Equine Compounded Medications

We’re proud to partner with the Bova group to deliver the highest-quality equine medications to U.S. veterinarians and horse owners. Our products empower equine veterinarians to provide exceptional patient care.

Stokes Pharmacy compounds unique formulations identical to Bova’s trusted products used in Australia and the UK, while our sister division, Epicur Pharma, manufactures the only injectable omeprazole identical to the Bova formulation used in global clinical studies.

Injectable Omeprazole Frequently Asked Questions

Watch this session with Dr. Camilla Jamieson as she addresses frequently asked questions about Injectable Omeprazole and provides guidance for clinicians.

Those interested in more detail can view her full webinar, which expands on the research behind injectable omeprazole, case examples, technique and safety insights, practical comparisons to published guidance, and essential regulatory points for equine practices.

Explore the equine medications we’re adding to our Stokes Pharmacy compounded medications portfolio.

Top Equine Medications

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GASTRIC DISEASE	DOSAGE	FORM	VOLUME
Esomeprazole	100 mg/mL	Oral Paste	60 mL Dial-a-Dose
Misoprostol*	833 ug/mL	Oral Paste	30 mL Dial-a-Dose
Omeprazole**	2 g/20 mL	Injection	20 mL

BREEDING/FOALING	DOSAGE	FORM	VOLUME
Deslorelin Acetate*	1.5 mg/mL	Injection	10 mL
Domperidone	110 mg/mL	Oral Paste	30 mL Dial-a-Dose

ENDOCRINE	DOSAGE	FORM	VOLUME
Ertugliflozin*	5 mg/mL	Oral Paste	15 mL or 60 mL Dial-a-Dose
Cabergoline	5 mg/mL	Injection	5 mL

INTERNAL MEDICINE	DOSAGE	FORM	VOLUME
Azithromycin	200 mg/mL	Oral Oil Suspension	480 mL
Chloramphenicol	25 gm/60mL	Oral Paste	60 mL Dial-a-Dose
Clarithromycin/ Rifampin*	150/150 mg/mL	Oral Paste	30 mL Dial-a-Dose
Doxycycline (as Monohydrate)	500 mg/mL	Oral Paste	60 mL Dial-a-Dose
Enrofloxacin	250 mg/mL	Oral Paste	60 mL Dial-a-Dose
Guaifenesin (aqueous)*	50 mg/mL	Injection	1000 mL
Metronidazole	500 mg/mL	Oral Paste	60 mL Dial-a-Dose
Pentoxifylline*	400 mg/mL	Oral Paste	60 mL Dial-a-Dose
Prednisolone*	100 mg/mL	Oral Paste	30 mL Dial-a-Dose

OPHTHALMOLOGY	DOSAGE	FORM	VOLUME
Cyclosporin	2%	Ophthalmic Ointment	5 gm
Diclofenac	0.1%	Ophthalmic Ointment	15 gm
Fluorouracil PF	1%	Ophthalmic Solution	4 x 1.25 mL
Mitomycin PF	0.04%	Ophthalmic Solution	5 x 1 mL
Voriconazole*	1%	Ophthalmic Solution	10 mL

*Available for office use in states that permit the use of traditionally compounded drugs listed under GFI 256. (Excluding AR, NM, NY, OR, RI, WV).
**Available for office use in every state.

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Manufactured Omeprazole Injection Suspension for Horses

Much more profound and consistent acid suppression compared to oral treatment
Improved compliance with medication as only one injection is required every 5-7 days
No need for withholding feed or other medications prior to oral administration
100% manufactured following FDA enforced regulations
Ready to ship same day nationwide with 1-2 business days in transit

Using SGLT2 inhibitors for laminitis.

Hear directly from Dr. Tania Sundra, BSc.(Hons) BVMS MANZCVS (Equine Medicine) about when to use SGLT2 inhibitors, including for short-term use, emergency use, preventative use, and for chronic management of hyperinsulinemia.

ESOMEPRAZOLE

The Next Generation in Equine Gastric Care| 100 mg/mL, 60 mL Paste Molasses Flavor

Ideal maintenance option

Our esomeprazole paste provides a convenient follow-up therapy for managing gastric ulcers after initial treatment with injectable omeprazole

More consistent bioavailability

Our enteric-coated granule formulation of esomeprazole is designed to protect the drug as it passes through the stomach, ensuring reliable absorption

Healing both squamous and glandular disease

has been observed in horses that had failed to respond to treatment with oral omeprazole¹

Reference: 1. Rendle, D. Oral esomeprazole as a treatment for equine gastric ulcer syndrome refractory to oral omeprazole . Equine Vet J (2017). https://doi.org/10.1111/evj.47_12732

A Partner Dedicated to Raising the Standard of Veterinary Care

Our family of brands has a longstanding commitment to helping veterinary professionals advance the level of care in veterinary medicine and improve patient care. When you partner with Stokes Pharmacy and Epicur, you can be confident in your patient care.

More than 45 years in the veterinary market
Single source for direct to client or direct to office orders
Trusted thought leader for industry CE and informational content
Advisors on industry trends & guidances
Streamlined ordering processes via phone or online via iFill
Most orders ship same day nationwide with 1-2 business days in transit

"When I was looking for a partner to bring our unique formulations to the US, it was critical to me to find a partner that took science and quality as serious as Bova does. When I met the team at Stokes, I couldn’t have been happier. I’ve been to the facilities several times to inspect them, and I can assure you they are taking this extremely seriously. After they made the product, they sent it to us to assure that they were meeting the Bova specifications. So you can be confident in the quality of the medicines that are produced at Stokes Healthcare."