Equimax Oral Gel for Horses
Active ingredients: Ivermectin, Praziquantel
Form
Gel
Species
Manufacturer
VIRBAC
VMD MA No.
05653/5042
What it's used for
For the treatment of mixed cestode and nematode or arthropod infestations, due to adult and immature roundworms, lungworms, bots and tapeworms in horses: ...
Full indications, dosage and side effects ↓The prescription itself has a price. See what practices near you charge for a consultation and the written prescription fee.
Paying less for Ivermectin + Praziquantel
-
1
Ask your vet for a written prescription
They must provide one on request. Under the CMA Order the fee is capped at £21 from 2027.
-
2
Fill it at a registered online retailer
The CMA found online pharmacies 50–60% cheaper than practice dispensing on common medicines — typically £200–£300 a year.
Done — we'll email you when prices land.
Prescription required
Your vet must provide a written prescription on request. You can then purchase from any licensed online retailer.
Equimax Oral Gel for Horses — SPC Details
Source: VMD Summary of Product Characteristics (SPC). Last updated 26 Mar 2026.
due to adult and immature roundworms, lungworms, bots and tapeworms in
horses:
Large-strongyle:
Strongylus vulgaris (adult and arterial larvae)
Strongylus edentatus (adult and L4 tissue larval stages)
Strongylus equinus (adult)
Triodontophorus spp. (adult)
Small-strongyle:
Cyathostomum: Cylicocyclus , Cylicostephanus
Cylicodontophorus Gyalocephalus
mucosal larvae).
Revised: May 2024
MA split from NI MA following AN:03838/2022
Parascaris: (adult and larvae)
Oxyuris: Oxyuris equi (larvae).
Trichostrongylus:Trichostrongylus axei (adult).
Strongyloides: Strongyloides westeri (adult).
Habronema: Habronema spp. (adult),
Onchocerca: Onchocerca spp. microfilariae i.e. cutaneous onchocerciasis
Lungworm: Dictyocaulus arnfieldi (adult and larvae).
magna, Paranoplocephala mamillana.
: Gasterophilus spp. (larvae)
As tapeworm infestation is unlikely to occur in horses before two months of
age, treatment of foals below this age is not considered necessary.
Single administration.
200 µg of Ivermectin and 1.5 mg of praziquantel per kg of bodyweight
corresponding to 1.07 g of paste per 100 kg bodyweight.
To ensure administration of a correct dose, body weight should be determined
as accurately as possible; accuracy of the dosing device should be checked
as underdosing might lead to an increased risk of development of resistance
to anthelmintic drugs.
WeightDosageWeightDosageUp to 100 kg1.070 g401-450 kg4.815 g101-150 kg1.605 g451-500 kg5.350 g151-200 kg2.140 g501-550 kg5.885 g201-250 kg2.675 g551-600 kg6.420 g251-300 kg3.210 g601–650 kg*6.955 g301-350 kg3.745 g651-700 kg*7.490 g351-400 kg4.280 g
* Concerns the 7.49g syringe only
The first division delivers enough paste to treat 100 kg.
Each subsequent syringe division delivers enough paste to treat 50 kg of
bodyweight. The syringe should be adjusted to the calculated dosage by
setting the ring on the appropriate place on the plunger.
The syringe containing 6.42 g of paste delivers sufficient paste to treat 600 kg
of bodyweight at the recommended dose rate.
The syringe containing 7.49 g of paste delivers sufficient paste to treat 700 kg
of bodyweight at the recommended dose rate.
Directions for use
Oral use
Before administration, adjust the syringe to the calculated dosage by setting
the ring on the plunger. The paste is administered orally by inserting the
nozzle of the syringe through the interdental space and depositing the required
amount of paste on the back of the tongue. The animal's mouth should be free
Revised: May 2024
MA split from NI MA following AN:03838/2022
of any food. Immediately after administration, elevate the head of the horse for
a few seconds to ensure the dose is swallowed.
The veterinary surgeon should give advice regarding appropriate dosing
programmes and stock management to achieve adequate parasite control for
both tapeworm and roundworm infestations.
Do not use in mares from which milk is taken for human consumption.
Do not use in horses known to be hypersensitive to active ingredients or to
any other ingredients
experienced such reactions as swelling and itching after treatment. It is
assumed that these reactions are the result of the destruction of large
numbers of microfilariae.
In case of very high levels of infestation, destruction of the parasites may
cause a mild transient colic and loose faeces in the treated horse.
Colic, diarrhea and anorexia have been reported in vary rare occasions post
treatment, in particular when there is heavy worm burden.
In very rare occasions, allergic reactions such as hypersalivation, lingual
oedema and urticaria, tachycardia, congested mucus membranes, and
subcutaneous oedema have been reported following treatment with the
product.
A veterinarian should be consulted if these signs persist.
Revised: May 2024
MA split from NI MA following AN:03838/2022
Care should be taken to avoid the following practices because they increase
the risk of the development of resistance and could ultimately result in
ineffective therapy:
•
an extended period of time.
•
misadministration of the product, or lack of calibration of the dosing device
(if any).
Suspected clinical cases of resistance to anthelmintics should be further
investigated using appropriate tests (e.g. Faecal Egg Count Reduction Test).
Where the results of the test(s) strongly suggest resistance to a particular
anthelmintic, an anthelmintic belonging to another pharmacological class and
having a different mode of action should be used.
Revised: May 2024
MA split from NI MA following AN:03838/2022
Resistance to ivermectin (an avermectin) has been reported in
equorum in horses in a number of countries including the EU. Therefore the
use of this product should be based on local (regional farm) epidemiological
information about susceptibility of nematodes and recommendations on how to
limit further selection for resistance to anthelmintics.
i. Special precautions for use in animals
Avermectins may not be well tolerated in all non target species. Cases of
intolerance are reported in dogs, especially Collies, Old English Sheepdogs
and related breeds or crosses, and also in turtles and tortoises.
Dogs and cats should not be allowed to ingest spilled paste or access to
used syringes due to the potential for adverse effects related to ivermectin
toxicity.
Parasite resistance to a particular class of anthelmintic may develop following
frequent, repeated use of an anthelmintic of that class.
ii. Special precautions to be taken by the person administering the
veterinary medicinal product to animals
Wash hands after use (to be sure that eye contamination can not occur).
Avoid contact with the eyes. In the case of accidental contact, rinse with
abundant quantities of water. In case of eye irritation, seek medical attention.
Do not eat, drink or smoke while handling this product.
In the event of accidental ingestion, seek medical advice and show the doctor
the leaflet so that he knows what you have taken.
The first division delivers enough paste to treat 100 kg.
Each subsequent syringe division delivers enough paste to treat 50 kg of
bodyweight. The syringe should be adjusted to the calculated dosage by
setting the ring on the appropriate place on the plunger.
The syringe containing
This information is sourced from the official Summary of Product Characteristics (SPC) published by the Veterinary Medicines Directorate (VMD). It is provided for informational purposes only and does not replace professional veterinary advice. Always consult your vet before administering any medication.
Medication costs adding up?
Pet insurance can cover prescription medications. Find the right policy for your pet.
Other Products Containing Ivermectin
These products share the same active ingredient and may be suitable alternatives. Always consult your vet.
Alomec 18.7 mg/g Oral Paste for Horses
POM-VPSBimeda Animal Health Limited
Aloquantel Ivermectin and Praziquantel Oral Gel for Horses
POM-VPSVirbac
Animec 0.5% w/v Pour-on Solution
POM-VPSChanelle Pharmaceuticals Manufacturing Ltd
Animec 0.5% w/v Pour-on Solution
POM-VPSChanelle Pharmaceuticals Manufacturing Ltd
Animec 0.8mg/ml Oral Solution for Sheep
POM-VPSChanelle Pharmaceuticals Manufacturing Ltd
Animec 10 mg/ml Solution for Injection for Cattle, Pigs and Sheep
POM-VPSChanelle Pharmaceuticals Manufacturing Ltd
Alternative options to consider
Retailers we earn a commission from. It costs you nothing and never changes what we show.
Wormers for Dogs
Drontal, Milbemax, Panacur and generic wormers for dogs. Dispensed by a UK registered pharmacy.
Pet Wormers at Pharmacy2U
Drontal, Milbemax and own-brand wormers dispensed by the UK's largest online pharmacy.
VetBox Flea & Worm Protection for Dogs
Vet-founded monthly parasite subscription. Flea, tick and worm protection delivered to your door. Founded by Dr Will Woodley, protecting 30,000+ pets.
We may earn a small commission if you purchase through these links, at no extra cost to you.
Related Medications
Aderexa 12.5 mg/125 mg Chewable Tablets for Dogs Weighing at Least 5 kg
POM-VMilbemycin Oxime (A3 and A4) + Praziquantel
Aderexa 2.5 mg/25 mg Chewable Tablets for Small Dogs and Puppies Weighing at Least 0.5 kg
POM-VMilbemycin Oxime (A3 and A4) + Praziquantel
Albacert 2.5% w/v SC Oral Suspension
POM-VPSAlbendazole
Albacert 2.5% w/v SC Oral Suspension
POM-VPSAlbendazole
Albex 10% w/v Oral Suspension
POM-VPSAlbendazole
Albex 10% w/v Oral Suspension
POM-VPSAlbendazole
Find cheaper vets near you
Compare vet consultation prices in your area. Save on procedures and get a prescription to buy medications online.