Drug profile

The FDA adverse-event record for Ivermectin + Pyrantel As Pamoate Salt

90,788 adverse-event reports submitted to the FDA Center for Veterinary Medicine reference Ivermectin + Pyrantel As Pamoate Salt. See the species affected, top reactions, and outcomes below.

90,788
adverse-event reports
2.0%
death-coded share
Dog
most-reported species
18,221
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.
90,788
Total Reports
1,834
Deaths Reported
2.0%
Death Rate

Active Ingredients

IvermectinPyrantel As Pamoate Salt

Administration Routes

OralUnknownOtherTopicalSubcutaneousTransplacentalParenteralIntramuscularPerineuralAuricular (Otic)

Species Affected

Dog 82,476
Unknown 8,264
Human 19
Cat 15
Other Canids 5
Macaw 4
Wolf 2
Fox 1
Goat 1
Other 1

Most Affected Breeds

Retriever - Labrador 14,668
Unknown 8,337
Crossbred Canine/dog 5,910
Shepherd Dog - German 4,912
Retriever - Golden 4,645
Dog (unknown) 3,497
Beagle 2,805
Pit Bull 2,672
Chihuahua 1,943
Boxer (German Boxer) 1,843

Most Reported Reactions

Lack of efficacy (endoparasite) - heartworm 18,221
Lack of efficacy (endoparasite) - hookworm 13,580
Digestive tract disorder NOS 13,024
INEFFECTIVE, HEARTWORM LARVAE 11,970
Vomiting 9,752
Cardiac disorder NOS 6,766
INEFFECTIVE, HOOKS 6,534
Lack of efficacy - NOS 5,441
Lack of efficacy (endoparasite) - roundworm NOS 4,626
Tablets, Abnormal 4,498
Diarrhoea 4,361
INEFFECTIVE, ASCARIDS NOS 4,258

Outcome Breakdown

Outcome Unknown
46,613 (56.5%)
Recovered with Sequela
14,093 (17.1%)
Recovered/Normal
12,180 (14.8%)
Ongoing
7,828 (9.5%)
Died
1,165 (1.4%)
Euthanized
671 (0.8%)

Ivermectin + Pyrantel As Pamoate Salt Adverse Event Insights

90,788 reports name Ivermectin + Pyrantel As Pamoate Salt; 1,834 recorded a death outcome (2.0% of reported events, not a population-level mortality rate). Active ingredients: Ivermectin, Pyrantel As Pamoate Salt. Administration routes: Oral, Unknown, Other, Topical.

By species: Dog (82,476 reports), Unknown (8,264 reports), Human (19 reports). By breed: Retriever - Labrador (14,668), Unknown (8,337), Crossbred Canine/dog (5,910).

Leading clinical signs: Lack of efficacy (endoparasite) - heartworm (18,221), Lack of efficacy (endoparasite) - hookworm (13,580), Digestive tract disorder NOS (13,024), INEFFECTIVE, HEARTWORM LARVAE (11,970). Outcome, 82,550 coded reports: Outcome Unknown leads at 56.5%.

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.