Ivermectin toxicosis in a foal: Use of intravenous lipid emulsion therapy.

This report describes a case of ivermectin toxicosis in a 4-day-old thoroughbred colt successfully treated with intravenous lipid emulsion (ILE) without complications. This case supports the use of ILE as a safe and effective therapy for the management of lipophilic drug toxicosis in foals. Key clinical message: Ivermectin toxicosis, though rare in equine neonates, can occur following accidental overdose and induces severe neurologic signs. In this case, ILE administration resulted in rapid neurologic improvement and complete recovery without adverse effects, supporting its use as a safe and effective antidote for lipophilic drug toxicosis in foals.