Medication Threshold Review, AAEP 2008

At the 2008 American Association of Equine Practitioners convention, Keith Soring, DVM, presented material regarding withdrawal times and therapeutic thresholds of medications in horses. A threshold is a defined concentration of a “regulatory analyte
Share
Favorite
Close

No account yet? Register

ADVERTISEMENT

At the 2008 American Association of Equine Practitioners convention, held Dec. 6-10 in San Diego, Calif., Keith Soring, DVM, presented material (on behalf of Tom Tobin, PhD, of the University of Kentucky’s Gluck Equine Research Center) regarding withdrawal times and therapeutic thresholds of medications in horses. A threshold is a defined concentration of a "regulatory analyte" (an analyte being a chemical substance that is the subject of analysis) in blood or urine, and withdrawal timelines are linked to these thresholds. A drug’s withdrawal time indicates a suggested timeline by which the last dose can be administered before an event to avoid blood or urine test levels that exceed the allowable regulatory threshold. Using these thresholds encourages standardization of post-competition drug testing and allows optimal use of therapeutic medications without violating the rules.

Soring explained that zero tolerance (no traceable drug allowed in a test sample) is an ever-changing standard because no chemist can test down to zero. He presented a real-life analogy, describing 1 nanogram as comparable to one second if you are 32 years old, while 1 picogram is comparable to one second if you are 32,000 years old.

Giving an example of a commonly used medication, he noted that 2 molecules of phenylbutazone (Bute) are a zeptogram (parts per sextillion) and a 3-gram dose of Bute generates more molecules than there are stars in the known universe. With a half-life (the time required for half the amount to be eliminated by natural processes) of 7.2 hours, it takes 21 days to eliminate all these molecules from the body following a single Bute injection. In contrast, the withdrawal time for Bute is usually 24 hours for racing competition, based on a particular threshold amount allowable in the plasma. Bute retains a therapeutic effect for only a day, although detectable traces remain in the blood for almost three weeks.

Soring recommended that the wide variations in thresholds eventually be brought under one umbrella so everyone is following the same rules and using the same labs with similar techniques for testing

Create a free account with TheHorse.com to view this content.

TheHorse.com is home to thousands of free articles about horse health care. In order to access some of our exclusive free content, you must be signed into TheHorse.com.

Start your free account today!

Already have an account?
and continue reading.

Share

Written by:

Nancy S. Loving, DVM, owns Loving Equine Clinic in Boulder, Colorado, and has a special interest in managing the care of sport horses. Her book, All Horse Systems Go, is a comprehensive veterinary care and conditioning resource in full color that covers all facets of horse care. She has also authored the books Go the Distance as a resource for endurance horse owners, Conformation and Performance, and First Aid for Horse and Rider in addition to many veterinary articles for both horse owner and professional audiences.

Related Articles

Stay on top of the most recent Horse Health news with

FREE weekly newsletters from TheHorse.com

Sponsored Content

Weekly Poll

sponsored by:

When do you begin to prepare/stock up on products/purchase products for these skin issues?
122 votes · 122 answers

Readers’ Most Popular

Sign In

Don’t have an account? Register for a FREE account here.

Need to update your account?

You need to be logged in to fill out this form

Create a free account with TheHorse.com!