Can Tiludronate be Used in Horse Joints?

Early in 2014, the U.S. Food and Drug Administration approved tiludronate for intravenous administration in horses with navicular disease. Despite being a relatively new drug used in veterinary medicine, some equine practitioners are already prescribing tiludronate for “off-label” use in horses with other conditions, such as osteoarthritis by injecting the drug directly into the joint rather than using a systemic route of administration.
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