Ivermectin, Pyrantel Pamoate

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219 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.
219
Total Reports
12
Deaths Reported
550.0%
Death Rate

Active Ingredients

Ivermectin, Pyrantel Pamoate

Administration Routes

OralUnknown

Species Affected

Dog 217
Unknown 2

Most Affected Breeds

Retriever - Labrador 41
Shepherd Dog - German 12
Crossbred Canine/dog 11
Dog (unknown) 11
Boxer (German Boxer) 9
Terrier - Bull - American Pit 8
Terrier (unspecified) 7
Shih Tzu 6
Chihuahua 5
Beagle 5

Most Reported Reactions

Lack of efficacy (endoparasite) - heartworm 70
INEFFECTIVE, HEARTWORM LARVAE 51
Lack of efficacy - NOS 35
Lethargy (see also Central nervous system depression in 'Neurological') 21
Vomiting 19
Diarrhoea 17
Seizure NOS 11
Ataxia 8
Death 7
Anorexia 5
Death by euthanasia 5
Panting 5

Outcome Breakdown

Ongoing
136 (62.7%)
Outcome Unknown
40 (18.4%)
Recovered/Normal
29 (13.4%)
Died
7 (3.2%)
Euthanized
5 (2.3%)

Data Summary

Metric Value
Total adverse event reports 219
Reports involving death 12
Case-fatality rate (reported events) 550.0%
Distinct species in reports 2
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, Pyrantel Pamoate Adverse Event Insights

The FDA Center for Veterinary Medicine database currently holds 219 adverse event reports referencing Ivermectin, Pyrantel Pamoate, including 12 reports in which the animal died — a 550.0% case-fatality figure among reported events only, not a population-level mortality rate. Active ingredient on file: Ivermectin, Pyrantel Pamoate. Reported administration routes include Oral, Unknown. 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 Pamoate reports are Dog (217 reports), Unknown (2 reports), with Dog accounting for the largest share. Within those species, Retriever - Labrador (41), Shepherd Dog - German (12), Crossbred Canine/dog (11) 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 Pamoate are Lack of efficacy (endoparasite) - heartworm (70), INEFFECTIVE, HEARTWORM LARVAE (51), Lack of efficacy - NOS (35), Lethargy (see also Central nervous system depression in 'Neurological') (21). Of the 217 reports with a coded outcome, Ongoing is the leading category at 62.7%. 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 Pamoate.

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