“…Three classes of anthelmintic are authorised for the treatment of cyathostomin infections in the UK: the benzimidazoles (fenbendazole), the tetrahydropyrimidines (pyrantel salts) and the macrocyclic lactones (ivermectin and moxidectin). Resistance among the cyathostomins to the benzimidazole and tetrahydropyrimidine drugs is now widespread across the world (Kaplan et al, 2004; Lester et al, 2013; Matthews, 2014; Peregrine et al, 2014), and there is recent evidence to suggest growing resistance to the macrocyclic lactones (Abbas et al, 2021; Flores et al, 2020; Nielsen, 2022; Nielsen et al, 2018, 2020; Nielsen, Littman, et al, 2022; Relf et al, 2014), including in the UK (Bull et al, 2023). However, reports suggest that, in most regions, the macrocyclic lactones continue to have considerably higher observed anthelmintic efficacy against strongyle infections than the other two drug classes (Nielsen et al, 2018).…”