ReBalance (sulfadiazine and pyrimethamine) Antiprotozoal Oral Suspension for Horses, 1-qt bottle

Have a Chewy account?
Sign in to quickly add pet health details.
$274.16 First Time Autoship Price
this order
Save 40% (up to $40) today when you set up Autoship. 

$314.16 Autoship Price
future orders
  • Never miss a dose with easy refills
  • Skip, change, or cancel anytime
$314.16 Chewy Price
($314.16 /ea)
Promo, Save 20% on first Rx order with code RX20
Promo, New Customers Only: Spend $49+, Get $20 eGift Card + Free Shipping with code: WELCOME

In Stock
FREE delivery
Usually arrives in 3-5 days
Prescription approval made easy
We’ll reach out to your vet clinic.

No interest if paid in full in 6 months. .

Medications ship separately. Delivery times may vary.

About This Item

Details

  • A Trusted Veterinarian-Prescribed Solution: ReBalance is a once-a-day FDA approved medication for the treatment of Equine Protozoal Myeloecephalitis (EPM) caused by Sarcocystis neurona.
  • Clinically Proven Effectiveness: In a multi-site field study, 62% of horses treated with the labeled dose showed treatment success, either through marked clinical improvement or negative tests.
  • Convenient Format: ReBalance is supplied as a ready-to-use oral suspension in a 1 quart multiple dose bottle making it easy to administer.
  • Targeted Mechanism of Action: ReBalance inhibits folic acid synthesis at two distinct points in the same protozoal metabolic pathway. The combination of the two ingredients is synergistic with the drug combination having an antiprotozoal effect
  • *When administered under labeled conditions, Rebalance is safe and effective for the treatment of horses with EPM caused by Sarcocystis neurona

Ingredients

Instructions

FAQ

Learn More About ReBalance From Our Team of Experts
4.2
Rated 4.2 out of 5 stars
17 Ratings

11 Customer Reviews



Always consult a veterinarian about your pet’s health needs. Customer reviews should not be used as medical advice.

Rated 5 out of 5 stars
By Pamela on Mar 6, 2024

It worked great 4 my horse

She had a bad case of it. Started the Rebalance within 2 weeks of 1st noticing the symptoms. No horse is going to like how it tastes so makes it hard each time you

She had a bad case of it. Started the Rebalance within 2 weeks of 1st noticing the symptoms. No horse is going to like how it tastes so makes it hard each time you give it to them but if you love your horse this is a minor detail. You continue to give it everyday directly into their mouth & hold their mouth up after. I would wrap the lead rope around her nose at the same time so she could not spit it out. Sometimes she won & I would just do it again. I had to put it in 2 smaller syringes because my hands could not work the size of the syringe dose you need. I put her in a stall for a hour before I gave it and for an hour after I gave it. No food hay grass till after that. Everyday for over 90 days. It was hard work for me but she was worth it. The medicine started working at about week 2 then giving it was even harder because she felt better. She has been epm free for almost 4 years. I was able to ride her again after the 90+ days. She was 25 yrs old at the time so she had slowed a little already with age. She is almost 30 & I can still ride her for a few hours. Anyway I followed the directions exactly and did not miss a day & it worked and i recommend it.


Rated 1 out of 5 stars
By Vanessa on Dec 13, 2023

The price is ridiculous!

These same ingredients are used to treat parasitic infections that a third of the world at any given time has. Given those stats and the associated numbers of animals

These same ingredients are used to treat parasitic infections that a third of the world at any given time has. Given those stats and the associated numbers of animals being treated the cost is absolutely outrageous. Especially when these ingredients are used as an anti malaria treatment in 3rd world countries. Do better! Humans and animals deserve better than to be sacrificed for greed.


Rated 3 out of 5 stars
By Judy on Oct 4, 2023

Jury still out

My horse does not like this product and tends to spit at least some of it out every day. I don't know how important it is for the horse not to eat + / - an hour

My horse does not like this product and tends to spit at least some of it out every day. I don't know how important it is for the horse not to eat + / - an hour of taking this, but that is not feasible in my boarding situation, so we aren't allowing grain within an hour. Also, my vet recommended this for a month, but the bottle says it's usually given for 90-120 days.


Rated 5 out of 5 stars
By Michele on Jan 30, 2023

ReBalance Oral

So far it looks like it is working. Which is great news.

So far it looks like it is working. Which is great news.


Rated 3 out of 5 stars
By Alan on Feb 10, 2022

Increased $100 in 2 months ridiculous

1) does it work? You really have to get retested to know if it’s actually doing anything ; 2) Dec 2021 this item was $163. Feb 2022 $254. There’s apparently a string

1) does it work? You really have to get retested to know if it’s actually doing anything ; 2) Dec 2021 this item was $163. Feb 2022 $254. There’s apparently a string of immoral people taking advantage of us who really need this product for beloved animals.


Rated 5 out of 5 stars
By DRDRE on Jan 28, 2022

Good product

I gave this to my horse as part of his EPM treatments. I was very grateful Chewy sells it. He is doing much better!

I gave this to my horse as part of his EPM treatments. I was very grateful Chewy sells it. He is doing much better!


Rated 5 out of 5 stars
By Cookieman on Jul 22, 2021

Epm rebalance

Works wonders on a epm horse..daily use and symptoms for me negligable

Works wonders on a epm horse..daily use and symptoms for me negligable


Rated 5 out of 5 stars
By Ann on Apr 15, 2021

Excellent vet approved product at an excellent price

Chewy price was half of what my vet charges for the same product and same amount.

Chewy price was half of what my vet charges for the same product and same amount.


Rated 5 out of 5 stars
By Patricia on Sep 3, 2020

Great customer service

Love Chewys! They have wonderful customer service and extremely competitive pricing. They stand behind their products and have a wonderful team working for them

Love Chewys! They have wonderful customer service and extremely competitive pricing. They stand behind their products and have a wonderful team working for them. I highly recommend using them.


Rated 1 out of 5 stars
By Jenn on Jun 11, 2020

it may be worth a try, but results vary considerably.

I treated my mare for two months with rebalance and ended up switching to another medication. She didn't have sever clinical symptoms of EPM and believe I caught

I treated my mare for two months with rebalance and ended up switching to another medication. She didn't have sever clinical symptoms of EPM and believe I caught it early. There are not a whole lot of choices for medications. I don't think my horse responded very well to this medication. It has been a little over a year and she began showing clinical symptoms again, just this past month and I have resumed tx. However, I don't think this has slowed the progression of the disease.