Members' NAVLE study guide

Equine Ionophore (Monensin) Toxicity

1,509 words 7 min read Reviewed November 12, 2026

Ionophores such as monensin are feed additives used in cattle, poultry and other livestock. Horses are far more sensitive to them than cattle, so a feed-mixing error or access to cattle feed can cause severe heart and muscle damage, often in several horses at once. There is no antidote, which is why prevention is the central message.

Key facts

Ionophore toxicity at a glance
  • Species and system: horse; cardiovascular and skeletal muscle.
  • Cause: ingestion of an ionophore such as monensin that was approved for cattle, chickens, goats or turkeys, not for horses (MSD).
  • Sensitivity: monensin LD50 in horses is 2-3 mg/kg, versus 20-80 mg/kg in cattle and 20 mg/kg in dogs (MSD).
  • Typical source: feed mill mixing errors, accidental overdose, misuse in a non-target species, accidental ingestion (MSD).
  • Acute signs: weakness, anorexia, colic, profuse sweating, tachyarrhythmias, recumbency, sudden death (MSD).
  • Treatment: no specific treatment or antidote (MSD); supportive care.
  • Zoonotic: no.

What's inside

13 sections in the full guide
  1. Key facts
  2. How the NAVLE tests this
  3. Cause and pathophysiology
  4. Clinical signs
  5. Diagnosis
  6. Differential diagnoses
  7. Treatment and management
  8. Prevention, control and public health
  9. Prognosis
  10. Putting it together in practice
  11. Quick review
  12. Test yourself
  13. References
The full guide also has 4 tables, 3 self-test questions and 7 references, available to NAVLE members.

Read the full study guide

The full guide is part of every NAVLE plan, with diagnosis and treatment tables, figures, a quick review and self-test questions. Start a free trial to try the question bank, or log in if you are already a member.

Read the free overview article A shorter, free article on Ionophore toxicity on the NavleExam blog.

More guides

Equine · Cardiovascular