Peer-reviewed veterinary case report
Equine Protozoal Myeloencephalitis: An Ancient Parasite Meets Modern Compounding.
- Journal:
- International journal of pharmaceutical compounding
- Year:
- 2026
- Authors:
- Bethel, Michelle
- Affiliation:
- Bethel Consulting
- Species:
- horse
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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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/41819129/