Abstract

Equine Protozoal Myeloencephalitis: An Ancient Parasite Meets Modern Compounding

Author(s): Bethel Michelle

Issue: Jan/Feb 2026 - Volume 30, Number 1

Page(s): 23-25

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Abstract

EPM remains particularly rampant in racing populations due to transport stress, young age, and congregate housing conditions. For compounding pharmacists, understanding that we're managing chronic parasite suppression - not achieving cure - fundamentally changes our approach to formulation strategy, stability assessment, and client counseling. The two formulations presented separately represent years of refinement, demonstrating compounding's essential role when commercial products fall short.

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