I have a friend who is a horse. We would like to give him ivermectin bc he's not been eating his hay, and stamped his horse knuckles on the ground 3 times which we taught him means, "I don't feel good." In researching, we've read he can take it either as a paste, or a pill. What is the best and most efficacious way to help our four legged friend?
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Allegedly, if it is taken with food, especially a meal with some fat content, it is better absorbed.
So a horse who is taking it for intestinal parasites might want to take it on an empty stomach, but a horse taking it for viruses or blood parasites, might want to take it with a meal.