Bronchodilators What are the similarities between clenbuterol for horses and albuterol for people? Is clenbuterol used in the same way, and how common is its use?
Racehorses have a specialized occupation,and thus their the inflammation.Both work very rapidly when adminis-
own set of specific problems. Due to the nature of their use
and their environment, the most frequent problems veteri-
There are major differences between the two. Clenbuterol
narians deal with on a daily basis involve two major systems
has a much more pronounced expectorant activity that
in the racehorse – the musculoskeletal system and the res-
clears out mucous and debris from the airway. Clenbuterol
piratory system. These creatures are quite fragile, and
is also effective when given systemically in the horse. It can
numerous problems can develop over the course of their
be fed or given orally, and the effects on the lungs occur
careers. However, as a practicing veterinarian, the majority
rapidly and can last for a fairly long period.
of the cases I deal with involve their legs and lungs.
Albuterol is not as effective when given systemically. There
With regard to lung and respiratory problems, it’s impor-
are albuterol tablets and syrup for human use, but they are
tant to keep in mind that these horses spend much of their
poorly absorbed in a horse’s stomach. Therefore, albuterol
time in closed environments – a 12 by 14 ft. box stall. The
is mainly administered through some sort of inhalant sys-
quality of ventilation in stalls/barns can vary anywhere
tem, directly to the lungs. It works quickly – within minutes
from poor to quite acceptable, but it still isn’t the same as
– but only lasts for up to three hours.
One side effect common to both drugs is the so-called
Horses typically inhale allergens from their bedding and
“anabolic” effect. Some believe that clenbuterol builds mus-
feed, and expose their lungs and throats to many irritants.
cle mass, much like anabolic steroids. In my opinion, what
On the track, they get dirt kicked in their faces and routine-
is actually occurring is a decrease in the percentage of body
ly inhale track material. Throw in the fact that running at 35
fat, through increases in lipase activity. Lipase is a com-
mph elevates their blood pressure and increases the blood
pound that, in essence, burns fat. The result is leaner mus-
volume flowing through thin capillaries in their lungs, and
their respiratory system gets stressed. If a horse eventually
While albuterol is commonly used and very effective in
bleeds as a result, the stage can be set for a viral or bacteri-
humans, clenbuterol is the drug of choice when treating
al infection. Chronic repeated “insults” to the lungs can
respiratory diseases in the horse. In fact, I believe that it is
result in diseases such as recurrent airway obstruction
one of the best drugs to be approved for use in the horse in
(RAO) or “heaves,” or inflammatory airway disease (IAD).
a long time. It is responsible for significantly healthier hors-
Two of the most commonly used medications to treat
es. The healthier the horse, the less downtime and the more
these syndromes are clenbuterol (Ventipulmin) and
we get to see him do what we are in the business for in the
albuterol. Both belong in the same class of drugs known as
beta-2 agonists and therefore have some of the same effects;but there are also some significant differences. Dr. Kuhlmann has been a practicing veterinarian on the
Many owners are familiar with these medications since
Northern California racetrack circuit since 1983. A native of
albuterol is quite commonly prescribed in human medi-
Colorado Springs, Colorado and graduate of the Colorado
cine, and clenbuterol has been the subject of frequent
State School of Veterinary Medicine, he has served on the
debate in racing circles. Both medications cause bron-
board of the Northern California Equine Foundation. He has
chodilation, which opens up the airways and allows easier
also owned and bred horses for more than 20 years, most
breathing when congestion or mucous are present. They
notably California sensation Lava Man.
also reduce inflammation in the lungs by decreasing theproduction of the compounds – “mediators” – that cause
16
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