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“Doc – What Should I Use and When Should I Worm My Horses and Mules?”
© A.J. Neumann, D.V.M.
published in The Draft Horse Journal, Summer 1999

This is by far the most common question asked me by my clients. Whenever I give a class about the draft horse, this question is always asked by one or more of the students. Everyone stands ready with paper and pen in hand to write down the answer. The answer, however, is not quite as simple as most people would like. One should really know something about the internal parasites of the horse: their life cycles; how they cause damage to their host animal; and then, when and how we can rid the animal of them.

In understanding the life cycle of the common internal parasites of the horse, you will learn how these parasites cause damage and even death to their hosts. When the horse owners learn these facts, it becomes much easier to spend the money and time to invest in a good parasite control program.

When talking about the internal parasites of horses, it becomes prudent to list them in the order of importance to the health and welfare of the animals. They are the large strongyles, small strongyles, round worms or ascarids, bots, pinworms, and threadworms. There are also stomach worms, tapeworms, and lung worms. These latter three groups are not generally found in the horse population, but when they do appear can cause some severe problems.

Let’s talk about the large strongyles or “blood worms” first. I was taught way back when, that these parasites of the horse were the real “meanies” of the lot. This is absolutely correct. The adult can be 1/2 to 2 inches long and are found living in the horse’s large intestine whereby they pass their eggs into the fecal mass and are then excreted by the host.

These eggs hatch and become infective larvae. The larvae which are microscopic crawl up onto grass leaves and stems and are ingested by the horse. By the way, I have seen individuals in a horse pasture pick up a blade of grass and pass it through their teeth or chew on it. I have often wondered how many of these larvae find their way into a human’s mouth through this process!

When these larvae reach the intestinal walls they migrate through the tissues through various parts of the body. Now there are three different species of the large strongyles and each one migrates to different body organs and tissues where they develop for 6 to 12 months. After this period of time they migrate back through the tissues to the intestinal wall where they mature and begin laying their eggs. The cycle then is complete.

Of the three species, strongyles vulgaris migrates through and into the walls of the mesenteric artery. This is the arterial system which carries the blood into the intestinal tract. The damage the parasite causes in the arterial walls will result in the inflammation and thickening of the walls. This in turn causes a decreased or inhibited flow of blood to the intestinal tissue. Some of the fibrinous tissue may detach from the wall of the artery and plug a smaller artery causing death of the intestinal tissue which was normally supplied by the smaller blood vessel. When this happens we have “colic” in the affected horse.

One study revealed that 93% of colic cases could be prevented by a very good large strongyle control program. With the introduction and use of Ivermectin, a number of years ago, insurance companies reported that deaths from colic in horses in those herds where the drug was being used in a good preventive program, had dropped by 90-93%.

Damage to these blood vessels by strongyles vulgaris may cause weakness to the rear legs with loss of locomotion and decreased endurance.

The other two species of the large strongyle family are S. edantatus and S. equinus. Strongyles edantatus migrates through the blood vessels and finds its way into the liver where it spends about 6-11 months growing up and then migrating back to the intestinal walls.

Strongyles equinus is the least common of the trio. It migrates through the peritoneal or belly cavity and eventually ends up as an unwelcome guest in the liver or pancreas. Later it , likewise, migrates back to the gut wall.

Can you now imagine the damage these three rascals can do in their migratory routes and the damage done to the blood vessels, liver and pancreas where they take up residence? In addition they suck blood, just to keep alive. That is why the adults are seen in the feces as a fine red worm.

Now even an idiot can figure out how these three members of the large strongyle tribe can damage or even kill a horse. I do not need to go into a lot of detail describing what a heavily infested host animal would look like. It would be weak, anemic, thin, in poor condition, long haired and sometimes about ready to die. And by the way–these “buggers” affect horses of all ages.

Let’s take a look at the small strongyle family. They are very common and some research reveals that up to 95% of fecal eggs found in lab tests belong to this family. Nearly all horses that graze in pastures are affected with these parasites.

All ages of horses are affected by this group, but young horses seem to be the most susceptible.

This family differs from the large strongyles in that they do not migrate in the body. Instead the larvae are ingested by the horse and upon reaching the intestinal lining or mucosa, they burrow into that tissue of the large intestine where they become “encysted.” These parasites develop by ingesting blood and the surrounding intestinal tissue, until they reach the adult stage or mature. The maturation process takes about 14 weeks after they are ingested by the host animal. In our northern temperate climate this is usually in the spring and winter seasons.

So what happens to the animal, especially the foal which becomes often heavily parasitized with small strongyles?

First of all these animals may develop a hemorrhagic colitis. This results in the persistence diarrhea or loose “cow-pie” stools. We see slow growth, listlessness, colic, anemia, lack of appetite, long hair, all of which may result in death, especially of the foal. In the winter season, often the animal will exhibit a mild diarrhea, long hair with delayed shedding, a pot gut and edema of the underline as well as the muzzle and limbs.

Every horse person has seen these foals and adult horses and some of you are raising them right now at this moment in time.

About every horseman or woman is acquainted with the ascarid or roundworm of the horse. I say this because these adult parasites are large and easily seen in the droppings of the affected host after a worming or in those animals so heavily parasitized that they are just being shed without treatment. These parasites in the adult stage are 6-12 inches long and white in color.

Unlike the previous two families of strongyles these little monsters inhabit only the small intestine of the horse, where they lay their eggs which are passed out of the animal in the manure. Old Mother Nature has a way about her and has seen to it that these eggs which were shed are extremely resistant to destruction. They survive in the environment under many conditions and are eventually ingested by the host animal.

These ingested eggs hatch out in the small intestine, where the newly hatched larvae penetrate the intestinal wall, migrate through the large portal vein to the liver. From the liver the little rascal migrates to the lung where it is coughed up, swallowed, and ends up back in the small intestine. There it becomes an egg-laying adult living off the intestinal contents and dumping its eggs into the feces. It takes about 12 weeks to make the cycle.

So look what’s going on in the horse because of the migration of these larvae into the liver and lungs. We can have irreparable liver damage. Large numbers of these larvae in the lungs will cause coughing and lifetime damage in these tissues. In addition to coughing we often see in these cases a rise in body temperature along with a “snotty” nasal discharge. In foals this is often called a “summer cold.”

This is a condition seen primarily in the young horse or mule under one year of age. After the animal is with us for a year it develops an immunity to the parasite and is no longer affected. This then explains why we seldom see adult ascarids in the droppings of “wormed” adult horses.

But back to the young animal, the foal under a year of age. In addition to the “summer cold” syndrome with the damage to the liver and lungs one will see a pot-bellied foal, with poor growth, poor hair coat, poor appetite, poor condition, colic, and intermittent diarrhea and constipation.

Occasionally there will be so many adult ascarids in the small intestine that they will form a ball completely plugging the gut and thus causing colic and death. Some wormers when used on these heavily ascarid-infested young foals, will kill the parasite so quickly that this condition will occur causing the death of the treated animal. It, therefore, becomes important to choose a slow-killing wormer to use on these ascarid plagued foals.

Almost every horseman and woman knows what a bot fly is. It looks like a small bee and in the summer hangs around the forelegs, belly, shoulders, chest, lips and jaws of the horse laying its eggs on the animal’s hair. Fortunately, the first good hard frost of the fall will kill the flies.

The horse or mule ingests the eggs by licking its hair coat. The larvae will develop in the tissues of the mouth and pharynx. After a period of time they emerge from the tissues and are swallowed or migrate to the stomach and first few feet of the small intestine. Here they attach to the tissue or muscosa and develop into a reddish-orange creature about 1 inch long. Some people describe them as short, fat and pink.

In the spring they are passed by the host animal whereupon they burrow into the soil and pupate. In about 2-4 weeks they hatch into the bot fly and the year long cycle becomes complete.

The greatest damage is done to the host animal in the stomach and intestinal mucosa where the bot fly larvae become attached. I have seen huge numbers of the parasites fastened to the walls of these organs of horses and mules which I have posted or necropzied. They can cause colic and perforated ulcers in the affected animal. If an animal so infested with huge numbers of bots is on a minimal ration of poor roughage through the winter months, these parasites can and will cause its death because they prosper while the host starves.

By the way–the bot fly has no mouth so it cannot bite as many people believe. The egg laying activity will cause many horse to go into water or dense shrubbery and bunch up or run erratically. They are just trying to escape the fly.

A horse or mule which will constantly rub its rump against walls, fences, or trees may be infested with pin worms. The adults reside primarily in the cecum and rectum of the horse. The eggs are deposited around the anus and are sticky and yellow in color. These eggs are irritable to the horse causing it to rub its rump often to the point where the hair is worn away from the tail head area.

The larva which hatches from the egg is ingested and passes to the colon. There it develops into the egg laying adult. The whole cycle takes about 5-6 months.

It is thought the only damage to the horse is the irritation caused by the eggs around the anus, which results in the scratching with resultant loss of hair.

In the list of internal parasites of the horse, the stomach worms of the Habronema and Draschia species are probably of next importance. As a matter of fact they are only important because of the so-called “summer sore” which occasionally occurs in the horse or mule.

Larvae of these species of stomach worms develop in the maggots of the common horsefly or stablefly. These flies carry the larvae and in their activities deposit them in the conjunctiva of the animal’s eye, lips, and sometimes in wounds. When deposited in the wound they migrate locally and remain in the tissue causing the wound to get larger and it refuses to heal. Large numbers of the larvae cause continual irritation of the wound with the resulting growth of granulation tissue.

If the larvae are deposited around the lip region, they are swallowed and develop in the stomach lining into the egg laying adult, where they rarely cause a problem.

Larvae deposited in the eye region will cause a conjunctivitis which of course will have to be treated as the affected animal will have a so called “sore and watering eye” which will not go away or heal of its own accord.

The draft horse or mule breeder who raises foals will be interested in the Threadworm Strongylaides westeri. It appears the adult of this species of Threadworm can live inside the small intestine and also in the ground or soil. The parasite is different in that it can be present in the mare’s milk where it is ingested by the nursing foal or it can penetrate the foal’s skin. Anyway, the larvae migrate to the lungs via the foal’s blood stream. Once there they are coughed up, swallowed, and develop into adults in the small intestine.

These adults residing in the small intestine will cause an enteritis to develop with a resulting diarrhea in a 2-3 week old foal.

Prevention of the Threadworm infestation of the foal is relatively simple. Worm the mare the day of foaling and the foal at two weeks of age with the appropriate drug.

A few more internal parasites of the equine are hairworms, Trichostrongylus axei; lungworms, Diclyocaulus arnfieldi; tapeworms, Anoplocephala sp.: and the cervical worm, Onchocerca cervicales. On these parasites only the tapeworm is not controlled by a good therapeutic worming practice and prevention program which will control the first five major internal parasites of the horse and mule.

If tapeworm infestation is a recognized problem in your horse or horses a special treatment must be used on these animals which is administrated by a veterinarian two weeks before the animals are permitted on pasture and again when taken off the pasture.

Lungworm infestation of donkeys does not seem to bother them, however, horses exposed to donkeys or pasture where donkeys have been grazing in the previous two years may be infected with the infective larvae. The infected horse will develop a bronchitis and pus will accumulate in its airways. Affected horses should be immediately removed from donkeys, and the pasture, and treated promptly.

Now you have a short course on the internal parasites of the horse. You can readily see the damage these various species can do to the animal’s body which in turn will affect its health and growth and consequently its ability to reproduce or perform.

Any program which is dedicated to control internal parasites of horses and mules will necessarily consist of four parts or features.

The first is the proper choice of the correct wormer for the parasites you wish to control. Second is the use of the de-wormer or in other words the schedule of administration of the product. Third is proper management of the facilities to prevent infestation. Fourth and last is the testing of your program to see if anything should be changed and to view the results of your drug selection and management practices.

So now let’s tackle the choice of de-wormer to be used. This is what every horse and mule owner and trainer wants to know. People will make ready pencil and paper and they want a quick list of a drug or drugs that will work to solve the problem of worming horses. No thinking about what I have just written, “just give me the name of the wormer and I’m all set” is the thought.

Now it’s story telling time. Once at a class I was teaching I was asked a question about using a certain de-wormer for horses. This was asked me by a female student who was enrolled in the class. I responded that I would be hesitant to use the drug because of its cost and its efficacy. Well–two days later I had a call from a certain highly paid attorney representing the company which manufactured the drug in question. Seems as if the lady spoke to her veterinarian and she in turn called the company. The company called the attorney who called me. He told me to prove what I had said, or shut up, or face a law suit in which if I won I would be the loser since the time and money to defend myself would come out of my pocket. I still would not use this product because results from my use of it has not been what the company claims. But in the meantime I have learned to be very careful in recommending de-wormer products!

This sue-crazy world has prevented parents from disciplining their children; schools from enforcing many rules and regulations in the classroom; and veterinarians from telling their clients what they should or should not do in regard to drug therapy, which ones to use and why, and in what form to administer them.

The first rule in selecting the product for de-worming your horses or mules is to determine which parasites you wish to control. “All of them but the tapes,” you say. Fine, you can do this by reading the labels on the various products and determining which parasites the products will control.

Second, and most important, look for the drug or drugs which the product contains.DO NOT RELY ON THE BRAND NAME. RELY ON THE NAME OF THE DRUG CONTAINED IN THE PRODUCT.

Ivermectin and Moxidectin are two new and broad-spectrum equine de-worming drugs. They both have a very wide margin of safely. When used correctly and at the proper dosages these drugs have more than 95% effectiveness against the internal adult parasites and migrating forms of these parasites in the blood, respiratory tract and the gastro-intestinal system. In addition they are effective against blood sucking flies, lice and mites. They are partially effective against the tick in that they prevent their molting and egg hatching. However, these drugs do not kill them. Either of these two drugs should be incorporated into an excellent internal parasite control program for the mule or horse.

(I have heard of veterinarians and owners injecting their horses and mules with injectable Ivermectin. Injectable Ivermectin for use in the horse was taken off the market years ago and is not available today. Do not use the cattle , sheep or hog injectable product to inject your horses and mules. YOU MAY JUST FLAT OUT KILL THEM! Likewise the Ivermectin pour-on products are not for use on the equines.)

Ten percent Fendendazole is another drug which is deadly against all stages of the encysted small strongyles as well as the larvae of the species.

Pyrantel Tartrate is a very fine effective drug to be used against adult and larval stages of the large and small strongyles, pinworms, and ascarids.

Pyrantel Pamoate, another drug which when administrated at the proper dosage is used successfully for the treatment and prevention of tapeworms of the horse and mule.

Now that you have chosen a drug or drugs to be used when should you give them? Let’s start with the foal. I like to worm the foal at 30 days of age and every 30 days after that for the first two years of the animal’s life. In my judgment this is the most important thing you can do for your foal and yearling as concerns an excellent internal parasite control program. If you can keep these animals separate from your other stock, it is better for the younger stock. A three year old should be wormed every two months and four year old every three months or four times a year. This is an extremely good program to follow. It will pay dividends in the end, especially in rearing the young horse.

There is a program of continual or daily worming, The drug used is pyrantel tartrate. The dose of Ivermectin is given to all ages of horses at the beginning of the program. The pyrantel tartrate is then fed daily. A bot treatment must be given at the proper time since this drug given daily is not effective against bots.

A very minimum worming program would be one of two seasonal worming periods. There are two seasonal worming periods here in the USA. I am well aware the pocketbook can determine how often one is able to worm the horse or mule stock. This program then is an absolute minimal one to be used.

In the northern USA the peak parasitic egg production occurs around May and July. Therefore, worm all stock in May and July, just prior to going on the pasture. A good bot-killing drug must be given after the first hard frost.

In the southern USA the peak egg production in pastures is in August and October. Worm at the beginning of each of these months and again with a bot-cide when you have experienced a frost or it is cool enough to deter the bot fly activities.

Whatever program you have, it is very important to remember that you should worm the mare the day that she foals and its foal three weeks later. Also remember to worm all of your animals for bots after the first killing frost or an appropriate time in the southern climates when the bot fly is the least active.

Many people alternate drugs used in their internal parasite control programs. This may be a well founded practice but it depends on the products they are using.

The question is often asked, “Is it safe to worm a pregnant mare?” Cambendazole, carbon disulfides, and organophosphates should never be given the first three months of pregnancy. It is wise not to worm the mare in the last month of pregnancy. Also do not use organophosphate wormer on foals younger than six months.

Now there are many things you can do around the stables, yards and pastures to minimize the internal parasite problem in your horses and mules. Many are self explanatory. First, clean up. Remove manure from the premises and if you have to store it, place it in a compost pile at a distance from the paddocks in an area not accessible by the stock. Do not spread manure on pastures which are being grazed. Do not feed on the ground. Feed in solid bottom bunks, not in hay racks. Do not overgraze pastures. Harrow pastures at the hottest, driest times of the year. Isolate and de-worm newly acquired animals. Keep them isolated for a minimum of 14 days.

To find out how your program is working a fecal examination should be done at least twice a year. The samples should be taken before the animals are wormed and 14 days after the de-worming drug is given. Fecal samples should be taken from 10% of the herd on pasture and the individual animals if stabled separately. If your program is working, 80% of post treatment fecal samples should be free of parasite eggs. There should always be a 90% reduction in the egg count from pre-treatment numbers to post-treatment counts.

As of late there has been a goodly number of articles appearing in the various horse magazines about the parasites of horses and mules. I have attempted to put together this paper so as to make a good informative article for the draft horse and mule breeder and owner. I can readily understand that you will probably not remember all I have written, but keep the article handy and refer to it when you are setting up your own internal parasite control program or just undertaking to worm your stock.

And I’ll bet you’ll think twice before you pick up a stem or blade of grass from the horse pasture to put in your mouth and chew on. Even though it looks fresh as a daisy, it may have some hidden features!

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The Draft Horse Journal • P.O. Box 670 • Waverly • Iowa • 50677 • Phone: 319-352-4046 • Fax: 319-352-2232