Drug profile

The FDA adverse-event record for Ivermectin + Pyrantel Pamoate

2,818 adverse-event reports submitted to the FDA Center for Veterinary Medicine reference Ivermectin + Pyrantel Pamoate. See the species affected, top reactions, and outcomes below.

2,818
adverse-event reports
2.4%
death-coded share
Dog
most-reported species
789
Lack of efficacy (endoparasite) - heartworm - top reaction
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Important: Adverse event reports do not establish that a drug caused or contributed to the event. Consult your veterinarian before making treatment decisions.
2,818
Total Reports
68
Deaths Reported
2.4%
Death Rate

Active Ingredients

IvermectinIvermectin + Pyrantel PamoatePyrantel Pamoate

Administration Routes

OralUnknownTopicalOphthalmicIntrauterine

Species Affected

Dog 2,759
Unknown 56
Human 3

Most Affected Breeds

Retriever - Labrador 374
Shepherd Dog - German 161
Crossbred Canine/dog 126
Chihuahua 119
Terrier - Yorkshire 99
Pit Bull 95
Dog (unknown) 87
Retriever - Golden 84
Shih Tzu 83
Boxer (German Boxer) 73

Most Reported Reactions

Lack of efficacy (endoparasite) - heartworm 789
Emesis 577
Vomiting 390
Lethargy (see also Central nervous system depression in 'Neurological') 224
Lack of efficacy (ectoparasite) - flea 155
Diarrhoea 136
Seizure NOS 93
INEFFECTIVE, HEARTWORM LARVAE 87
Other abnormal test result NOS 74
Not eating 70
Lack of efficacy - NOS 70
Behavioural disorder NOS 65

Outcome Breakdown

Outcome Unknown
1,281 (46.4%)
Recovered/Normal
1,090 (39.4%)
Ongoing
191 (6.9%)
Recovered with Sequela
133 (4.8%)
Died
35 (1.3%)
Euthanized
33 (1.2%)

Ivermectin + Pyrantel Pamoate Adverse Event Insights

2,818 reports name Ivermectin + Pyrantel Pamoate; 68 recorded a death outcome (2.4% of reported events, not a population-level mortality rate). Active ingredients: Ivermectin, Ivermectin + Pyrantel Pamoate, Pyrantel Pamoate. Administration routes: Oral, Unknown, Topical, Ophthalmic.

By species: Dog (2,759 reports), Unknown (56 reports), Human (3 reports). By breed: Retriever - Labrador (374), Shepherd Dog - German (161), Crossbred Canine/dog (126).

Leading clinical signs: Lack of efficacy (endoparasite) - heartworm (789), Emesis (577), Vomiting (390), Lethargy (see also Central nervous system depression in 'Neurological') (224). Outcome, 2,763 coded reports: Outcome Unknown leads at 46.4%.

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.