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Pergolide

Pronunciation

PURR-go-lide - Pronunciation guide

Brand Names

  • Permax

Description

Pergolide, used to treat Parkinson's disease in humans, works by binding with drug receptors that control production of dopamine, which is a chemical neurotransmitter produced by the brain.  Horses that have clinical signs similar to Cushing's disease in humans have been successfully treated with pergolide since the early 1990's.  The Cushing's-like symptoms are the result of an enlargement or hypertrophy of the horse's pituitary gland.  Pergolide does not cure pituitary pars intermedia dysfunction, but rather helps manage the symptoms, enabling the horse to lead a near-normal life.

Usage

Pergolide is used to treat horses that have pituitary pars intermedia dysfunction, which, essentially, is caused by an enlargement or hypertrophy of the pituitary gland.  This condition is a common problem with older horses and ponies.  Improvement of clinical signs usually occurs after one or two months.

Dosage and Administration

Method Amount Dosage Period Duration Note
Oral 0.5 to 2.0 mg Daily As prescribed

Dose Form: 0.25, 1.0 mg tablets, multiple formulations from compounding pharmacies

Side Effects

Literature provides no information on side effects from pergolide therapy in horses.

Precautions

It is important to identify and use the lowest possible dose.  Over time, the condition in some horses may become resistant to medication.

Use of this drug may interfere with lactation and pergolide should be used in pregnant or lactating animals only if the benefits outweigh the risks.

Pergolide is not FDA approved for use in horses, but it is commonly accepted practice.  It is a prescription drug and federal law restricts this drug to use by or on the lawful written or oral order of a licensed veterinarian.

Pergolide is regulated or prohibited in most sanctioned competitions.  Consult a veterinarian and the individual regulatory group regarding its use in competition horses.

Interactions

Phenothiazine tranquilizers, such as acepromazine, may interfere with the action of pergolide.

Overdose

Overdose in humans causes gastrointestinal upset and hallucinations.  No literature is available regarding overdose in horses.

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