Proper way of using Lasix and Bute?

Question
My horse is suffering from bilateral epistaxis and my trainer is using lasix but the problem is still there... as an expert i know you can help me with this... please tell me the procedure... proper way of applying and dosage of lasix and bute...

Thank you very much... your word is very helpull to us

Answer
Mr. Sibayan,

Bilateral epitaxis, commonly known in the USA as EIPH, or bleeding from the lungs is usually treated with Lasix, as you have indicated.   But Lasix is just a treatment, and not a cure.  Bleeding can usually be controlled, but not eliminated.  You will always have to treat your horse with Lasix, and watch him closely , so that the bleeding is controlled.
As far as dosage goes, you would need to consult with your veterinarian, since he/she can scope the horse after exercise, and determine the extend of the bleeding, and the likely useful dosage.  Generally Lasix is given 4 hours before a race or work, but many vets believe that the optimal time for delivery is actually about 2 hours prior.  Lasix is given IV.
Many people believe that Bute negates the helpful effects of Lasix, if given on raceday.  Most trainers give Bute 24 hours prior to raceday, rather than on that day itself.  Bute can be given in pill or paste form, or as an IV injection.
Even when you give your horse Lasix, you still need to find the root cause of the bleeding.  Generally the horse is suffering from an underlying lung infection or irritation that predisposes him to bleed and left untreated, the condition worsens.  Once a horse does bleed, he needs to be scoped for cause, and then put on appropriate antibiotics or treatment for two weeks, and then scoped again, to ensure that the condition is cleared up before returning to any form of training.  Bleeding often gets worse the more often a horse runs, due to him being rushed back to the races without proper treatment and time off to recover.

Good Luck,
Stephanie Frost
www.alchemybloodstock.com