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Updated: Jun 17, 2025

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Equine Pergolide Toxicity: A Case Series.

Natalie E Ebeling-Koning1, John T Fowler1, John D DelBianco1

  • 1Department of Emergency and Hospital Medicine, Lehigh Valley Health Network/University of South Florida (USF) Morsani College of Medicine, Allentown, USA.

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|August 12, 2024
PubMed
Summary
This summary is machine-generated.

Veterinary medications can cause human toxicity, with pergolide (a horse medication) causing adverse effects in two owners after accidental ingestion. Case reports are crucial for managing such unique poisoning incidents.

Keywords:
dopamine receptor agonistequinepergolide toxicityunintentional ingestionveterinary medication exposure

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Area of Science:

  • Veterinary toxicology
  • Human toxicology
  • Pharmacology

Background:

  • Veterinary medications pose risks for human toxicity, with over 6,000 exposures reported in 2022.
  • Limited literature exists on managing poisoning from equine-specific pharmaceuticals.
  • Pergolide, used for equine Cushing's disease, was previously withdrawn from human use due to cardiac risks.

Observation:

  • Two cases of pergolide toxicity in horse owners following unintentional ingestion are presented.
  • Both patients exhibited similar clinical symptoms after ingesting the veterinary drug.
  • Veterinary drug ingestions present challenges due to limited human data and differing dosage recommendations.

Findings:

  • Unintentional pergolide ingestion led to toxic effects in human patients.
  • Clinical presentations were consistent across both reported cases.
  • Human toxicity data for veterinary drugs is often scarce.

Implications:

  • Case reports of human toxicity from veterinary medications are vital for clinical management.
  • Understanding clinical presentations aids in anticipating patient outcomes.
  • This highlights the need for increased awareness and data sharing regarding veterinary drug safety in humans.