We can’t always prevent a cow going down, but with the right treatment plan, the risk of relapse and associated costs of labour, time and reduced milk production can be minimised.
To help give down cows the best chance of returning to health and production, consider a 3-step treatment regime.
Achieve Balance
A cow’s ultimate balancing act – the transition period – doesn’t always play out as planned, giving way to metabolic problems. That’s when it’s time to reach for a bag or a bottle of metabolic solutions.
Our range treats the main metabolic conditions and supports healthy metabolic processes to get cows back to what they do best – making milk.
Injectable Metabolic Solutions
Injectable Metabolic solutions for rapid replacement.

Calpro™ 375
Calpro™ 375 for the treatment of milk fever and as a tonic for stimulation of metabolism and nutrition in cattle. Only available from your local veterinary clinic.

Dex40™
DEX40™ for the treatment of ketosis in cattle. Only available from your local veterinary clinic. For intravenous injection only.

Glucalmag™
Glucalmag™ for the treatment of milk fever and milk fever complicated by grass staggers in cattle.

Glucalmax™
Glucalmax™
Glucalmax™ for the treatment of milk fever and milk fever complicated by ketosis and grass staggers in cattle.

Glucalphos™
Glucalphos™ for the treatment of milk fever in cattle and sheep, and milk fever complicated by ketosis and grass staggers in cattle.

Mag20™
Oral Products
Oral supplement for sustained support.
Get them up, keep them up
A quick return to milking is the aim when treating cows that go down with milk fever, or milk fever complicated by grass staggers or ketosis.
Initial milk fever treatment with an injectable calcium solution is typically fast and immediately effective; however the chance of relapse remains a risk, extending recovery time, increasing labour and reducing milk in the vat.
Relapse affects at least 30-35% of cows offered only first-line treatment.(1)
Once the cow is up and walking following initial treatment, and has regained enough muscle control to swallow normally, orally administered calcium provides a continued level of support. In fact, studies have shown using oral calcium in this way can prevent relapse by up to 60%.(1)

Calform™ PLUS

Calform™ Phosphorus
Calform™ Phosphorus for the supplementation of phosphorus and calcium in dairy cows at times of increased demand.
Available only through your local veterinary clinic

Ketol™
Ketol™ energy supplement for Cattle and Sheep with added minerals. As an aid in the treatment and prevention of ketosis (acetonaemia) in cattle and sleepy sickness in sheep and goats. Also as a tonic in debility and convalescence.

Ketol Xtra™
Ketol Xtra™ is a mineralised anti-ketogenic agent. As aid in the treatment and prevention of ketosis and hypomagnesaemia in cattle and sleepy sickness and hypomagnesaemia in sheep and goats. Only available from your local veterinary clinic.

Oral Cal™
Oral Cal™ as an aid in prevention and treatment of milk fever (hypocalcaemia) in cows. Also as a calcium supplement where deficiency of dietary calcium may occur.

Oral-Max™
Oral-Max™ aids in the prevention and treatment of milk fever and ketosis in cattle. Also to supplement dietary calcium when a deficiency may occur.
- Thilsing-Hansen T, Jorgensen RJ, Ostergaard S: Milk fever control principles: A review. Actc vet. Scand. 2002, 43, 1-19.
Calpro 375, C.B.G 37.5, Calpromag, Glucalmax, Glucalphos, Glucalmag, Mag20, Dex40, Oral-Max, Oral-Cal, Ketol, Ketol Xtra, Calpro Bolus are registered under the ACVM Act 1997, No. A007110, No. A004633, No. A007111, No. A001441, No. A001442, No. A004047, No. A001448, No. A001450, No. A009642, No. A007669, No. A000110, No. A007226, No. A011667.
Calpro 375, C.B.G 37.5, Calpromag, Glucalmax, Glucalphos, Glucalmag, Mag20, Dex40, Oral-Max, Oral-Cal, Calform, Ketol, Ketol Xtra, Calpro Bolus, Elanco and the diagonal bar logo are trademarks of Elanco or its affiliates.