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Treatment
A way to improve or resolve a condition or diagnosis. This might include resolving the underlying cause or treating the signs of disease (symptomatic treatment).

Cost: Under $100

These cost ranges are approximate and may vary from region to region.
Additional charges may also apply.

YOUR VET MAY Recommend

Vaccination, Tetanus

Cost: Under $100

These cost ranges are approximate and may vary from region to region.
Additional charges may also apply.

Summary

Tetanus is a severe disease caused by a toxin produced by the bacterium Clostridium tetani. Equines are very susceptible to tetanus, and the disease, when it occurs, is often fatal. Even if a horse survives tetanus, the treatment necessary to save them is expensive. This is not to mention the suffering that the horse must endure.

HOW IT WORKS

Tetanus toxoid is created from the toxin of the Clostridium tetani bacterium, which has been purified, and chemically altered so it has no toxic effects, but still stimulates an immune response. When this is mixed with other vaccine components and injected into the horse's muscle, immune cells create antibodies to the toxin over a few weeks. If the toxin later gains access to the blood, then antibodies in the blood bind to the toxin and destroy it before it can produce disease.

The tetanus toxoid should not be confused with Tetanus Antitoxin, which is a dose of pre-formed antibodies to the tetanus toxin. This is given when a horse has not been vaccinated and is at risk.

Commercial tetanus toxoid vaccines are inexpensive, safe and are considered effective at preventing disease. For these reasons, annual tetanus vaccination just makes good sense. Tetanus toxoid is a core vaccine, recommended for every equine by the American Association of Equine Practitioners (AAEP). It is given annually as an intramuscular injection and is commonly combined with West Nile and Encephalitis vaccines in the same dose.

A tetanus booster is often given to horses that have suffered a wound, especially if the last tetanus immunization was over 6-12 months prior.

I frequently hear questions from horse owners about the duration of immunity (titer) following tetanus vaccination. While the titer duration is likely to be greater than 1 year, the AAEP's recommendation as of the time of this writing is still 1 year. It is important to discuss this recommendation with your vet. This way, if there is ever a doubt, you will have the confidence to know the horse has adequate protection.

There are several types and brands of this vaccine available, most of which are effective. Talk to your vet about which vaccine is most appropriate for your horse. As with all vaccines, there are advantages to having your vet vaccinate your horse. They can ensure that any vaccine is handled and administered properly, will maintain proper vaccination records and will address any complications. If your vet administers the vaccine and your horse contracts the virus, some pharmaceutical companies will pay for at least a portion of the veterinary treatment required.

my vet's role

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Related Diagnoses

This treatment might be used to treat these conditions or ailments.

Very Common
Less Common
Rare
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CONSIDER POTENTIAL SIDE EFFECTS & COMPLICATIONS

Tetanus vaccines and combinations containing tetanus are generally quite safe. As with all vaccines, adverse reactions are possible. Any vaccine can cause local swelling and pain. Horses may be depressed and lose their appetite. Anaphylactic (allergic) reactions are possible and can cause severe depression, colic, diarrhea or hives.

The tetanus antitoxin (not to be confused with the vaccine), carries a risk of causing Theiler's disease (Serum Sickness), a potentially fatal liver disease.

CONSIDER REASONS NOT TO USE THIS TREATMENT

If a horse has never had tetanus vaccination, and immediate immunity is desired, the tetanus vaccine alone is not the best choice. In this case, the tetanus antitoxin should be considered.

your role

Is it working? Timeframe for effect.
Like many equine vaccines, horses must receive a primary vaccination series 2 or 3 shots spaced 3-6 weeks apart. Two weeks after the second shot of the primary vaccination series, antibody levels are protective. Thereafter, an annual vaccination is recommended to boost immunity.
Questions To Ask Your Vet:
  • Should my horse get a tetanus booster despite being current on vaccination?
  • Is there a need for both tetanus booster and tetanus antitoxin?

further reading & resources

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Brand Name Products

Equine health related brand name products and services.

  • Colorado Serum Company Tetanus Toxoid Unconcentrated, Adjuvanted Detoxified Toxin, Equine Vaccine
  • Professional Biological Encephalomyelitis Vaccine Eastern & Western with Tetanus Toxoid, Equine Vaccine
  • Professional Biological Tetanus Antitoxin - Equine Origin, Equine Vaccine
  • Professional Biological Tetanus Antitoxin - Concentrated/Purified, Equine Vaccine
  • Professional Biological Tetanus Toxoid - Concentrated, Equine Vaccine
  • Boehringer Ingelheim Vetmedica Inc. Cephalovac® EWT, Equine Vaccine
  • Boehringer Ingelheim Vetmedica Inc. Cephalovac® VEWT, Equine Vaccine
  • Boehringer Ingelheim Vetmedica Inc. Vetera® EWT, Equine Vaccine
  • Boehringer Ingelheim Vetmedica Inc. Vetera® VEWT, Equine Vaccine
  • Colorado Serum Company Tetanus Toxoid Concentrated, Adjuvanted Detoxified Toxin, Equine Vaccine
  • Colorado Serum Company Tetanus Antitoxin, Equine Origin, Equine Vaccine
  • Colorado Serum Company Encephalomyelitis Vaccine Eastern & Western w/ etanus Toxoid, Equine Vaccine
  • Merck Animal Health Encevac® T with Havlogen®, Equine Vaccine
  • Merck Animal Health Encevac® T+ VEE with Havlogen®, Equine Vaccine
  • Merck Animal Health Encevac® TC-4 with Havlogen®, Equine Vaccine
  • Merck Animal Health Encevac® TC-4+VEE with Havlogen®, Equine Vaccine
  • Merck Animal Health Encevac® + WNV with Havlogen®, Equine Vaccine
  • Merck Animal Health Encevac® T+ WNV with Havlogen®, Equine Vaccine
  • Merial Recombitek® rWNV-EWT, Equine Vaccine
  • Boehringer Ingelheim Vetmedica Inc. Vetera® GoldXP + VEE, Equine Vaccine
  • Boehringer Ingelheim Vetmedica Inc. Cephalovac EWT & VEWT, Equine Vaccine
  • Boehringer Ingelheim Vetmedica Inc. Vetera® GoldXP, Equine Vaccine
  • Boehringer Ingelheim Vetmedica Inc. Tetguard™, Equine Vaccine

Author: Doug Thal DVM Dipl. ABVP