Azathioprine

Verify with FDA CVM →

104 adverse event reports submitted to the FDA

Important: Adverse event reports do not establish that a drug caused or contributed to the event. Consult your veterinarian before making treatment decisions.
104
Total Reports
33
Deaths Reported
3170.0%
Death Rate

Active Ingredients

Azathioprine

Administration Routes

OralUnknown

Species Affected

Dog 104

Most Affected Breeds

Retriever - Labrador 10
Shepherd Dog - German 7
Crossbred Canine/dog 6
Retriever - Golden 5
Shih Tzu 5
Spaniel - Cocker American 4
Shepherd Dog - Australian 4
Boxer (German Boxer) 3
Chihuahua 3
Terrier - Jack Russell 3

Most Reported Reactions

Lethargy (see also Central nervous system depression in 'Neurological') 26
Elevated serum alkaline phosphatase (SAP) 21
Anaemia NOS 20
Vomiting 19
Death by euthanasia 19
Immune mediated haemolytic anaemia 19
Other abnormal test result NOS 18
Diarrhoea 18
Leucocytosis NOS 17
Elevated alanine aminotransferase (ALT) 16
Thrombocytopenia 16
Anorexia 15

Outcome Breakdown

Ongoing
27 (27.8%)
Euthanized
19 (19.6%)
Recovered/Normal
17 (17.5%)
Outcome Unknown
16 (16.5%)
Died
14 (14.4%)
Recovered with Sequela
4 (4.1%)

Data Summary

Metric Value
Total adverse event reports 104
Reports involving death 33
Case-fatality rate (reported events) 3170.0%
Distinct species in reports 1
Distinct breeds in reports 20
Distinct reactions reported 20
Active ingredients on file 1

Source: FDA Center for Veterinary Medicine — Adverse Event Reporting (CVM AER). Counts reflect voluntary reports only.

Azathioprine Adverse Event Insights

The FDA Center for Veterinary Medicine database currently holds 104 adverse event reports referencing Azathioprine, including 33 reports in which the animal died — a 3170.0% case-fatality figure among reported events only, not a population-level mortality rate. Active ingredient on file: Azathioprine. Reported administration routes include Oral, Unknown. These numbers reflect voluntary submissions from pet owners, veterinarians, and manufacturers and therefore under-represent mild events and over-represent severe ones — a pattern the FDA has documented repeatedly for pharmacovigilance datasets.

The species most frequently named in Azathioprine reports are Dog (104 reports), with Dog accounting for the largest share. Within those species, Retriever - Labrador (10), Shepherd Dog - German (7), Crossbred Canine/dog (6) appear most often — though breed popularity and ownership density shape these counts as much as any drug-specific sensitivity. This distribution matters because the same active ingredient can behave very differently across body sizes, ages, and species physiology.

The most commonly reported clinical signs associated with Azathioprine are Lethargy (see also Central nervous system depression in 'Neurological') (26), Elevated serum alkaline phosphatase (SAP) (21), Anaemia NOS (20), Vomiting (19). Of the 97 reports with a coded outcome, Ongoing is the leading category at 27.8%. Because FDA adverse event data describes correlation rather than causation, these figures are best used to frame informed questions with a veterinarian and to compare reporting patterns across related products — not as a standalone safety verdict on Azathioprine.

Source: FDA Center for Veterinary Medicine — Adverse Event Reports FDA Center for Veterinary Medicine — Adverse Event Reports Data reflects voluntary submissions and may not represent actual incidence rates

Related

Data sourced from official AKC, AVMA, ACVO, and breed-club veterinary references. See our methodology for details. Retrieved and formatted by PlainBreed Editorial