Omeprazole is the drug of choice for ulcer treatment in horses. It is particularly helpful in the treatment of ulcers in the squamous regions of the stomach.
Short-term omeprazole use typically doesn't cause any long-lasting issues, particularly if horses are weaned from it carefully to avoid a rebound acid effect. Using omeprazole for longer than four weeks can cause complications though, particularly the complete elimination of stomach acid, which is crucial for protein digestion.
Lack of protein can cause muscle loss, a depressed immune system, hormonal imbalances, and poor digestion in horses. Omeprazole also inhibits the absorption of magnesium and calcium, which can potentially damage bone health.
Veterinarians are beginning to look at lecithin, used in conjunction with apple pectin, as a potential new treatment for ulcers. It has recently been used on racehorses and on horses that have had their forage restricted. This combination can also be used after a traditional course of omeprazole has been administered for additional healing effects.
Lecithin occurs naturally and is commonly derived from soybeans and other plants. When lecithin is combined with pectin, a water-soluble fiber, a hydrophobic barrier is created, which can protect the stomach's mucosal membranes against stomach acid.
Lecithin granules and apple pectin can be bought at most health food stores and are helpful for horses that are on NSAIDs or firocoxib, as well as for horses that are travelling, on stall rest or are stressed for other reasons.
Read more at HorseTalk.
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