Sarapin (P-Boc) and Dexamethasone are the two drugs needed for iontophoresis. Acquire these medications direct from your veterinarian or from online sources.
Sarapin is a regional anesthetic that provides non-sedating pain relief. P-Bloc is the veterinary label. The brand Sarapin has been on the market since 1931 and has no known side effects. Sarapin (for people) is known for relief of neuromuscular pain as an injectable with immediate effects and in some cases the pain relief lasts days or weeks. In horses (and dogs) this beneficial effect seems similar when phoresed for suspensory and check ligament injuries. P-Bloc is also very helpful for ringbone when phoresed for pain and to noticeably reduce the enlarged calcified areas.
Dexamethasone is a corticosteroid and acts as an anti-inflammatory. It is necessary to use the 4mg/ml strength when phoresing (2 mg/ml is too weak).
Horse Cocktail (for Iontophoresis)
The “horse cocktail” is a mixture of 4mg/ml Dexamethasone (optional: 40mg/ml Depo Medrol) for the negative polarity and Sarapin (P-Bloc) for the positive polarity. Saline Solution can be used if necessary to completely fill the drug-delivery pads. To learn more see the chapter on Iontophoresis in “MicroCurrent for Horses and other vital therapies you should know” by Deborah Powell.