What is the IONTOPATCH ?

By Deborah A. Powell

 
This is an excellent alternative for the delivery of the most commonly used anti inflammatory, dexamthasone. In the article "Joint Disease "Horse Sept.01 dexamethasone sodium phosphate was still listed as the premier drug of choice for reducing inflammation. Dexamethasone's reasonable price makes it even more desirable.
 
There are down sides in the traditional method of delivery with injections, creating potential for infection and a certain amount of discomfort (ie; injecting the hocks can be quite painful) and causes some tissue damage. With repeated injections for chronic conditions, the pain, tissue damage, and even infections became a viscous unpleasant cycle.
 
The IontoPatch allows you to deliver dexamethasone direct to the site safely. It's done by a small battery operated pad that ionizes the drug applied for direct infusion into the tissues. (Learn More). Not unlike all of the new transdermal patches on the market for smoking, pain control, or birth control. No needles, No tissue damage, and no chance of infection. (IontoPatch Catalog Page)
 
Simple to Use:
Clean the site and wet the area to be treated equal to the size of the pad. Then apply 1.6cc of Dexamethasone to the negative side of the pad and the same amount of saline (water) to the positive side. The pad has adhesive edges and sticks well to the site. I've used the IontoPatch with good results in numerous locations on the legs for splints, bumps, hocks, and suspensory swellings. On lower leg applications its easy, I add a little masking tape and vet wrap to protect and guarantee a continuous seal. In the hock area they squish well into the grooves and stay put. Put one pad on each side of the hock.
 
The IontoPatch works as a time release system. This slow release is complete in 24 hours then you remove the pad and discard. One application can produce up to 50% reduction in swelling. On a hard bump that was 30 days old the same reduction applied, but took an additional four treatments to reduce from a golf ball size lump to a slight smooth protrusion. By replacing water with Sarapin on the positive side you have additional pain relief that is quite soothing to the horses. Most veterinarians stock Sarapin and Dexamethasone in a standard 4mg/ml dosage and this works well. However, you can increase the potential for results by upping Dexamethasone to 10mg/ml as suggested by the study done by Andreis J. Kaneps, A. Morrie Craig, and Karen Walker at the College of Veterinary Medicine, Oregon State University (99). The best bet would be to contact a compounder like;
*Columbine Drug, who specialize in phoresing medications. By using specialized phoresing medications, you get no unneeded ingredients and more transferable Ions.
 
If you feel the IontoPatch is not going to fit a certain location the traditional method of using a phoresor would be a good option. When using a phoresor the medication is delivered in 10-15 minutes per polarity. This means delivering a negative drug only will take 10-15 minutes and delivering an additional positive drug will take another 10-15 minutes. The drugs are all applied at once so the additional time is a simply an instrument function. Quick Links: Iomed Phoresors - Equine Kit - Iomed Electrodes
 
The article Update: "New Weapons for the Lameness Battle", Practical Horseman (Apr 02) mentions that phoresing might not be as successful as injection due to the lesser amount of 6cc of drug used. With the improvements in drug delivery electrodes such as the IOMED we are successful with 2cc -3.5cc of dexamethasone at 4mg/ml. Imagine what the potential might be by using 2cc of dex at 10/mg/ml of pure phoresing product. And because of the low dosages of medications and the noninvasive procedure you can treat as often as needed with no side affects.
 
Treatment can be administered by your vet or you can self administer. The battery operated pads are as easy as putting on a band aid. With minimal training using a phoresor is not too difficult to master. Your vet may be able to rent or loan you an instrument. You will need to work with your vet to obtain the medication and determined the amount of treatments needed. Your vet can write you a prescription for submission to a compounder for medications that are specially made for IontoPhoresis.
 
*Columbine Drug 970 663-4600, Loveland, CO
 
 
Matrix Therapy Products Corp.
23621 S Upper Highland
Beavercreek OR
888 764-5115
email:Deborah
Back to Read All About It