2019 Partners in Practice Spring Newsletter

ISSUE NO. 1 | Spring 2019

MAGAZINE

EMPOWERING YOUR TEAM TO GUIDE DEWORMING RECOMMENDATIONS Tackle the deworming discussion head on 03

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EXPLORING THE UNIQUE PROPERTIES

RON'S CAMPFIRE

MERCK ANIMAL HEALTH BUSINESS TIPS

of Panacur® (fenbendazole) POWERPAC

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PARTNERS IN PRACTICE | Spring 2019

The First Edition: Workin’ for Peanuts

Harnessing Social Media in Your Practice

Featured

EXPLORING THE UNIQUE PROPERTIES OF PANACUR® (FENBENDAZOLE) POWERPAC

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ake a look inside deworming with this short video and get to know the power of Panacur POWERPAC.

Merck Animal Health

HORSE TIPS Timely Health Tips to Share with Horse Owners Share these tips with your clients this spring to reinforce the importance of fecals to guide the “Three Rights of Deworming:” • The Right Horse • The Right Time • The Right Product

Don’t forget the fecals

LO O K I N S I D E D E WO RM I N G :

science-of-effective.com 1:10

EMPOWERING YOUR TEAM TO GUIDE DEWORMING RECOMMENDATIONS

Panacur: The Science of Effective

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To support this important role, Merck Animal Health has created a new educational campaign geared toward veterinary technicians that will empower your team to take control of the deworming discussion. The new educational campaign will roll out this spring and includes a continuing education element with easy-to-digest 30-minute modules on important deworming concepts, as well as a special certificate of completion from Merck Animal Health.

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PARTNERS IN PRACTICE | Spring 2019

HD

Panacur POWERPAC is the only product approved to act as a larvicidal treatment for all stages of stubborn encysted small strongyles1, and the only treatment proven to be effective against ivermectin-resistant ascarids that can pose a significant threat to the health of foals and weanlings.2

Panacur® (fenbendazole) POWERPAC is often recommended for the following situations: • Once a year, especially for young horses and moderate-to-high egg shedders

Tackle the deworming discussion head on —we have the tools to establish your in-clinic deworming champion! ow more than ever it is important to lead the discussion on parasites with horse owners—not only to preserve the efficacy of the dewormers we have, but also to continually position yourself as a resource to owners in all facets of their horse’s care.

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The best way to build an effective parasite control program for your farm is to work with your veterinarian and implement fecal egg counts (FEC) to help understand which horses are shedding the most parasite eggs. In addition, the only way to know for certain if there is parasitic resistance to a dewormer on your farm is to have your veterinarian perform a fecal egg count test prior to deworming a horse and then a fecal egg count reduction test (FECRT) on the same horse two weeks later. Contact our clinic today to learn more.

Download Now

• All incoming horses before co-mingling with resident horses Upon completion of the educational modules, you’ll receive a toolkit with information to help you put this knowledge to work in the clinic, including a turnkey event kit to help you host in-clinic client deworming meetings, and a new farm assessment checklist to guide deworming recommendations.

This handy checklist will help you assess a number of farm management practices, including stocking density, size and overall condition of pastures and/or paddocks, dewormers currently being used and how often they are being given, and age range of horses. It also documents fecal egg count testing, so you’ll have all the information needed to guide deworming recommendations in one convenient place.

Stay tuned for more information.

• Before starting horses on a daily dewormer • Foals prior to weaning • 10–14 days before performance event • Debilitated or thin horses3 • Chronic diarrhea • Recurring colic • Chronic weight loss secondary to parasitism3 Dewormers such as Panacur POWERPAC have the best chance of success when partnered with a comprehensive parasite control program that incorporates fecal egg count (FEC) testing into a farm-wide, herd-based program that combines chemical and nonchemical control strategies.

IMPORTANT SAFETY INFORMATION: Consult your veterinarian for assistance in the diagnosis, treatment and control of parasitism. Do not use in horses intended for human consumption.

When using Panacur® (fenbendazole) Paste 10% concomitantly with trichlorfon, refer to the manufacturer’s label for use and cautions for trichlorfon.

1

Panacur® (fenbendazole) POWERPAC product label.

2 Reinemeyer CR, Vaala, WE. Larvicidal efficacy of fenbendazole against a macrocyclic lactone-resistant isolate of Parascaris equorum in foals. Proceedings of the 55th Annual Meeting of the American Association of Veterinary Parasitologists. 2010, Atlanta, GA, p49.

3 Tamzali Y. (2006) Chronic weight loss in the horse: a 60-case retrospective study. Equine Vet Edu. 18, 289-296.

Spring 2019 | PARTNERS IN PRACTICE

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Ron's Campfire on my lips, I watch him gently stroke her ears and I am reminded of my own small-town roots and childhood state fair experiences. This week was a big deal. A really big deal. So much time and hard work, so much of summer break went into preparing for the final hurrah that was the state fair. I decide to ride the fence: “Well, Matt, I don’t know. Let’s see what we can do.”

RON ’ S CAM PFIR E NEW!

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Vet Stories

Welcome

here are no greater stories to be told than those of the practicing equine veterinarian. And if you’ve attended Vet Story Night at AAEP the last two years, you’ve heard some of the best. That is exactly what inspired our new section, Ron’s Campfire. Storytelling comes in many forms—whether on stage with a microphone, or at the tip of a pencil (or keyboard), equine veterinarians not only have scientifically gifted minds, they are also talented writers and storytellers. If you have a story or blog you’d like to share, we’d love to feature it in a future issue.

Please email Ron McDaniel (ron.mcdaniel@merck.com) to learn more or submit contributions.

So, without further ado, welcome to the first edition of Ron’s Campfire, courtesy of Sally DeNotta, D.V.M., Ph.D., Dipl. ACVIM. Workin’ for Peanuts You just never know where your next smile may come from. Not a regular, everyday smile, but one that leaves your whole heart grinning too…

The New York State Fair. Twelve humid days of funnel cake and cotton candy, bloated goats and scouring calves. A vibrant landscape of family and friends all gathered together to soak up the last remaining drops of summer. For a Cornell veterinary resident like me, this two-week field trip is an annual reminder that veterinary medicine can, in fact, be practiced without the help of an MRI, EKG, or COP. I’m here to be served

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PARTNERS IN PRACTICE | Spring 2019

a hearty bite of the life of a country vet—with a side of kettle corn.

The call comes at around midnight —a gruff voice breathes into the line, “I think we’ve got a sick cow in the dairy barn, can ya come an’ take a look?” Responding in well-practiced routine, I slip coveralls over my pajamas, grab my keys and stethoscope, and steer the sputtering golf cart through the tents and arenas to the dairy barn.

The concerts have long finished, the gates are now locked, and the swarms of meandering fair-goers have been replaced by the flurry of the late-night cleaning crew. Working under the neon glow of the carnival lights, they furiously erase the remnants of the day in preparation for tomorrow.

Upon arrival at the dairy barn, I am surprised to find not a gruff man and a cow, but a 10-year-old boy and his 6-month-old heifer calf.

His name is Matt. Her name is Peanuts.

He looks stressed. She looks awful.

Awfully dehydrated, that is. With eyes so sunken they practically touch inside her skull, she is the bovine version of

a potato chip. Rumen is dry and hard.

Heart rate is high. Not ideal. He reports that she had been a little colicky earlier after a 5-hour haul from home in the heat of the day. Doing his best to help her, he had given her banamine and polyflex, since that is what his dad does when his cows are a bit ‘off’ at home.

He had also walked her—for hours.

Totally exhausted, she now stands with her head and her ears drooping, kicking at her belly just often enough to say that she hurts there, too. There is anxiety in his eyes when he says, “I did everything my dad does, but I think she’s gotten worse!” No kidding kid.

Step one: rehydrate. I tube her with water and electrolytes and am contemplating in which side to place the IV catheter when he pops the milliondollar fair question: “Is Peanuts still going to be able to show tomorrow?”

Crud. The obvious answer is no; the day is almost upon us and this calf is about as likely to make it into the show ring as a college kid is to finish a marathon after a week in Cancun. She needs rest—and fluids. With ‘No’ forming

Knowing an IV catheter would be a sure way to get the night supervisor’s attention—and Matt’s name scratched from the entry lists tomorrow—I head to the vet office to see what I’ve got.

I survey my stash of supplies and return to the dairy barn packing a simplex, hypertonic saline and two 5-liter bags of fluids. By this time, we have drawn a small late-night crowd of concerned observers—similarly aged boys from Matt’s 4-H group—which is good because we are going to need their help.

Matt holds Peanuts while I guide a 14-gauge needle into her jugular.

One boy holds the bottle of hypertonic saline, another holds the fluids, still another holds a pocket knife. Two other boys, both a bit older, supervise. We give Peanuts most of the bottle of hypertonic saline, and then dump out the remainder.

With me still manning my position at her neck, the boys cut the base off the bottle and then carefully pour in the fluid from a punctured bag. They work with absolute focus: pouring carefully to avoid spilling, lifting the bottle high above their heads, then bringing it back down for refilling just before it empties and lets air invade the line. Soon, we are finished. Soak it up, Peanuts. Now it is time to wait. We call it a night and agree to meet back first thing in the morning.

6 a.m. Pulling up to the dairy barn through the early morning fog, there is already a steady flow of bovine traffic Spring 2019 | PARTNERS IN PRACTICE

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Ron's Campfire to and from the wash rack. The sounds of blow dryers and clippers resonate from inside. It’s show time. As I turn down Peanuts’ aisle, I say a little prayer under my breath. Please let her be better.

Please don’t make me wreck this kid’s state fair. Please. I head toward her stall, but as "I draw nearer, it is not Peanuts that I see first. It is Matt. He is sound asleep on a cot, with no blanket, less than a foot from his calf. He must have slept with her all night. He is out cold, one hand dangling limply in the hay at her side. Peanuts, on the other hand, pricks her ears and turns her head to greet me.

She is happily chewing her cud. Eyes bright and no longer sunken. Water buckets half empty. Thank goodness.

Matt’s class isn’t until 3 p.m., so I wake him just enough to tell him his calf is going to be okay to show before letting him drift back into exhausted slumber. His 4-H leader, who is by now aware of last night’s festivities — thanks to Matt’s comrades—walks by and mouths the words “thank you.”

I return at 11 a.m. to check on the pair.

Matt, looking freshly pressed and ready for action, greets me with a smile. He is already fully dressed in his showmanship attire: boots polished, and number neatly pinned to his front. I glance at my watch and smile; he still has 4 hours. Peanuts chews her cud contently and appears oblivious to the raucous she caused merely a few hours ago. I turn to go, and Matt stops me. “Don’t I need to pay you?” he asks. I’m astounded that a 10-year-old kid would show such responsibility. I do have a bill in my pocket, a mere $37.00 thanks to special fair pricing, but I had planned on asking his 4-H club leader for his parents’ phone number and settling with them directly. When I offer my plan to him, he simply says, “No ma’am, I can pay for it,” and whips out a little wallet from 6

PARTNERS IN PRACTICE | Spring 2019

just wanted some extra attention!”

Four hours and a blue showmanship ribbon later, all was well again in the dairy barn. As I sat in the stands watching Matt’s class, I couldn’t help but grin and once again be reminded that we vets are so fortunate to do what we do. In an unlikely place at an unlikable time, I bumped into a boy and a calf that left my heart feeling full and made my day, my week, and probably much, much, more—all by just doing my job. There’s a reason we don’t do this for the money—our return

Matt & Peanuts

his crisply starched Wrangler jeans.

He counts out $37 in mostly fives and ones, and then hands them over decisively. “Do you have enough money for the rest of fair? For food?” I ask.

“Yes, ma’am, I have lots.” He begins brushing the already immaculate Peanuts and says, “Ya know, I think she

is cash for the soul. I’ll take that any day of the week and twice on Sunday.

Dr. Sally DeNotta is a clinical assistant professor in the large animal clinical sciences department at the University of Florida, College of Veterinary Medicine.

Merck Animal Health Business Tips

Did You Know?

SMALL STEPS FOR HARNESSING SOCIAL MEDIA IN YOUR PRACTICE

THANK YOU EQUINE VETERINARY TECHNICIANS

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razzled by Facebook? Intrigued by Instagram? Hung up on hashtags?

Can our clinic realistically manage social media? Which social media platform is best for our clinic?

If you’ve found yourself asking some of these questions, leading IT expert, digital marketer and veterinary industry thought leader, Eric Garcia, has proven, practical tips for social media you can implement immediately in your clinic.

10 best practices for effective social media 1. Facebook and Instagram are all you need 2. Start small. One to two hours per week is sufficient 3. Create dedicated time for social media (make it part of someone’s job description) 4. Three to five postings a week is plenty 5. Tell a story. Mix it up with case examples and other clinic-specific postings 6. Facts and figures should be used sparingly 7. Emphasize quality over quantity 8. Use personalized imagery (no stock images) 9. Invest in a clinic camera or device and establish a clinic policy 10. Verify your Facebook page Still on the fence about social media? Consider this: In a 2016 online poll conducted by The Horse, 35% of horse owners said they use Facebook to share or gather horse-related information. Social media is the No. 1 activity online and U.S. internet users spend more time on Facebook than any other platform. What’s more, people aged 55plus are driving the growth of social media.

Want more information? Ask your Merck Animal Health sales representative about our “Social Media for Veterinarians” toolkit.

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or 12 years, Merck Animal Health has been a proud supporter of the American Association of Equine Veterinary Technicians (AAEVT). As you can attest, care within the clinic would not be possible without the contributions of the more than 1,000 AAEVTmember veterinary technicians, assistants and staff. The veterinary technician is often at the forefront of client communications and on-hand during the best and worst moments of your day.

Through our ongoing partnership with AAEVT, Merck Animal Health has provided custom continuing education and wet labs on a number of topics for thousands of veterinary technicians across the country and sponsored its annual convention in conjunction with the AAEP conference.

"From the beginning, Merck Animal Health really ‘got’ how integral the technician is to the team and has been an instrumental partner in our AAEVT Annual Conference at AAEP. We have worked closely over the years to build on that partnership, create awareness and education and support the Vet Tech and the Assistant in their career enhancement.”

As your partner, we always welcome the opportunity to provide in-clinic training and presentations for your veterinary technicians.

Earlier in this issue, we introduced – Deb Reeder, CWAS, STW, RVT, VTS-EVN, AAEVT Executive Director our forthcoming deworming campaign geared to technicians. This is just one more example of our commitment to equipping technicians with the tools and information needed to support a strong veterinary-client relationship. Please talk to your Merck Animal Health equine representative to learn more about this initiative, or to discuss other in-clinic educational opportunities for your staff we may be able to assist with.

Merck Animal Health would like to say thank you to the veterinary technicians for everything they do for the horse and the veterinary industry. For more information on AAEVT membership, visit www.AAEVT.org.

Dr. Sally DeNotta

Spring 2019 | PARTNERS IN PRACTICE

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MERCK ANIMAL HEALTH Intervet Inc.

Meet the Veterinary Professional Services Team

2 GIRALDA FARMS, MADISON, NJ, 07940 Customer Service:

800-521-5767

Order Desk:

800-648-2118

Technical Service (Companion Animal): 800-224-5318

PANACUR®

of gestation with doses as high as 11.4 mg/lb (25 mg/kg) and in stallions with doses as high as 11.4 mg/lb (25 mg/kg). No adverse effects on reproductivity were detected. The recommended dose Intervet/Merck Animal Every effort has beenHealth made to ensure the accuracy of the information published. However, it remains the responsibility of for the readers to familiarize control of 4th stage larvae of Strongylus vulgaris, 4.6 mg/lb (fenbendazole) themselves with the product information contained on the USA product label or package insert.

(10 mg/kg) daily for 5 consecutive days, has not been evaluated 25 gram for safety in stallions or pregnant mares. ® panacur Paste 10% (100 mg/g) Equine Dewormer

Q&A BRYANT CRAIG, D.V.M.

Best horse advice you’ve ever received?

Go slow if you want things to move fast. Too many times people try to rush an animal into doing what they want. If things are allowed to progress slowly, I find my goal generally gets accomplished more quickly and if you pay attention the horse will teach you more than you have taught them.

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PARTNERS IN PRACTICE | Spring 2019

973-937-5557

Website:

www.merck-animal-health-usa.com

(fenbendazole) DESCRIPTION: 25 gram Panacur

Internal Parasites: Regular deworming at intervals of six to eight weeks may be required due to the possibility of reinfection.

(fenbendazole) Paste 10% contains the active anthelmintic, name of fenbendazole is methyl Migrating Tissue Parasites: In the case of 4th stage larvae of 5-(phenylthio)-2® Panacur (fenbendazole) Paste 10% contains the active anthelmintic, fenbendazole. The chemical name of fenbendazole is methyl 5-(phenylthio)-2Strongylus vulgaris, treatment and retreatment should be based on the benzimidazole carbamate. benzimidazole carbamate. life cycle and the epidemiology. Treatment should be initiated in the The chemical is: The chemical structure structure is: spring and repeated in the fall after a six month interval. ®

Paste 10% (100 mg/g) Equine Dewormer fenbendazole.

The chemical DESCRIPTION:

bryant.craig@merck.com

If you were a horse, what type of horse would you be?

I wouldn’t care what kind as long as I had a passionate owner and I was good at my job. While I appreciate some disciplines more than others, I respect the top tier of all of them. Although being an all-American winning stallion would be at the top of the list!

800-211-3573

Fax:

Intervet/Merck Animal Health

Piedmont, Oklahoma

Tell us a little bit about your horse background.

I grew up around ranch horses and a small Thoroughbred breeding operation. We bred and raised our own foals and then I had the job of breaking them to lead and put them under tack. In high school and college, I worked for a local practitioner who also raced Quarter Horses. I was an exercise rider in the mornings and vet tech during the day.

While in college I had the honor of riding the mascot horse of Oklahoma State Football. I had the honor of working with some of the best performance and racing Quarter Horses in the world in my private practice and at Lazy E Ranch.

Technical Service (Livestock):

Best veterinary advice you’ve ever received?

Start every exam by sitting on the fence. In other words, observe from afar before you get up close. Watching the horse in its habitat unbothered will many times reveal things you wouldn’t have noticed if you rushed up and began a physical exam. Keeping them relaxed initially gives you a truer picture of their mental and physical state.

Outside of the equestrian/veterinary world, what is your favorite hobby?

I’ve got a few. Snow skiing, fly fishing, and golf top the list.

How long have you been working for Merck Animal Health?

About six years total; working on my fifth year as a full-time employee after a short stint as a consultant to the equine team.

Optimum Deworming Program for control of S. vulgaris: Optimum reduction of S. vulgaris infections is achieved by reducing the infectivity of the pastures. When horses are running on pasture, in temperate North America, maximum pasture infectivity occurs in Each gram of Panacur® (fenbendazole) Paste 10% contains 100 mg of fenbendazole and is flavored with artificial apple-cinnamon liquid. ® October-December. If horses are removed from those pastures in Each gram of Panacur (fenbendazole) Paste 10% contains 100 mg ACTIONS: January, pasture infectivity will decline to zero by July 1. Egg of antiparasitic fenbendazole and ®is(fenbendazole) flavored Paste with10% artificial The action of Panacur is believed apple-cinnamon to be due to the inhibition ofliquid. energy metabolism in the parasite. production of S. vulgaris is minimal from January through April, INDICATIONS: ACTIONS: ® peaking August and declining to minimal values in December.

Panacur (fenbendazole) Paste 10% is indicated for the control of large strongyles (Strongylus edentatus, S. equinus, S. vulgaris), encystedin early ® Thestage antiparasitic action offourth Panacur (fenbendazole) Pastepinworms 10% is third (hyobiotic), late third stage and stage cyathostome larvae, small strongyles, (Oxyuris equi), ascarids (Parascaris Recommended Deworming Program: equorum), and to arteritis larvae of Strongylus vulgaris in horses. believed becaused due bytofourth thestage inhibition of energy metabolism in the ® (fenbendazole) Paste 10% is approved for use concomitantly with an approved form of trichlorfon. Trichlorfon is approved ** December 1, February 1, April 1, June 1, August 1, October 1.

Panacur for the treatment parasite.

For control of encysted early third stage (hypobiotic), late third stage and fourth stage cyathostome larvae, and fourth stage larvae of Strongylus vulgaris, the recommended dose is 4.6 mg/lb (10 mg/kg) daily for 5 consecutive days; administer one syringe for each 550 lbs body weight per day.

SEE PRECAUTIONS FOR RETREATMENT RECOMMENDATIONS. DIRECTIONS FOR USE: 1. Determine the weight of the horse.

2. Remove syringe tip.

3. Turn the dial ring until the edge of the ring nearest the tip lines up with zero.

4. Depress plunger to advance paste to tip.

5. Now set the dial ring at the graduation nearest the weight of the horse (do not underdose).

6. Horse’s mouth must be free of food.

7. Insert nozzle of syringe through the interdental space and deposit the paste on the back of the tongue by depressing the plunger.

HOW SUPPLIED: Panacur® (fenbendazole) Paste 10.% Equine Dewormer is supplied in 25 g syringes.

Store at or below 25°C (77°F).

of stomach bots (Gasterophilus spp.) in horses. Refer to the manufacturer’s label for directions for use and cautions for trichlorfon.

PRECAUTIONS: INDICATIONS:

The two treatments that are in bold type are the recommended the 5 day treatment regimen for the control of the strongyles (Strongylus edentatus, S. equinus, S. vulgaris), encysted migrating larvae of S. vulgaris should be performed. of fenbendazole may cause the release of antigens by the dying parasites. This phenomenon may result in either a local or systemic hypersensitive early As third stage (hyobiotic), late thirdsymptomatically. stage and fourth stage **For other areas in the world, retreatment periods for the migrating reaction. with any drug, these reactions should be treated ® (fenbendazole) cyathostome larvae, small strongyles, pinworms (Oxyuris equi), larvae of11.4 S.mg/lb vulgaris may be different; consult with your veterinarian.

Panacur Paste 10% has been evaluated for safety in pregnant mares during all stages of gestation with doses as high as (25 mg/kg) and(Parascaris in stallions with doses as high as 11.4 mg/lbarteritis (25 mg/kg). No adverse effects on reproductivity were detected. The recommended dose ascarids equorum), and caused by fourth stage CAUTIONS: Keep this and all medications out of the for control of stage larvae of Strongylus vulgaris, 4.6 mg/lb (10 mg/kg) daily for 5 consecutive days, has not been evaluated for safety in stallions larvae of4thStrongylus vulgaris in horses. or pregnant mares. reach of children.

Panacur® (fenbendazole) Paste 10% is approved for use concomitantly ® Side effects associated with Panacur® (fenbendazole) Pasteis 10% could not be established well-controlled with single Panacur (fenbendazole) Paste 10% indicated for the incontrol of safety largestudies in horses periods when doses as high as 454 mg/lb (1,000 mg/kg) and 15 consecutive daily doses of 22.7 mg/lb (50 mg/kg). Particularly with higher doses, the lethal action

Internal Parasites: Regular deworming at intervals of six to eight weeks may be required due to the possibility of reinfection.

with an approved form of trichlorfon. Trichlorfon is approved for the

Migrating Tissue Parasites: In the case of 4th stage larvae of Strongylus vulgaris, treatment and retreatment should be based on the life cycle and

When using Panacur® (fenbendazole) Paste 10% concomitantly with trichlorfon, refer to the manufacturer’s labels for use and cautions forare trichlorfon. pastures. When horses are running on pasture, in temperate North America, maximum pasture infectivity occurs in October-December.

If horses PRECAUTIONS: removed from those pastures in January, pasture infectivity will decline to zero by July 1. Egg production of S. vulgaris is minimal from January ® in December.

WARNING: Do not use in horses intended for through peaking in August and declining minimal values Side April, effects associated with toPanacur (fenbendazole) Paste 10% could human consumption not be established in well-controlled safety studies in horses with https://merckusa.cvpservice.com/product/basic/view/1047340?route=product%2Fbasic%2Fview&id=1047340&print=1 1/2 treatmentof stomach (Gasterophilus spp.) infallhorses.

Refer to the the epidemiology. Treatment should bots be initiated in the spring and repeated in the after a six month interval.

manufacturer’s label for directions foruse and ofcautions for trichlorfon.

Optimum Deworming Program for control of S. vulgaris: Optimum reduction S. vulgaris infections is achieved by reducing the infectivity of the

single doses as high as 454 mg/lb (1,000 mg/kg) and 15 consecutive daily doses of 22.7 mg/lb (50 mg/kg). Particularly with higher doses, the lethal action of fenbendazole may cause the release of antigens by the dying parasites. This phenomenon may result in either a local or systemic hypersensitive reaction. As with any drug, these reactions should be treated symptomatically. Panacur® (fenbendazole) Paste 10% has been evaluated for safety in pregnant mares during all stages

CONSULT YOUR VETERINARIAN FOR ASSISTANCE IN THE DIAGNOSIS, TREATMENT AND CONTROL OF PARASITISM. Made in France Distributed by: Intervet Inc (d/b/a Merck Animal Health), Summit, NJ 07901 NADA # 120-648, Approved by FDA For use in animals only.

Restricted Drug (California) - Use only as Directed 147109 R2 CPN: 1047340.2

DOSAGE: Panacur® (fenbendazole) Paste 10% is administered orally at a rate of 2.3 mg/lb (5 mg/kg) for the control of large strongyles, small strongyles, and pinworms. One syringe will deworm a 1,100 lb horse.

For foals and weanlings (less than 18 months of age) where ascarids are a common problem, the recommended dose is 4.6 mg/lb (10 mg/ kg); one syringe will deworm a 550 lb horse.

What is your favorite part of being on the equine veterinary professional services team?

No doubt the people I work with daily from the top down.

We have a special group that bring many talents to the field.

Our dedicated leadership, talented sales force, and passionate professional services team take second place to no one in the industry. Getting to see the great equine populations and farms across the United States is a nice bonus prize too.

If there were one thing you would want customers to know about you, what would it be?

I always want what is best for the horse. That is the basis for every decision I make whether I am treating an animal, consulting on a case, or detailing a Merck product. The horse is and always will be the most important part of the equation.

Spring 2019 | PARTNERS IN PRACTICE

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The Science of Healthier Animals 10

2 Giralda Farms • Madison, NJ 07940 • merck-animal-health-equine.com • 800-521-5767 Copyright © 2019 Intervet Inc., d/b/a/ Merck Animal Health, a subsidiary of Merck & Co., Inc. All rights reserved. 4233-EQUINE-PIP-NEWSLETTER US/EQI/0319/0007

PARTNERS IN PRACTICE | Spring 2019