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RMTC FAQ Series

Q: Can I only inject one joint with corticosteroids?

A: The research that was done to establish corticosteroid thresholds is based upon administration of corticosteroids into a single joint at a specific dose. Nonetheless, there are many practitioners who have been injecting multiple joints with corticosteroids since the advent of the NUMP. Based upon the dose injected, the veterinarian will have to determine whether the withdrawal time will vary from the single dose. Results from clinical cases have been collected in Minnesota, Kentucky, and California where multiple joints have been injected with corticosteroids and concentrations in samples from horses have been below the regulatory thresholds at the time of sampling.
The veterinarian should be aware, however, that simply injecting different IA spaces with different corticosteroids at the recommended dose will not necessarily ensure compliance with the thresholds. Veterinarians need to be aware of the clearance mechanism for various medications – those with the same clearance mechanism may interact and thereby extend the time for one or more medications to fall below threshold concentrations if administered close in time to one another. Moreover, the practitioner should not assume that because a specific protocol fell below the regulatory threshold in one horse that it will in all horses. #RMTC #CleanRacing

The Arabian Jockey Club is a staunch supporter of the efforts of the Racing Medication and Testing Consortium.
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RMTC FAQ Series

Q: Can I only inject one joint with corticosteroids?

A: The research that was done to establish corticosteroid thresholds is based upon administration of corticosteroids into a single joint at a specific dose. Nonetheless, there are many practitioners who have been injecting multiple joints with corticosteroids since the advent of the NUMP. Based upon the dose injected, the veterinarian will have to determine whether the withdrawal time will vary from the single dose. Results from clinical cases have been collected in Minnesota, Kentucky, and California where multiple joints have been injected with corticosteroids and concentrations in samples from horses have been below the regulatory thresholds at the time of sampling.
The veterinarian should be aware, however, that simply injecting different IA spaces with different corticosteroids at the recommended dose will not necessarily ensure compliance with the thresholds. Veterinarians need to be aware of the clearance mechanism for various medications – those with the same clearance mechanism may interact and thereby extend the time for one or more medications to fall below threshold concentrations if administered close in time to one another. Moreover, the practitioner should not assume that because a specific protocol fell below the regulatory threshold in one horse that it will in all horses. #RMTC #CleanRacing

The Arabian Jockey Club is a staunch supporter of the efforts of the Racing Medication and Testing Consortium.
The Arabian Jockey Club is a nationally chartered non-profit organization dedicated to the promotion and education of the Arabian racing industry in the United States. Arabian racing was organized in the U.S. around 1959.
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