I have a question about Prostaglandin dosage. I have been breeding 20+ yrs, doing my own collection and AI for 4-5 yrs now. My vet is very old fashioned. He is also very tight with any meds. He had previously given me bottles of Prostaglandin during breeding season and this year refused on the basis that he was seeing all kinds of bad side effects. Of course, this is why I have been using the low dosage for years now. I tried to explain it to him, and he got EXTREMELY agitated. Wanted to know WHO what and where, so I referred him to the articles. Well he called Pfizer and the Vet on staff had never heard of it, etc. Which got my Vet even madder at me and NOW he has refused to give me Prostaglandin any more, for abusing it. Because there is no DVM behind this, it is a scam, whatever. Now I understand why a drug company would not aknowledge this information, because it would not be profitable for them to suddenly sell 1/10 the amount ! But other than that,How can my use of a drug dosage thats 1/10th less, that probably hundreds have used by now( or thousands?), and it works, and the mares check in foal, be termed as ABUSE? and warrant my Vets anger at me? what can I do?
Unfortunately (or fortunately!), although equine reproduction is a very small part of a general vet practice, research is probably faster growing than in many of not most of the other areas. Consequently, many vets are not able or willing to keep on top of the latest research in the field. One of those areas is the use of the 1/10th "standard" dose of Prostaglandin F2α (it is so commonly used now, that it is actually something we use as a bit of a benchmark as whether the vet is on top of the latest research).
The drug company will not recommend the 1/10th does, as it has not been approved by the FDA - something that all drugs must go through before marketing. Hence, the dosage must be investigated by the drug company, and that testing for marketing purposes costs a lot of money. Testing for FDA approval is different from research work, and the results of research, although they can be cited in FDA testing need to be confirmed within that testing before approval for marketing (in this case, at the reduced dose). Drug companies therefore need to be able to recoup the cost of the testing through marketing in order to make it viable - something that obviously is not going to happen in this situation!
You will be pleased to hear that it is incorrect to say that the use of the 1/10th dosage was not researched/presented by a veterinarian! One of the research projects and papers was done/published by Dr. Gary Nie:
Nie GJ, Goodin AN, Braden TD, Wenzel JGW. How to reduce drug costs and side effects when using prostaglandins to short-cycle mares. Proc Am Assoc Eq Pract 2004;50:396-398.
The research was also published in a 2002 paper in the Theriogenology Journal if my memory serves me correctly.
Not only is Dr. Nie a veterinarian, but he also carries the following qualifications:
* Diplomate, American College of Theriogenologists * Diplomate, American Board of Veterinary Practitioners , Equine Specialty * Diplomate, American College of Veterinary Internal Medicine, Large Animal Specialty
Hopefully this will end the "discussion" with your veterinarian!
Thank You! I remember Dr Nie, I had been on his email list years back. I will certainly forward this info to my Vet. I also spoke to 2 more local Vets, (one a Theriogenologist), who both use some sort of low dosage protocol. My Vets big 'problem' now it seems is that it isn't FDA approved, and he is on the board? VMA and sees all these lawsuits etc, so he is concerned with the liability issue. For me, anytime we can acheive the same results with LESS, then that is a very good thing !
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