A pilot study on the potency of injectable vs. oral moxidectin formulation to suppress strongyle egg excretion in horses at twice lower dose.
Abstract: The aim of present study was to examine the potency of moxidectin solution (Cydectin 1 %; Zoetis) and commercially available oral moxidectin gel (Equest®; Zoetis) to suppress the excretion of strongyle eggs in horses over a 6-week period. The horses naturally infected with strongyle nematodes (>500 eggs/g of feces) were divided into two comparable groups according age, sex and weight. On day 0 of the study, horses in Group OT (oral treatment; N=5) were dewormed with moxidectin gel (Equest®; Zoetis; 0.4 mg/kg of b.w.) according to the manufacturer's instructions, and horses in Group IT (intramuscular treatment; N=4) were dewormed with moxidectin injectable solution (Cydectin 1 %; Zoetis; 0.2 mg/kg of b.w.). Stool samples were collected rectally, on day 0, 17, 28, 35, and 42 of the study and examined using a modifi ed McMaster technique (Roepstorff ., 1998) with modifi cations. The mean strongyle egg excretion has signifi cantly decreased in Group IT (P<0.01) and Group OT (P<0.001) on day 17 post treatment as compared to those on day 0. The effi cacy of oral gel (99.43 %) and injectable moxidectin (99.32 %) formulations was therefore high and comparable and no resistance of strongylids to moxidectin was recorded. On day 35 (P<0.001) and 42 (P<0.05) post treatment, the mean effi cacy was signifi cantly higher in Group IT as compared to Group OT. The present study contributes to the existing knowledge and providing more information on the use of injectable MOX solution for the treatment of strongylid infection in horses.
© 2025 M. Šarkūnas et al.
Publication Date: 2025-09-30 PubMed ID: 41058774PubMed Central: PMC12498210DOI: 10.2478/helm-2025-0018Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
Overview
- This study compared the effectiveness of injectable versus oral moxidectin formulations in reducing strongyle egg excretion in horses.
- The research aimed to determine whether a lower dose of injectable moxidectin could be as effective as the standard oral dose over a six-week period.
Introduction and Objective
- The study focused on strongyle nematode infections in horses, which are diagnosed by counting eggs per gram (EPG) of feces.
- Moxidectin is an anthelmintic drug commonly used to treat such infections; it is available as an oral gel (Equest®) and as an injectable solution (Cydectin 1%).
- The objective was to compare the potency and efficacy of these two formulations: oral moxidectin gel administered at 0.4 mg/kg body weight (b.w.) and injectable moxidectin solution at half that dose (0.2 mg/kg b.w.).
Study Design and Methodology
- Subjects: Naturally infected horses (with strongyle egg counts >500 EPG) were selected and separated into two groups balanced by age, sex, and weight.
- Treatment groups:
- Group OT (Oral Treatment): 5 horses treated with oral moxidectin gel at 0.4 mg/kg b.w.
- Group IT (Injectable Treatment): 4 horses treated with injectable moxidectin solution at 0.2 mg/kg b.w.
- Sample collection occurred at multiple timepoints: day 0 (before treatment), day 17, 28, 35, and 42 post-treatment.
- Egg counts were measured using a modified McMaster technique, a standard parasitology method for quantifying intestinal parasite eggs in feces.
Results
- Both treatment groups showed a significant reduction in strongyle egg excretion by day 17 compared to baseline:
- Group IT (Injectable): Significant decrease (P<0.01).
- Group OT (Oral): Highly significant decrease (P<0.001).
- Egg reduction efficacy was very high and comparable between groups shortly after treatment:
- Oral gel efficacy: 99.43%
- Injectable solution efficacy: 99.32%
- No evidence of resistance to moxidectin was observed in either group.
- At later timepoints (days 35 and 42):
- The injectable group maintained significantly higher efficacy compared to the oral group (day 35 P<0.001; day 42 P<0.05).
- This suggests longer suppression of egg excretion after injectable moxidectin, even at a lower dose.
Conclusions and Implications
- Injectable moxidectin administered at half the oral dose was nearly as effective initially and maintained superior efficacy at later time points.
- The injectable formulation may provide a longer duration of strongyle egg suppression in horses.
- This study supports the use of injectable moxidectin as an effective treatment option for strongylid infections and provides data encouraging dose optimization.
- Results contribute to better understanding of dosing strategies to potentially reduce drug usage while maintaining efficacy, supporting parasite control and resistance management efforts.
Limitations and Future Research
- The study was a pilot with a small sample size (9 horses total); larger studies are needed to confirm findings.
- Only naturally infected horses were included; controlled infection models might provide additional insights.
- Longer follow-up beyond 42 days could better evaluate duration of efficacy and resistance development.
- Further research should explore pharmacokinetics and safety profiles for the injectable formulation at reduced doses.
Cite This Article
APA
Šarkūnas M, Schwahn A, Suleimanova K.
(2025).
A pilot study on the potency of injectable vs. oral moxidectin formulation to suppress strongyle egg excretion in horses at twice lower dose.
Helminthologia, 62(2), 87-94.
https://doi.org/10.2478/helm-2025-0018 Publication
Researcher Affiliations
- Department of Veterinary Pathobiology, Veterinary Academy, Lithuanian University of Health Sciences, LT-47181, Kaunas, Lithuania.
- Department of Veterinary Pathobiology, Veterinary Academy, Lithuanian University of Health Sciences, LT-47181, Kaunas, Lithuania.
- Department of Natural Sciences, Z. Aldamzhar Kostanay Socio-Technical University, Kostanay, Kazakhstan.
Conflict of Interest Statement
Conflict of Interests The authors declare that the study was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest pertaining to this submission.
References
This article includes 40 references
- Abbas G, Ghafar A, Hurley J, Bauquier J, Beasley A, Wilkes EJA, Jacobson C, El-Hage C, Cudmore L, Carrigan P, Tennent-Brown B, Gauci CG, Nielsen MK, Hughes KJ, Beveridge I, Jabbar A. Cyathostomin resistance to moxidectin and combinations of anthelmintics in Australian horses. Parasit Vectors 2021;14(1):597.
- Barragry TB. A review of the pharmacology and clinical uses of ivermectin. Can Vet J 1987;28(8):512.
- Bellaw JL, Nielsen MK. Meta-analysis of cyathostomin species-specific prevalence and relative abundance in domestic horses from 1975–2020: emphasis on geographical region and specimen collection method. Parasit Vectors 2020;13:509.
- Boersema JH, Eysker M, van der Aar WM. The reappearance of strongyle eggs in the faeces of horses after treatment with moxidectin. Vet Q 1998;20:15.
- Chapman MR, Kearney MT, Klei TR. Equine cyathostome populations: accuracy of species composition estimations. Vet Parasitol 2003;116(1):15.
- Cobb R, Boeckh A. Moxidectin: a review of chemistry, pharmacokinetics and use in horses. Parasit Vectors 2009;2(2):S5.
- Coles GC, Bauer C, Borgsteede FH, Geerts S, Klei TR, Taylor MA, Waller PJ. World Association for the Advancement of Veterinary Parasitology (WAAVP) methods for the detection of anthelmintic resistance in nematodes of veterinary importance. Vet Parasitol 1992;44:35.
- Daniels SP, Proudman CJ. Shortened egg reappearance after ivermectin or moxidectin use in horses in the UK. Vet J 2016;218:36.
- Demeulenaere D, Vercruysse J, Dorny P, Claerebout E. Comparative studies of ivermectin and moxidectin in the control of naturally acquired cyathostome infections in horses. Vet Rec 1997;141:383.
- DiPietro JA, Hutchens DE, Lock TF, Walker K, Paul AJ, Shipley C, Rulli D. Clinical trial of moxidectin oral gel in horses. Vet Parasitol 1997;72:167.
- Dorchies P, de Lahitte JD, Flochlay A, Blond-Riou F. Efficacy of moxidectin 2 % equine gel against natural nematode infections in ponies. Vet Parasitol 1998;74:85.
- Dowdall SMJ, Matthews JB, Mair T, Murphy D, Love S, Proudman CJ. Antigen-specific IgG(T) responses in natural and experimental Cyathostominae infection in horses. Vet Parasitol 2002;106:225.
- Fangama MI, Seri HI, Suliman SE, Imam SMA, Mozamel EA. Comparative efficacy evaluation of moxidectin and ivermectin injectable formulation against helminthes infestation of donkeys (Equus asinus) in Sudan. Assiut Vet Med J 2013;59(137):1.
- Fischer JK, Hinney B, Denwood MJ, Traversa D, von Samson-Himmelstjerna G, Clausen PH. Efficacy of selected anthelmintic drugs against cyathostomins in horses in the federal state of Brandenburg, Germany. Parasitol Res 2015;114(12):4441.
- French DD, Torbert BJ, Chapman MR, Klei TR, Pierce RJ. Comparison of the anti–strongyle activity of a micellar formulation of ivermectin given parenterally and per os. Vet Med Small Anim Clin 1983;78:1778.
- Giles CJ, Urquhart KA, Longstaffe JA. Larval cyathostomiasis (immature trichonema-induced enteropathy): a report of 15 clinical cases. Equine Vet J 1985;17:196.
- Hollmann MW, Durieux ME, Fisher DM. Local Anesthetics and the Inflammatory Response: A New Therapeutic Indication?. Anesthesiology 2000;93:858.
- Jacobs DE, Hutchinson MJ, Parker L, Gibbons LM. Equine cyathostome infection: suppression of faecal egg output with moxidectin. Vet Rec 1995;137:545.
- Karnina R, Arif SK, Hatta M, Bukhari A. Molecular mechanisms of lidocaine. Ann Med Surg 2021;69:102733.
- Kuzmina TA. Analysis of regional peculiarities of strongylid (Nematoda, Strongylidae) biodiversity in domestic horses in Ukraine. Vestn Zool 2012;46(1):e-7.
- Kuz’mina TA. Strongylids (Nematoda: Strongylidae) of domestic horses in Ukraine: modern state of Fauna and structure of the parasite community. Parazitologiia 2012;46(2):127.
- Kuzmina TA, Dzeverin I, Kharchenko VA. Strongylids in domestic horses: Influence of horse age, breed and deworming programs on the strongyle parasite community. Vet Parasitol 2016;227:56.
- Lyons ET, Tolliver SC, Collins SS. Reduced activity of moxidectin and ivermectin on small strongyles in young horses on a farm (BC) in Central Kentucky in two field tests with notes on variable counts of eggs per gram of feces (EPGs). Parasitol Res 2011;108:1315.
- Lyons ET, Tolliver SC, Drudge JH, Granstrom DE, Collins SS, Stamper S. Critical and controlled tests of activity of moxidectin (CL 301,423) against natural infections of internal parasites of equids. Vet Parasitol 1992;41(3–4):255.
- . Manual of Veterinary Parasitological Laboratory Techniques. MAFF Technical Bulletin No. 18, (1986): Her Majesty’s Stationary Office; London: p. 160.
- Matthee S. Anthelmintic treatment in horses: the extra-label use of products and the danger of under-dosing. J S Afr Vet Assoc 2003;74:53.
- Matthews JB. Anthelmintic resistance in equine nematodes. Int J Parasitol Drugs Drug Resist 2014;4:310.
- McKellar QA, Gokbulut C. Pharmacokinetic features of the antiparasitic macrocyclic lactones. Curr Pharm Biotechnol 2012;13:888.
- Monahan CM, Chapman MR, Taylor HW, French DD, Klei TR. Comparison of moxidectin oral gel and ivermectin oral paste against a spectrum of internal parasites of ponies with special attention to encysted cyathostome larvae. Vet Parasitol 1996;63:225.
- Mudge MC. Review of the analgesic, prokinetic, and anti-inflammatory uses of IV lidocaine. AAEP Proceedings 2007;53:245.
- Nielsen MK, Steuer AE, Anderson HP, Gavriliuc S, Carpenter AB, Redman EM, Gilleard JS, Reinemeyer CR, Poissant J. Shortened egg reappearance periods of equine cyathostomins following ivermectin or moxidectin treatment: morphological and molecular investigation of efficacy and species composition. Int J Parasitol 2022a;52(12):787.
- Nielsen MK, von Samson-Himmelstjerna G, Kuzmina TA, van Doorn DCK, Meana A, Rehbein S, Elliott T, Reinemeyer CR. World Association for the Advancement of Veterinary Parasitology (WAAVP): Third edition of guideline for evaluating the efficacy of equine anthelmintics. Vet Parasitol 2022b;303:109676.
- Reinemeyer CR, Smith SA, Gabel AA, Herd RP. The prevalence and intensity of internal parasites of horses in the U.S.A. Vet Parasitol 1984;15(1):75.
- Roepstorff A, Nansen P. Epidemiology, diagnosis and control of helminth parasites of swine. FAO, Rome 1998. pp. 51–56.
- Sangster NC. Managing parasiticide resistance. Vet Parasitol 2001;98:89.
- Thienpont D, Rochette F, Vanparijs OFJ. Diagnosing Helminthiasis by Coprological Examination 2nd Edition. Janssen Research Foundation, Beerse 1990:69.
- Tzelos T, Barbeito JSG, Nielsen MK, Morgan ER, Hodgkinson JE, Matthews JB. Strongyle egg reappearance period after moxidectin treatment and its relationship with management factors in UK equine populations. Vet Parasitol 2017;237:70.
- Vercruysse J, Eysker M, Demeulenaere D, Smets K, Dorny P. Persistence of the efficacy of a moxidectin gel on the establishment of cyathostominae in horses. Vet Rec 1998;143(11):307.
- Vidyashankar AN, Kaplan RM, Chan S. Statistical approach to measure the efficacy of anthelmintic treatment on horse farms. Parasitology 2007;134:2027.
- Von Samson-Himmelstjerna G, Fritzen B, Demeler J, Schürmann S, Rohn K, Schnieder T, Epe C. Cases of reduced cyathostomin egg-reappearance period and failure of Parascaris equorum egg count reduction following ivermectin treatment as well as survey on pyrantel efficacy on German horse farms. Vet Parasitol 2007;144:74.
Citations
This article has been cited 0 times.Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists