Thyrotropin-Releasing HormoneDose, contraindications and adverse effects for Cats, Dogs and Horses.
What it is used for
Hypothalamic hormone given IV as a diagnostic stimulation test; in horses with PPID, abnormal pituitary cells over-respond to TRH with an exaggerated ACTH rise. Thyrotropin-releasing hormone (TRH; protirelin) is most commonly used in veterinary medicine as a diagnostic agent (TRH stimulation test) for diagnosing pituitary pars intermedia dysfunction (PPID) in horses. While safe and fast, when measuring cortisol as the marker, false-positive results are relatively common. Combining this test with a dexamethasone suppression test can improve diagnostic te
Dose by species
Doses are shown as published, not averaged across sources. Enter the animal’s body weight in the interactive drug guide to calculate the amount.
How it works
Thyrotropin-releasing hormone directly stimulates thyrotropin secretion by the pituitary gland, thereby indirectly stimulating synthesis and secretion of thyroid hormones. In horses, thyrotropin-releasing hormone (TRH) can stimulate the equine pars intermedia and appears to directly stimulate equine melanotropes.
Do not use in
Contraindicated in patients that are hypersensitive to it. Use with caution in patients with seizure disorders as IV administration has rarely caused seizures in humans.
Main adverse effects
Hypersalivation, vomiting and restlessness were noted in healthy dogs. In horses, IV administration of TRH can cause transient muscle trembling, yawning, lip-smacking, flehmen, and coughing. In humans, TRH given by rapid IV injection or intranasally can cause nausea, a desire to urinate, flushing, dizziness, and a strange taste. Intranasal administration has rarely caused bronchospasm.
Source
Plumb's Veterinary Drug Handbook, 10th Edition
MSD Veterinary Manual — Pituitary Pars Intermedia Dysfunction in Horses (accessed 2026-08-12)
Condensed and attributed, never reproduced whole. Open the full entry in the app.