Drug profile

The FDA adverse-event record for Afoxolaner + Milbemycin Oxime

22 adverse-event reports submitted to the FDA Center for Veterinary Medicine reference Afoxolaner + Milbemycin Oxime. See the species affected, top reactions, and outcomes below.

22
adverse-event reports
0.0%
death-coded share
Dog
most-reported species
13
Lack of efficacy (endoparasite) - heartworm - top reaction
Verify with FDA CVM →
Important: Adverse event reports do not establish that a drug caused or contributed to the event. Consult your veterinarian before making treatment decisions.
22
Total Reports
0
Deaths Reported
0.0%
Death Rate

Active Ingredients

AfoxolanerAfoxolaner + Milbemycin OximeMilbemycin Oxime

Administration Routes

OralUnknown

Species Affected

Dog 22

Most Affected Breeds

Retriever - Labrador 3
Beagle 2
Bulldog - French 2
Pit Bull 2
Spitz - German Pomeranian 1
Unknown 1
Dog (unknown) 1
Retriever - Golden 1
Terrier - Jack Russell 1
Terrier (unspecified) 1

Most Reported Reactions

Lack of efficacy (endoparasite) - heartworm 13
Abnormal ultrasound finding 3
Vomiting 3
Lethargy (see also Central nervous system depression in 'Neurological') 2
Elevated alanine aminotransferase (ALT) 2
Inappetence 1
Seizure NOS 1
Other abnormal test result NOS 1
Urinary tract infection 1
Bloody diarrhoea 1
Diarrhoea 1
Lack of efficacy - NOS 1

Outcome Breakdown

Outcome Unknown
14 (63.6%)
Ongoing
4 (18.2%)
Recovered with Sequela
2 (9.1%)
Recovered/Normal
2 (9.1%)

Afoxolaner + Milbemycin Oxime Adverse Event Insights

22 reports name Afoxolaner + Milbemycin Oxime; 0 recorded a death outcome (0.0% of reported events, not a population-level mortality rate). Active ingredients: Afoxolaner, Afoxolaner + Milbemycin Oxime, Milbemycin Oxime. Administration routes: Oral, Unknown.

By species: Dog (22 reports). By breed: Retriever - Labrador (3), Beagle (2), Bulldog - French (2).

Leading clinical signs: Lack of efficacy (endoparasite) - heartworm (13), Abnormal ultrasound finding (3), Vomiting (3), Lethargy (see also Central nervous system depression in 'Neurological') (2). Outcome, 22 coded reports: Outcome Unknown leads at 63.6%.

Read these counts as reporting volume, not risk: per our methodology, a widely-prescribed drug will rack up more raw FDA reports in a given year than a rarely-used one at an identical true rate, so we recommend comparing within similar-exposure products rather than across the full 2025 catalog.

Source: FDA Center for Veterinary Medicine openFDA Animal & Veterinary Adverse Events (CVM AER) · 2025

Every figure on PlainBreed is rendered directly from FDA openFDA adverse event data, no number is typed in by an editor. This page draws directly on FDA openFDA data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.