As most owners of competitive sport horses know, prescription drug therapies, in conjunction with a quality diet and supplements, are a major factor in keeping our horses feeling and performing their best. At FarmVet, we know that providing your horse with the best products is crucial to their well-being. That’s why we have in-house compounding services and pharmacies located in our Franklin, TN, and Wellington, FL locations. This week, we sat down with our Pharmacist, Dr. Jaime Wynn, to gain some insider information about compounded Ponazuril.

What Is Ponazuril?

Ponazuril is indicated for the treatment of Equine Protozoal Myeloencephalitis commonly known as EPM in equines. EPM is caused by Sarcocystis neurona, an intracellular protozoan parasite that causes neurological type symptoms in equines.

Q. What are the benefits of using Ponazuril for your horse?

Answer: For horses with EPM, using Ponazuril can help treat the symptoms caused by EPM. Some symptoms include incoordination, abnormal gait, or lameness. If you believe your horse may have EPM, the best chance for recovery is by starting treatment immediately. Treatment may include giving your horse an anti-protozoal medication, like Ponazuril, to counteract the effects of EPM. However, you should always speak to your veterinarian before initiating any sort of treatment.

Q. What are the different types of compounded Ponazuril available from FarmVet?

Answer: Due to a shortage in commercial availability, we currently offer Ponazuril in a peppermint-flavored paste, powder, or suspension dosage form. Our formulations are available in a paste 150mg/ml, a powder that contains 2.5 grams per scoop, or a suspension in the concentration of 200mg/ml. We flavor each of these formulations to ease the administration. This medication requires a prescription, and the use of a compound alternative should be discussed with your veterinarian first. This way, your veterinarian can prescribe the exact dose for your animal and situation.

Q. What about administering Ponazuril to a small animal breed?

Answer: Ponazuril can also be used in the treatment of protozoal and coccidial infections in dogs and cats. We offer a tuna-flavored suspension in 50mg/ml and 200mg/ml concentrations in small volumes to accommodate small animals of all weight ranges.

Q: I’ve heard of other EPM treatments, but never Ponazuril. Why is that the case?

Answer: In cases where the marketplace experiences a shortage of a specific product or your animal requires a dosage form not available commercially, FarmVet can meet your needs. Our compounding pharmacy has the ability to customize medications for your animal. We are equipped to provide Ponazuril to your animal so that there is no interruption of therapy.

Ready to Order?

Browse our selection of prescription pharmaceuticals online here or email us at To read more about our compounding options, check out this blog on Sucralfate!

As is true for all compounded medications, information, and statements about products and health conditions have not been evaluated by the FDA, nor has the FDA approved the products to diagnose, cure or prevent disease.