Ivermectin + Pyrantel As Pamoate Salt

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90,788 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.
90,788
Total Reports
1,834
Deaths Reported
200.0%
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%)

Data Summary

Metric Value
Total adverse event reports 90,788
Reports involving death 1,834
Case-fatality rate (reported events) 200.0%
Distinct species in reports 10
Distinct breeds in reports 20
Distinct reactions reported 20
Active ingredients on file 2

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

Ivermectin + Pyrantel As Pamoate Salt Adverse Event Insights

The FDA Center for Veterinary Medicine database currently holds 90,788 adverse event reports referencing Ivermectin + Pyrantel As Pamoate Salt, including 1,834 reports in which the animal died — a 200.0% case-fatality figure among reported events only, not a population-level mortality rate. Active ingredients on file: Ivermectin, Pyrantel As Pamoate Salt. Reported administration routes include Oral, Unknown, Other, 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 + Pyrantel As Pamoate Salt reports are Dog (82,476 reports), Unknown (8,264 reports), Human (19 reports), with Dog accounting for the largest share. Within those species, Retriever - Labrador (14,668), Unknown (8,337), Crossbred Canine/dog (5,910) 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 + Pyrantel As Pamoate Salt are 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). Of the 82,550 reports with a coded outcome, Outcome Unknown is the leading category at 56.5%. 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 + Pyrantel As Pamoate Salt.

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