Equine Health Update EHU Vol 21 Issue 01 | Page 47

Nutrition | EQUINE Unintended Consequences Lastly, Pagan described examples of unexpected results stemming from equine research findings. “You do something you think is really good but has side effects you didn’t expect,” he said. Take furosemide (Salix), for instance, a common diuretic administered to race and performance horses to prevent exercise-induced pulmonary hemorrhage (aka “bleeding”). As it turns out, the drug has a performance-enhancing side effect in that it causes horses to urinate frequently and, hence, lose body weight—a desirable reaction in racehorses. But what about the dietary consequences? Frequent urination also causes horses to lose the electrolytes sodium and chloride and even calcium, putting their mineral balance out of whack. Pagan said his team studied this and found that these mineral levels go into negative balance on the day of Salix administration. “By administering a medication meant to prevent bleeding, we inadvertently caused a change in electrolyte and calcium requirements,” he said. As a result, they developed an electrolyte replacement product to encourage horses to drink and correct these imbalances. Another example Pagan used was the administration of omeprazole (GastroGard) to treat gastric ulcers. This widely used medication might affect calcium absorption, and scientists have been suggested that it might result in reduced bone strength in humans. In one study, the KER team found that omeprazole causes a 20% reduction in calcium digestibility in horses. “Are we trading one problem for another?” Pagan asked. “Horse owners should recognize that their horses may have higher requirements for calcium when they are administered omeprazole and/or furosemide.” The Future As technologies and techniques advance, equine nutrition research hones in on new problems and topics. Pagan predicted that the future research landscape will focus on nutrigenomics (the study of nutrition’s effect on gene expression) and nutrigenetics (how genes influence the body’s response to nutrition). What we feed our horses might just be affecting our horses’ genes and genetic expression. • Volume 21 Issue 1 | March 2019 • 47