The Impact of Two Recommended Withholding Periods for Omeprazole and the Use of a Nutraceutical Supplement on Recurrence of Equine Gastric Ulcer Syndrome in Thoroughbred Racehorses

The impact of recommended withholding periods (RWPs) for omeprazole on the recurrence of Equine Gastric Ulcer Syndrome (EGUS) is unknown. The study was designed to compare the effect of two RWPs on EGUS recurrence post-omeprazole treatment and to determine if a nutraceutical supplement would reduce...

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Main Authors: Ran Shan, Catherine M. Steel, Ben Sykes
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Animals
Subjects:
Online Access:https://www.mdpi.com/2076-2615/13/11/1823
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author Ran Shan
Catherine M. Steel
Ben Sykes
author_facet Ran Shan
Catherine M. Steel
Ben Sykes
author_sort Ran Shan
collection DOAJ
description The impact of recommended withholding periods (RWPs) for omeprazole on the recurrence of Equine Gastric Ulcer Syndrome (EGUS) is unknown. The study was designed to compare the effect of two RWPs on EGUS recurrence post-omeprazole treatment and to determine if a nutraceutical supplement would reduce EGUS recurrence when administrated during an RWP. The study was a blinded, randomized clinical trial. Part 1: Horses were allocated to an RWP0 or RWP2 and crossed over after 4-weeks. Horses received oral omeprazole once daily, except during the RWPs at the end of the treatment periods. Part 2: Horses received omeprazole for 21 days prior to an RWP2 during which they received a nutraceutical supplement. Gastroscopy was performed on Day 0 and pre- and post- RWP. Part 1: More horses were affected by Equine Squamous Gastric Disease (ESGD) after the ‘2-clear-days’ RWP than the ‘not on race-day’ RWP (<i>p</i> = 0.012). The prevalence of ESGD post-RWP for ‘2-clear-days’ did not differ from day 0 (<i>p</i> = 0.478). Part 2: The prevalence of ESGD post-RWP was lower than on Day 0 (<i>p</i> = 0.046). A difference in recurrence of ESGD was present between the two common RWPs. The implications of this on the welfare of Thoroughbred racehorses warrant further discussion.
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spelling doaj.art-8c433ead16844f1aadc6e76251fabee82023-11-18T07:30:11ZengMDPI AGAnimals2076-26152023-05-011311182310.3390/ani13111823The Impact of Two Recommended Withholding Periods for Omeprazole and the Use of a Nutraceutical Supplement on Recurrence of Equine Gastric Ulcer Syndrome in Thoroughbred RacehorsesRan Shan0Catherine M. Steel1Ben Sykes2Department of Veterinary Clinical Services, The Hong Kong Jockey Club, Conghua Racecourse, Guangzhou 510900, ChinaDepartment of Veterinary Clinical Services, The Hong Kong Jockey Club, Conghua Racecourse, Guangzhou 510900, ChinaSchool of Veterinary Sciences, Massey University, Private Bag, 11-222, Palmerston North 4442, New ZealandThe impact of recommended withholding periods (RWPs) for omeprazole on the recurrence of Equine Gastric Ulcer Syndrome (EGUS) is unknown. The study was designed to compare the effect of two RWPs on EGUS recurrence post-omeprazole treatment and to determine if a nutraceutical supplement would reduce EGUS recurrence when administrated during an RWP. The study was a blinded, randomized clinical trial. Part 1: Horses were allocated to an RWP0 or RWP2 and crossed over after 4-weeks. Horses received oral omeprazole once daily, except during the RWPs at the end of the treatment periods. Part 2: Horses received omeprazole for 21 days prior to an RWP2 during which they received a nutraceutical supplement. Gastroscopy was performed on Day 0 and pre- and post- RWP. Part 1: More horses were affected by Equine Squamous Gastric Disease (ESGD) after the ‘2-clear-days’ RWP than the ‘not on race-day’ RWP (<i>p</i> = 0.012). The prevalence of ESGD post-RWP for ‘2-clear-days’ did not differ from day 0 (<i>p</i> = 0.478). Part 2: The prevalence of ESGD post-RWP was lower than on Day 0 (<i>p</i> = 0.046). A difference in recurrence of ESGD was present between the two common RWPs. The implications of this on the welfare of Thoroughbred racehorses warrant further discussion.https://www.mdpi.com/2076-2615/13/11/1823equine gastric ulcer syndromeomeprazolegastric acid rebound
spellingShingle Ran Shan
Catherine M. Steel
Ben Sykes
The Impact of Two Recommended Withholding Periods for Omeprazole and the Use of a Nutraceutical Supplement on Recurrence of Equine Gastric Ulcer Syndrome in Thoroughbred Racehorses
Animals
equine gastric ulcer syndrome
omeprazole
gastric acid rebound
title The Impact of Two Recommended Withholding Periods for Omeprazole and the Use of a Nutraceutical Supplement on Recurrence of Equine Gastric Ulcer Syndrome in Thoroughbred Racehorses
title_full The Impact of Two Recommended Withholding Periods for Omeprazole and the Use of a Nutraceutical Supplement on Recurrence of Equine Gastric Ulcer Syndrome in Thoroughbred Racehorses
title_fullStr The Impact of Two Recommended Withholding Periods for Omeprazole and the Use of a Nutraceutical Supplement on Recurrence of Equine Gastric Ulcer Syndrome in Thoroughbred Racehorses
title_full_unstemmed The Impact of Two Recommended Withholding Periods for Omeprazole and the Use of a Nutraceutical Supplement on Recurrence of Equine Gastric Ulcer Syndrome in Thoroughbred Racehorses
title_short The Impact of Two Recommended Withholding Periods for Omeprazole and the Use of a Nutraceutical Supplement on Recurrence of Equine Gastric Ulcer Syndrome in Thoroughbred Racehorses
title_sort impact of two recommended withholding periods for omeprazole and the use of a nutraceutical supplement on recurrence of equine gastric ulcer syndrome in thoroughbred racehorses
topic equine gastric ulcer syndrome
omeprazole
gastric acid rebound
url https://www.mdpi.com/2076-2615/13/11/1823
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