Imidacloprid + Permethrin + Pyriproxyfen

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545 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.
545
Total Reports
23
Deaths Reported
420.0%
Death Rate

Active Ingredients

ImidaclopridImidacloprid + Permethrin + PyriproxyfenPermethrinPyriproxyfen

Administration Routes

TopicalUnknownOralOther

Species Affected

Dog 529
Cat 15
Unknown 1

Most Affected Breeds

Retriever - Labrador 37
Dog (unknown) 31
Chihuahua 29
Crossbred Canine/dog 27
Shih Tzu 26
Maltese 23
Retriever - Golden 21
Pit Bull 21
Terrier - Yorkshire 18
Shepherd Dog - German 18

Most Reported Reactions

Lack of efficacy (ectoparasite) - flea 134
Pruritus 92
Vomiting 65
Lethargy (see also Central nervous system depression in 'Neurological') 61
Behavioural disorder NOS 56
Diarrhoea 37
Other abnormal test result NOS 37
Application site pruritus 34
Anorexia 29
Agitation 27
Seizure NOS 23
Ataxia 22

Outcome Breakdown

Outcome Unknown
277 (50.8%)
Recovered/Normal
146 (26.8%)
Ongoing
97 (17.8%)
Euthanized
13 (2.4%)
Died
10 (1.8%)
Recovered with Sequela
2 (0.4%)

Data Summary

Metric Value
Total adverse event reports 545
Reports involving death 23
Case-fatality rate (reported events) 420.0%
Distinct species in reports 3
Distinct breeds in reports 20
Distinct reactions reported 20
Active ingredients on file 4

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

Imidacloprid + Permethrin + Pyriproxyfen Adverse Event Insights

The FDA Center for Veterinary Medicine database currently holds 545 adverse event reports referencing Imidacloprid + Permethrin + Pyriproxyfen, including 23 reports in which the animal died — a 420.0% case-fatality figure among reported events only, not a population-level mortality rate. Active ingredients on file: Imidacloprid, Imidacloprid + Permethrin + Pyriproxyfen, Permethrin, Pyriproxyfen. Reported administration routes include Topical, Unknown, Oral, Other. 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 Imidacloprid + Permethrin + Pyriproxyfen reports are Dog (529 reports), Cat (15 reports), Unknown (1 reports), with Dog accounting for the largest share. Within those species, Retriever - Labrador (37), Dog (unknown) (31), Chihuahua (29) 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 Imidacloprid + Permethrin + Pyriproxyfen are Lack of efficacy (ectoparasite) - flea (134), Pruritus (92), Vomiting (65), Lethargy (see also Central nervous system depression in 'Neurological') (61). Of the 545 reports with a coded outcome, Outcome Unknown is the leading category at 50.8%. 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 Imidacloprid + Permethrin + Pyriproxyfen.

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