Legend vs Adequan cost factor

Discussion in 'Horse Health' started by OhSoAppy, Nov 4, 2013.

  1. OhSoAppy

    OhSoAppy Senior Member+

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    What is the general breakdown of the cost for maintenance between the two?

    My vet is more of a fan of Legend, but I also know it is more expensive...and requires a little more skill to inject.
    I am comfortable doing IM shots myself, so Adequan would be easier. What is the original loading dose cost, and follow up care cost?
     






  2. 2006reswc

    2006reswc Banned

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    I wouldnt worry about the cost as much as choosing the correct drug for the job. I use Adequan in addition to hock injections on one of my horses, but have another one with a stifle issue and just plain old aging joints which gets Legend. THEY ARE NOT THE SAME! I would be letting the vet decide o the drugs and treatment plan
     
  3. OhSoAppy

    OhSoAppy Senior Member+

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    I understand. I have had both recommended for the same horse, and cost IS a factor. So I am curious as to what the breakdown does look like. Of course, if one IS better for the horse, that'll be the route. However, if the lesser of two evils will get the job done, and be more financially feasible I'd prefer that route.
     
  4. Rambolove

    Rambolove Full Member

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    I totally understand this, having just finished Legend iv, stifle injections, and almost completing my Adequan series...Here is my take: It's not so much about costs vs which product the horse responds better to, and what problem you are trying to treat. Legend is targeted for synovitis- inflammation of joint capsule, and Adqeuan is targeted for rebuilding cartilige. Both have mild anti-inflammatory properties. Adequan tends to take longer to work as it has a different mechanism than Legend, which is more quick acting. Usual protocol for Legend is one 4ml iv injection every week for 3 shots. With the vet call fee, this ran me about $160 per shot- OUCH! Adequen is one shot every 4 days for a total of 7 shots, and I usually buy online for around $300. That said- Adequan is currently in sort supply so I had to recently get it from the vet, who normally price matches online prices, but they were not doing it during the the Adequan shortage, which is still going on. Legend is more readily available. I like both products, and though I like the ease of giving Adequan, I am not thrilled about injecting my horse every few days either! Some do monthly injections after the recommended dosing, but I just feed an oral supplement (Smartflex Resilience- love it! Took my guy off for a while but he's back on it and doign much better!)

    Some other options for injectibles include Pentosan (compounded by a company such as Wedgewood Pharmacy) or Pent Ausssie which is a combo of pentosan and acetyl d glucosamine. Pentosan also had a shortage which came about due to the Adequan shortage. I tried Polyglycan too (glucosamine, HA and chondrointon I believe) but vet had to give by iv too and I didn't think it was as good as Legend. You can also try just compounded acetyl d glusosamine- some folks say it works similar to Adequan.

    With any of these meds, you will probably need to do some experimenting to find what works best and how often you need to administer. Also it depends on what it is you are specifically treating. Sometimes, it's more cost effective to directly inject the joint that is causing problems. In my case it was the stifles, and the IA injections did much better than any of the systemic injectibles did in the long run.

    Good luck to you!!
     
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  5. Lopinslow

    Lopinslow Senior Member+

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    my vet prefers the Adequan, and that is what i have used even back on Bob's dam when i was showing her in the late 90's.

    with her back then, i did them once a month. i could tell without even looking at the calendar when she was due for her next one, as about 3 weeks post shot, she had a harder time rocking back on her hocks and staying slow.

    the lameness vet i've been using for several years recommends the loading dose (1 shot every 4 days for a total of 7 injections. the follow up really depends on the horse. Some are fine with one series a year, others need one a month after, etc.

    for a series, you're looking at about $400-450
     
  6. 2006reswc

    2006reswc Banned

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    Its not uncommon to use both at the same time. Adequan is great with horses on hock maintenance, The Legend gives a broader use, so for basic aged horse maintenance it would work better. Legend is an IV, but certainly doesnt take any special skill.

    It depends on the vet, but I pay $65 for Legend and a loading does of Adequan is $400 with it running 60 to 120 a month depending on the schedule of the particular horse.
     
  7. OhSoAppy

    OhSoAppy Senior Member+

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    Thank you so much everyone for the responses.

    Here is the run down of the situation. The horse did have his hocks injected for the first time in May. He was never 'lame', but not right at the lope. We did try him on Pentosan, and while it helped the rest of his body, it didn't touch his hock. This is a horse who normally slaps you with his hocks over the trail poles, but instead he was looking for every avenue to compensate. We determined his hocks were fusing, and decided instead of letting him compensate like so(and become unhappy), to inject. Huge difference following, and he has been great since. He is generally a low maintenance horse, besides all of that.

    He has been on an oral supplement for years, but I am thinking of pulling him off an oral...and just doing Legend or Adequan as inbetween maintenance for now.
     
  8. 2006reswc

    2006reswc Banned

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    In this case, my vet would have me on yearly maintenance hock injections and monthly adequan. I am thrilled, when I get a light schedule like this. Some of the solid packers take a magic wand and a money tree blooming year round. And yes, stop wasting money on the supplements go with the good drugs
     
  9. Heaven Sent

    Heaven Sent Senior Member

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    If he responded well to the the hock injections I would go to Adequan.

    I use all 3 (Legend, PentAussie, Adequan) individually or in combo depending on the horses condition.

    For instance, my 23 yr. old mare just had her hocks done. She hasn't started fusing yet so she gets a full set of injections with Depo/HA. She is on monthly PentAussie shots and if we decide to show her next year she will get Legends injections a couple days before each show. If we do show her it will probably only be local but I used to get her Legends injections before long distance trailer rides too and if the show lasted longer than a week she would get another Legends during.

    My 29 yr. old's hocks are shot. IA injections (Depo/HA) only last a month. He gets monthly Legends to help control pain/inflammation. Legends shots do work but I've never seen them last a month.:no: If I had unlimited funds I would get him weekly Legends. I don't do my own IV shots so with the price of a farm call and vet's price on Legends it just isn't in my weekly budget.
     
  10. JBandRio

    JBandRio Senior Member+

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    Legend and Adequan just aren't comparable, not interchangeable, not "one or the other".

    This said, this is a situation for Adequan.
     






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