“…Horses with 'larval cyathostomiasis' pose a special problem because anthelmintic treatment is likely to be of benefit only after larvae emerge from their refuge and the damage is done. Horses with severe clinical signs of 'larval cyathostomiasis' have shown variable clinical responses to ivermectin, or to fenbendazole at repeated elevated dosages (Jeggo and Sewell 1977;Giles, Urquhart and Longstaffe 1985;Church, Kelly and Obwolo 1986). In two clinical cases where there was no response to ivermectin or fenbendazole at various dosages, a course of dexamethasone to suppress the inflammatory response to emerging cyathostome larvae resulted in marked clinical improvement (Church et al 1986).…”