Tablets, Paste and Granules have the same active ingredient- Equine Omeprazole.
It is simply about your preferred method of administration and what suits your horse best. The granules are quick and easy to administer. Just sprinkle granules dry on to feed. For fussy eaters, mix with molasses or corn syrup, and then mix with food, apple, treats, or a mash.
If you horse is a fussy, picky eater, administration by syringe - omeprazole as paste is best.
##As omeprazole is enteric coated it is most effective when not soaked in water based solutions.