- A natural alternative to corticosteroids
- No cells, no functional cytokines
- Loading-dose series, minimal maintenance
- Freezable for up to 12 months
Loading-dose series protocol
- Nebulize 3 mL Alpha2EQ® combined with 3 mL saline or LRS.
- Series of six doses spaced at 48-hour intervals.
- It is recommended to hand-walk the horse while nebulizing.
Duration of response
- Varies between one month and ongoing (more than six months).
- Some horses (higher initial WCS) remain on a single dose monthly.
Anecdotal BAL results post-protocol have shown decreased neutrophils, eosinophils and mast cells. Using a bronchodilator prior to Alpha2EQ® has been helpful with severe mucus cases.
Nebulizer and mask fit
Alpha2EQ® is a Flexineb distributor; contact us for practitioner pricing. Measure the horse as shown to choose the mask size.


Best practices and dosing are published in the best-practices document. Full instruction sheets are inside each kit.