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This depends on where your horse is stabled at, what other horses he/she is in contact with, what the population density of the stable is, what worms have been a problem at this stable, how old your horse is and several other factors as well.

The best answer to this is to discuss your concern with your veterinarian when he/she does a routine physical, floats your horses teeth (files down the sharp edges) and/or vaccinates your horse. An adult horse stabled in a barn with relatively few other horses, a large amount of pasture space and doesn't travel anywhere may not need to be dewormed at all. In contrast, a young horse (less than 3 years old) who is stabled in a large barn with many other horses that rotate in and out, has very little pasture access and travels frequently to shows or competitions may need to be on a daily dewormer with additional deworming with a second drug every 2-3 months.

Your veterinarian can take a stool sample from your horse and look for the eggs of a parasite under a microscope; this is relatively easy to do and should cost less than $20. Based on what eggs are seen, your veterinarian can then recommend what dewormer you should use (there are at least three different drug classes of dewormers commercially availabe in the US) and how often you should deworm your horse.

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