Thyrotropin Releasing Hormone (trh/protirelin Acetate)
General Drug Information and Indications
TRH stimulation test diagnostic agent for evaluation of pituitary function and diagnosis of PPID in horses.
TRH — hypothalamic tripeptide hormone for diagnostic stimulation test. Mechanism: stimulates anterior pituitary TSH and prolactin release; in PPID diagnosis, also stimulates aberrant ACTH release from pars intermedia → exaggerated plasma ACTH response confirms PPID diagnosis. IV administration for dynamic stimulation test in horses.
Key information
Protirelin acetate (TRH) — diagnostic test agent for equine PPID. Refrigerate. Single-use. IV injection. Used with ACTH stimulation testing protocol.
How to Give this Medication
IV injection (diagnostic test): administer as rapid IV bolus over 30 sec. Collect plasma ACTH samples at time 0 and 10 min post-injection. Horse should be standing and unstressed before sampling. Store refrigerated (2–8°C); do not freeze.
If a dose is missed
This medication is administered by a veterinarian or veterinary staff in a clinical setting. Missed doses are managed by your veterinary team — contact your veterinarian to reschedule.
Side Effects
Transient: mild sedation, defecation, salivation, sweating, and transient tachycardia (horses — within minutes of IV injection). These side effects are brief (resolve within 10–30 min). Generally safe as diagnostic test.
Precautions
For animals
TRH stimulation test — diagnostic use only. Administer IV dose as rapid bolus. Record plasma ACTH at 0 and 10 min post-injection for PPID diagnosis. Side effects (defecation, yawning, sweating) are expected and transient.
For people handling this medication
Administered by veterinary professionals only. No specific human precautions for caregivers beyond normal hygiene.
Overdose
Contact your veterinarian. TRH diagnostic agent — administered by veterinary staff. Contact vet if adverse signs develop.
Thyrotropin Releasing Hormone (trh/protirelin Acetate) dosage forms
| Product | Strength | Form | Size | Type |
|---|---|---|---|---|
| THYROTROPIN RELEASING HORMONE (TRH/PROTIRELIN ACETATE) 0.5 MG/ML INJECTION - 2 ML | 0.5 MG/ML | Injectable | 2 ML | Compound |
Sources
This information is provided for educational purposes and is not a substitute for advice from your veterinarian. Source: Merck Veterinary Manual – Pituitary Pars Intermedia Dysfunction in Horses; Plumb's Veterinary Drug Handbook (Plumb, D.C., app.plumbs.com)