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Related Experiment Videos

Horse pill ("bute") hemorrhage.

M L Cohen1, R H Ming, H K Gogel

  • 1Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque 87131.

Journal of Clinical Gastroenterology
|April 1, 1988
PubMed
Summary

Phenylbutazone (PBZ), an NSAID, is widely used in horses but poses risks for humans. A horse handler developed severe gastric bleeding from self-medicating with horse pills for toothache, highlighting potential dangers.

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Area of Science:

  • Veterinary Medicine
  • Human Pharmacology
  • Gastroenterology

Background:

  • Phenylbutazone (PBZ) is a potent nonsteroidal anti-inflammatory drug (NSAID) with significant adverse effects.
  • Despite risks, PBZ remains prevalent in equine medicine due to its efficacy.
  • Accessibility of PBZ for horse handlers raises concerns about unsupervised human consumption.

Observation:

  • A 33-year-old male racehorse track worker self-administered PBZ horse pills for a persistent toothache.
  • The individual experienced a severe gastrointestinal hemorrhage.
  • The hemorrhage was directly linked to a gastric ulcer.

Findings:

  • The case demonstrates a direct link between non-prescribed human ingestion of equine PBZ and serious gastric complications.

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  • Gastric ulceration and hemorrhage are significant risks associated with Phenylbutazone use.
  • Unsupervised use of veterinary drugs by laypersons can lead to severe health consequences.
  • Implications:

    • Physicians should consider equine Phenylbutazone exposure in patients presenting with upper GI symptoms and gastric injury, particularly those with equine connections.
    • This case underscores the importance of regulating access to and educating individuals about the risks of using veterinary drugs for human ailments.
    • Enhanced awareness and caution are needed regarding the potential for misuse of animal medications in human populations.