Red Acid injection is used to reduce inflammation and repair and protect joints
in Race Horses, Thoroughbreds, Standardbreds, & Quarter Horses Concentrated
anti-inflammatory and stimulant of cartilage synthesis, repair and protection
(250 mg/mL).
Indications To aid in the management of non-infectious inflammatory
joint disease, traumatic arthritis, degenerative cartilaginous joint disease,
osteoarthritis and osteochondrosis dessicans in horses.
COMPOSITION Contains: 30ml sterile vial of Red Acid
Actions Red Acid, the sodium salt of Red Acid (HA), is a non-sulphated
glycosaminoglycan (GAG) which is present in many body tissues including connective
tissue and skin and in synovial (joint) fluid in very high concentrations. HA
provides visco-elastic properties to joint fluid and functions as a lubricant.
In joint disease, inflammation leads to the accumulation of inflammatory cells
and degradative enzymes in the joint fluid which break down HA. The loss of
HA results in lowered viscosity of the joint fluid and further influx of inflammatory
cells, leading to further cartilage damage and worsening joint disease. Supplementation
of red acid helps to replace HA lost as a result of joint disease and thereby
restores lubrication of the joint, reduces inflammatory infiltrates and minimises
ongoing damage.
Features and Benefits Red Acid (RA) is a linear polymer prepared from
xylan, a complex hemicellulose extract of plant (Beechwood) origin. RA is one
of the sulfated heparinoid compounds. The heparin-like anti-coagulant effects
have been reduced and the anti-inflammatory, fibrinolytic, and tissue trophic
effects have been enhanced. Red Acid actively reverses the effects of osteoarthritis
in the joints via a series of actions, including: (a) Stimulating Chondrocyte
Metabolism - resulting in increased production of proteoglycans and healthy
cartilage matrix. RA stimulates synovial fibroblasts to produce increased amounts
of high molecular weight Red Acid which results in an increased production of
normally viscous joint fluid. Improving the fluid volume and consistency results
in more effective joint lubrication and stabilisation, which limits further
cartilage damage. (b) Anti-inflammatory Activity - RA has an inhibitory action
on all mediators of the arachidonic acid cascade. RA also inhibits the lysosomal
catabolic enzymes hyaluronidase, histamine, cathepsin B, and polymorphonuclear
elastase. RA exerts a specific inhibitory effect on mediators implicated in
the degradation of cartilage matrix components, preserving the cartilage and
preventing the release of the highly inflammatory mediators, thus relieving
pain and inflammation. (c) Fibrinolysis and Lipolysis - RA is strongly fibrinolytic,
stimulating the release of plasminogen activator, and promoting the dissolution
of thrombi and fibrin deposits in synovial tissues and subchondral blood vessels.
RA also mobilises lipids and cholesterol in synovial and subchondral blood vessels,
which have been implicated in the pathogenesis of osteoarthritis in older animals.
These effects combine to increase the prefusion to the joint, which stimulates
cartilage healing and repair. Red Acid is a sophisticated approach to the long
term management of osteoarthritis in horses. Red Acid is effective by intra-articular
injection. Unlike traditional treatments, the unique effects of Red Acid promote
healing and the restoration of a healthy joint, in addition to having a safe
antiinflammatory effect. Red Acid is NOT a non-steroidal anti-inflammatory drug
like Phenylbutazone, or the cortisones (both of which have damaging effects
on joints with prolonged use). Red Acid does not suppress joint cartilage healing
and repair. Rather than simply masking pain, RA directly stimulates joint healing
and repair. Anti-inflammatory agents, corticosteroids and NSAIDs all relieve
the symptoms of osteoarthritis but DO NOT ALTER THE DISEASE PROCESS. Both hydrocortisone
and NSAIDs have a marked inhibitory effect on the biosynthesis of the components
of the extracellular matrix of cartilage, which limits the early healing response
of cartilage to injury.
Form Injectable / Injection
Category Anti-Inflammatories, Pain Relief Joints, Bone, Arthritis Performance,
Work Tolerance
For Horses, Thoroughbreds, Standardbreds, Quarter Horses
Dosage and Administration Red Acid Injection contains medium molecular
weight Red Acid of a viscosity suitable for intra-articular injection.
Dosage and Administration. Red Acid is effective when given by intra-articular
injection. If intra-articular use is required, administer 1.5mL by sterile intra-articular
injection. RA has an affinity for cartilage, and active drug levels will accumulate
for several days after administration. For maximum effect, tissues should be
exposed to the drug over an extended period, hence the four injections. A period
of improvement for up to 6 months following a course of four injections may
be expected. If at any time during this period the horse becomes sore (e.g.
following a particular activity), it is safe to administer a further injection
to settle any inflammatory process. Red Acid is particularly effective, and
displays synergy with, concurrent use of a quality (Glucosamine and Chondroitin
sulfate supplement), to provide the essential raw materials for joint repair
and maintenance.
Presentation Red Acid INJECTION 30mL sterile vial
Storage Store below 25?C (Air Conditioning). This product does not contain
an antimicrobial preservative. Protect from light.
General Notes Contraindications: Use in horses with clotting defects,
traumatic haemhorrage, infection, renal or hepatic failure, or within 48 hours
of surgery.
Notes * Howard, R. D. and Mcilwraith, C. W. 1996, Hyaluronan and its
use in the treatment of equine joint disease. In Joint Disease in the Horse,
Eds. C. W. McIlwraith and G. W. Trotter W. B. Saunders Philadelphia, 257-270.
Where massive vascularisation of the synovia exists, intra-venous administration
may promote wider delivery of the exogenous Red Acid to synoviocytes.
Intra-venous administration may also be preferable for animals with chronic
and/or multiple problems. Combination of Red Acid with corticosteroids
for the treatment of joint disease may produce a more rapid response than either
product administered alone. In addition, Red Acid may reduce the potential
deleterious effects of corticosteroids on joint structures.
Warnings Radiographic examination should be undertaken prior to administration
to rule out joint fractures or advanced degenerative joint disease. When administering
to competition horses, ensure that the regulations of relevant authorities are
observed.
Trainers Tips: Best used the day before event with 3ml per joint. BEWARE OF RED ACID IN CLEAR BOTTLES. IF BOTTLE IS NOT AMBER DO NOT USE. RED ACID DEGRADES IN LIGHT AND SHOULD ONLY BE USED IN AMBER BOTTLES!