Ivermectin 272Mcg, Pyrantel Pamoate 228Mg, Praziquantel 228Mg

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1,759 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.
1,759
Total Reports
24
Deaths Reported
140.0%
Death Rate

Active Ingredients

Ivermectin 272Mcg, Pyrantel Pamoate 228Mg, Praziquantel 228Mg

Administration Routes

OralUnknownIntravenousTopical

Species Affected

Dog 1,675
Unknown 79
Human 3
Cat 2

Most Affected Breeds

Retriever - Labrador 477
Shepherd Dog - German 139
Crossbred Canine/dog 137
Retriever - Golden 117
Dog (unknown) 93
Unknown 82
Boxer (German Boxer) 62
American Pit Bull Terrier 55
Rottweiler 32
Mixed (Dog) 29

Most Reported Reactions

INEFFECTIVE, HEARTWORM LARVAE 584
Lack of efficacy - NOS 404
Vomiting 387
Lack of efficacy (endoparasite) - hookworm 246
INEFFECTIVE, ASCARIDS NOS 184
Diarrhoea 130
Lethargy (see also Central nervous system depression in 'Neurological') 110
Lack of efficacy (endoparasite) - tapeworm 98
Drug dose administration interval too long 77
Overdose 54
Uncoded sign 49
Drug dose omission 49

Outcome Breakdown

Outcome Unknown
1,053 (62.5%)
Recovered/Normal
523 (31.0%)
Ongoing
50 (3.0%)
Recovered with Sequela
35 (2.1%)
Died
13 (0.8%)
Euthanized
11 (0.7%)

Data Summary

Metric Value
Total adverse event reports 1,759
Reports involving death 24
Case-fatality rate (reported events) 140.0%
Distinct species in reports 4
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.

Ivermectin 272Mcg, Pyrantel Pamoate 228Mg, Praziquantel 228Mg Adverse Event Insights

The FDA Center for Veterinary Medicine database currently holds 1,759 adverse event reports referencing Ivermectin 272Mcg, Pyrantel Pamoate 228Mg, Praziquantel 228Mg, including 24 reports in which the animal died — a 140.0% case-fatality figure among reported events only, not a population-level mortality rate. Active ingredient on file: Ivermectin 272Mcg, Pyrantel Pamoate 228Mg, Praziquantel 228Mg. Reported administration routes include Oral, Unknown, Intravenous, Topical. 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 Ivermectin 272Mcg, Pyrantel Pamoate 228Mg, Praziquantel 228Mg reports are Dog (1,675 reports), Unknown (79 reports), Human (3 reports), with Dog accounting for the largest share. Within those species, Retriever - Labrador (477), Shepherd Dog - German (139), Crossbred Canine/dog (137) 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 Ivermectin 272Mcg, Pyrantel Pamoate 228Mg, Praziquantel 228Mg are INEFFECTIVE, HEARTWORM LARVAE (584), Lack of efficacy - NOS (404), Vomiting (387), Lack of efficacy (endoparasite) - hookworm (246). Of the 1,685 reports with a coded outcome, Outcome Unknown is the leading category at 62.5%. 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 Ivermectin 272Mcg, Pyrantel Pamoate 228Mg, Praziquantel 228Mg.

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