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Kenton Morgan, DVM, Equine Technical Services Veterinarian, Zoetis
3/15/2023

Did you know most internal equine parasites (approximately 90%) originate from your horse’s natural environment?1 While we cannot eliminate the issue entirely, we can work to reduce a horse’s parasitic exposure. Along with managing the environment, partnering with your veterinarian is key to determining a seasonal, targeted deworming plan.
A shift to strategic deworming practices
Targeted deworming is a strategy that focuses on treating horses for parasites when parasite exposure and transmission is likelier to occur. In the past, experts recommended deworming about every 60 to 90 days; however, an ever-growing body of research reveals how some parasite populations have grown resistant to many of the available drug classes.2
Today, the American Association of Equine Practitioners (AAEP) recommends that veterinarians make deworming decisions based primarily on a horse’s age, their egg-shedding status (based on fecal egg counts) and the length of the grazing season in your area.
Reduce your horse’s exposure
Intestinal parasites can cause serious health problems in horses, including fever, diarrhea, colic and even death. Therefore, it’s critical to minimize risk exposure, reduce parasite egg shedding and use the most effective treatments at the right time.
Identify your horse’s life stage
Your horse’s age is the first factor to consider when selecting a dewormer, since not all equine internal parasites pose the same risks at every age.
Conduct a fecal egg count
Ask your veterinarian to perform a fecal egg count or a fecal egg count reduction test every year. A fecal egg count will determine if your horse is a low, medium or high shedder. A fecal egg count reduction test can help determine if there is resistance to dewormers on the farm. Horses that shed more eggs back into the environment via manure increase the exposure of the entire herd to potential parasites. I recommend asking your veterinarian to conduct a fecal egg count during spring wellness visits, but if that’s not feasible, fecal egg counts can be run at any time of year.
Know the right time to deworm your adult horse
Healthy, low-shedding adult horses will typically receive a deworming treatment at the beginning and end of the grazing season, which differs by geography:

Deworming treatments for foals, yearlings and 2-year-olds
Treatment options differ when it comes to deworming foals, yearlings and 2-year-olds because the parasites of concern differ in young horses compared to mature horses.
Compare dewormers
Moxidectin is the experts’ active ingredient of choice for small strongyles because it treats both the encysted larval and adult stages, all in a single dose.3 Both Quest Gel and Quest Plus Gel are formulated with moxidectin, which is also effective against large strongyles (bloodworms), bots, pinworms, hairworms and stomach worms.

*Per the 2024 AAEP Parasite Control Guidelines, there is widespread roundworm (ascarid) resistance (lack of efficacy) to macrocyclic lactones (moxidectin and ivermectin).
**Per the 2024 AAEP Parasite Control Guidelines, multiple studies show widespread small strongyle (cyathostomin) resistance (lack of efficacy) to benzimidazoles (fenbendazole and oxibendazole).
Target the right parasites at the right time
Still unsure which parasite treatment plan is the right fit for your horse? The following quiz will help you decide based on your horse’s age, location and the time of year. Remember to always seek guidance from your veterinarian in the diagnosis, treatment and control of parasitism. For more information on deworming, I recommend the following blog, “How to Deworm Your Adult Horse,” with a video that unpacks targeted, seasonal deworming tips.
Do not use Quest Gel or Quest Plus Gel in foals less than 6 months of age or in sick, debilitated and underweight horses. Do not use these products in other animal species, as severe adverse reactions, including fatalities in dogs, may result. Consult your veterinarian for assistance in the diagnosis, treatment, and control of parasitism.
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References
All trademarks are the property of Zoetis Services LLC or a related company or a licensor unless otherwise noted. Bimectin is a trademark of Bimeda Inc. EquiMAX is a trademark of Virbac. IverCare is a trademark of Farnam. Panacur is a trademark of Merck Animal Health. Safe-Guard is a trademark of Intervet Inc. Zimecterin Gold and Eqvalan are trademarks of Boehringer Ingelheim. © 2023 Zoetis Services LLC. All rights reserved. QST-00222R1