/milbemycin (A/M) drugs, is hampered by a lack of accepted standards for study design, data analysis, and data interpretation. In order to develop rational evidence-based standards for diagnosis of resistance, one ...
Anthelmintic resistance in equine parasites – detection, potential clinical relevance and implications for control.
Veterinary parasitology    October 18, 2011   Volume 185, Issue 1 2-8 doi: 10.1016/j.vetpar.2011.10.010
von Samson-Himmelstjerna G.During the past two decades anthelmintic resistance in equine parasites has been found in the group of small strongyle species (cyathostomins) and in the ascarid species Parascaris equorum. The ubiquitous nature and possible severe consequences of disease with these nematodes make them the prime targets of current worm control programmes. Traditional control strategies mainly rely on the strategic application of anthelmintics, currently represented by three major drug classes: benzimidazoles (BZ), the tetrahydropyrimidine pyrantel (PYR) and macrocyclic lactones (ML). Following decades of routi...
Searching for ivermectin resistance in Dutch horses.
Veterinary parasitology    September 28, 2011   Volume 185, Issue 2-4 355-358 doi: 10.1016/j.vetpar.2011.09.028
van Doorn DC, Eysker M, Kooyman FN, Wagenaar JA, Ploeger HW.A study was conducted to evaluate the occurrence of resistance against, in particular, ivermectin in cyathostomins in the Netherlands. Seventy horse farms were visited between October 2007 and November 2009. In initial screening, faecal samples were collected 2 weeks after deworming with either ivermectin, moxidectin or doramectin. Pooled faecal samples from a maximum of 10 horses were examined for worm eggs using a modified McMaster technique and for worm larvae after faecal larval cultures. In total 931 horses were involved. On 15 of 70 farms eggs and/or larvae were found. On 8 of these 15 f...