Drug profile

The FDA adverse-event record for Ivermectin + Praziquantel + Pyrantel Pamoate

1,361 FDA reports name Ivermectin + Praziquantel + Pyrantel Pamoate, a high-volume drug in the CVM extract. Species, reactions, and outcomes follow.

#146 of 2,679
by report volume (all drugs)
1,361
adverse-event reports
0.9%
death-coded share
Dog
most-reported species

Corpus placement

According to the FDA Center for Veterinary Medicine openFDA adverse-event extract, Ivermectin + Praziquantel + Pyrantel Pamoate ranks #146 of 2679 by total reports (1,361) and #1075 of 1130 by death-coded share (0.9%). National dual: Milbemycin Oxime + Spinosad is #1 of 2679 drugs by total adverse-event reports (149,624) at death-coded-share rank 965 of 1130 drugs with at least 50 reports (2.3%); separately, Atlantic Salmon Transgenic Whole (Opafp-Ghc2 Rdna Construct Inserted Into The A-Locus In The Eo-1A Lineage) is #1 highest death-coded share at 97.8% (report rank #821).

149,624
Milbemycin Oxime + Spinosad reports (#1)
97.8%
Atlantic Salmon Transgenic Whole (Opafp-Ghc2 Rdna Construct Inserted Into The A-Locus In The Eo-1A Lineage) death share (#1)
#146
This drug, reports of 2679
#1075
This drug, death share of 1130

Report volume reflects how common a breed or drug is and how often owners and vets file — not actual risk. Death-coded share ranks are limited to entries with enough reports to be meaningful. The two maps do not agree at #1.

Release-over-release change

What changed in the latest FDA data snapshot

PlainBreed reconstructed the prior snapshot from dated openFDA partitions through 2025 Q4, then compared it with the 2026-07-27 openFDA export. Ivermectin + Praziquantel + Pyrantel Pamoate has 1,361 reports now versus 1,349 in that prior snapshot: 12 more (0.9%).

Report change
+12
Death-coded reports
+0
Death-coded share
−0.0 pts

This compares reported-event counts in two source snapshots. It does not establish a change in real-world risk, product safety, or disease incidence.

Subscribe to Ivermectin + Praziquantel + Pyrantel Pamoate changes

Signature read: 1,361 reports place Ivermectin + Praziquantel + Pyrantel Pamoate in the upper third of FDA AER volume (#146 of 2,679).

Important: Adverse event reports do not establish that a drug caused or contributed to the event. Consult your veterinarian before making treatment decisions.
1,361
Total Reports
12
Deaths Reported
0.9%
Death-coded share of reports

Active Ingredients

IvermectinPraziquantelPyrantel Pamoate

Administration Routes

OralUnknownIntra-ArterialTopical

Species Affected

Dog 1,186
Unknown 173
Cat 2

Most Affected Breeds

Unknown 176
Retriever - Labrador 161
Shepherd Dog - German 84
Dog (unknown) 83
Pit Bull 66
Retriever - Golden 57
Chihuahua 52
Cattle Dog - Australian (blue heeler, red heeler, Queensland cattledog) 41
Terrier - Yorkshire 34
Crossbred Canine/dog 27

Most Reported Reactions

Lack of efficacy (endoparasite) - heartworm 409
Vomiting 401
Diarrhoea 119
Tablets, Abnormal 75
Lethargy (see also Central nervous system depression in 'Neurological') 74
Appearance, Abnormal 74
INEFFECTIVE, HOOKS 65
Containers, Damaged 63
Lack of efficacy (endoparasite) - hookworm 60
Overdose 36
Lack of efficacy (endoparasite) - roundworm NOS 35
Not eating 31

Outcome Breakdown

Outcome Unknown
684 (57.6%)
Recovered/Normal
466 (39.2%)
Ongoing
26 (2.2%)
Died
6 (0.5%)
Euthanized
6 (0.5%)

Ivermectin + Praziquantel + Pyrantel Pamoate: low death-coded share in the FDA AER row

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.

High-volume nationwide drug peers

Two openFDA-derived peer sets for Ivermectin + Praziquantel + Pyrantel Pamoate, both floored at ≥50 reports so the neighborhoods stay in the advertised mass.

What to do with this drug

  • Compare Ivermectin + Praziquantel + Pyrantel Pamoate's report volume and death-coded share against similar drugs nationwide. See similar drugs
  • Read how death-coded share differs from a mortality rate before drawing conclusions. Understanding adverse events
  • Browse the full drug directory to compare report counts across products. All drugs

A report does not prove a drug caused the reaction; consult a veterinarian before acting on this data.

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

openFDA Animal & Veterinary Adverse Events (FDA CVM) for Ivermectin + Praziquantel + Pyrantel Pamoate (#146 of 2,679 by report volume); death-coded 0.9%. PlainBreed drug row · report volume stamp 1,361 · vintage 2025.

Informational only. FDA adverse-event reports are voluntary and do not prove causation; consult a veterinarian before acting on them. Verify with FDA CVM →