Guides
Worming: the advice reversed, and most yards have not heard
If your routine is a tube of wormer every eight to twelve weeks for every horse on the yard, you are following the textbook of twenty years ago. Every current guideline, British, American, Dutch and Australian, now says the opposite.
What changed
The old logic was simple: worms are bad, wormers kill worms, so worm everything on a calendar. The problem is that worms evolve. Every unnecessary dose selects for the worms the drug cannot kill, and there are only four drug classes for horses, with nothing new arriving.
The results are in. In the Netherlands, 80 to 90 percent of yards now carry benzimidazole-resistant small redworm. Ivermectin used to suppress egg counts for eight to ten weeks; current studies measure four to five. Moxidectin has fallen from twelve to sixteen weeks to the same. The American guideline puts it in one line: stop deworming on fixed intervals, and stop rotating products blindly.
What the modern routine looks like
Test first, treat the few. A faecal egg count from a dung sample, two or three times over the grazing season, tells you which horses are actually shedding eggs. Only about a third of adult horses shed enough to justify treating, the common threshold being 200 eggs per gram. The rest are left untreated on purpose: their untreated worms dilute the resistant ones, which is what keeps the drugs working for the yard as a whole. That is also why "worm everyone on the same day" is not hygiene but harm.
An egg count of zero does not mean a clean horse. Encysted small redworm larvae sit in the gut wall producing no eggs at all, and their mass emergence is a genuinely dangerous disease. Tapeworm sheds eggs too irregularly to count, so it has its own saliva test. This is why the modern routine is testing plus a considered autumn decision, made per horse with your vet or advisor, not a calendar and not a guess. Young horses of one to three, and older horses at higher risk, are the ones where a routine autumn larvicidal treatment still earns its place.
Three habits worth breaking today
- Dosing by eye. Eyeballed weights under-dose, and under-dosing breeds resistance. Use a weigh tape, and the British guideline adds a concrete number: add ten percent to a weigh tape estimate.
- Rotating brands. Ivermectin and moxidectin are the same drug class. Swapping between them rotates nothing.
- Egg counts as a sickness test. A count estimates egg shedding, not worm burden, and cannot tell you whether worms are why a horse is ill. That is a vet question.
Foals are the exception, in the other direction
Everything above applies to adult horses. In foals, testing-first does not work: roundworm larvae do damage before any egg appears in the dung. Foals get planned treatments at set ages, all youngstock counts as high risk, and several products carry age restrictions. Breeding is the one place where the calendar survives.
Why the record is the treatment plan
The modern approach runs on memory: which horse shed what in spring, what was given and why, what the reduction test showed last year. The British CANTER guideline devotes an entire chapter to record keeping and asks for the date, the product and active, the test results and the rationale for every treatment. In the UK the medicine record for a horse not signed out of the food chain is a legal requirement, kept five years. In the Netherlands wormers are prescription-only, so the vet's records exist, but yours are what connect them.
Or put practically: the yard that writes nothing down cannot do targeted worming at all. It has nothing to aim with.
What is worth writing down
- Every egg count with date and result, per horse
- Every treatment: product, active ingredient, dose, and why it was given
- The weight the dose was based on, and how it was measured
- The saliva test for tapeworm, with its score
Sources
- CANTER guidelines (UK, 2024, reviewed 2025 and 2026), chapters 1 to 4, 11 and 12: canterforhorses.org.uk/guidelines
- AAEP Internal Parasite Control Guidelines, revised May 2024: aaep.org
- Leidraad Paard en Parasieten, Sloet et al., Dier en Arts 2024, via KNMvD: knmvd.nl
- BEVA primary care clinical guidelines on equine parasite control, Rendle et al., Equine Veterinary Journal 2024: pubmed.ncbi.nlm.nih.gov/38169127
- Beasley et al., Australian Veterinary Journal 2025: pmc.ncbi.nlm.nih.gov/articles/PMC11962583
- Whitlock et al., Equine Veterinary Journal 2025, seventeen years of UK egg count data: pmc.ncbi.nlm.nih.gov/articles/PMC12508284
- ESCCAP Guideline 8, second edition: esccap.org/guidelines/gl8
- NVWA on the Dutch prescription requirement: nvwa.nl
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