Drug profile

The FDA adverse-event record for Ketoconazole

1,406 FDA reports name Ketoconazole, a high-volume drug in the CVM extract. Species, reactions, and outcomes follow.

#141 of 2,679
by report volume (all drugs)
1,406
adverse-event reports
6.2%
death-coded share
Dog
most-reported species

Corpus placement

According to the FDA Center for Veterinary Medicine openFDA adverse-event extract, Ketoconazole ranks #141 of 2679 by total reports (1,406) and #726 of 1130 by death-coded share (6.2%). 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)
#141
This drug, reports of 2679
#726
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. Ketoconazole has 1,406 reports now versus 1,377 in that prior snapshot: 29 more (2.1%).

Report change
+29
Death-coded reports
+2
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 Ketoconazole changes

Signature read: 1,406 reports place Ketoconazole in the upper third of FDA AER volume (#141 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.
1,406
Total Reports
87
Deaths Reported
6.2%
Death-coded share of reports

Active Ingredients

Ketoconazole

Administration Routes

OralUnknownAuricular (Otic)TopicalOphthalmicNasalParenteralOther

Species Affected

Dog 1,392
Cat 12
Human 2

Most Affected Breeds

Retriever - Labrador 183
Shepherd Dog - German 95
Retriever - Golden 74
Shih Tzu 66
Crossbred Canine/dog 53
Terrier - West Highland White 52
Pit Bull 48
Bulldog 44
Terrier - Bull - American Pit 40
Boxer (German Boxer) 39

Most Reported Reactions

Vomiting 186
Lack of efficacy - NOS 167
Other abnormal test result NOS 155
Diarrhoea 143
Lethargy (see also Central nervous system depression in 'Neurological') 127
Emesis 124
INEFFECTIVE, ATOPY CONTROL 76
Weight loss 75
Anorexia 62
Gingival hyperplasia 55
Decreased appetite 54
Lethargy (see also Central nervous system depression in Neurological) 54

Outcome Breakdown

Ongoing
579 (41.2%)
Recovered/Normal
407 (28.9%)
Outcome Unknown
299 (21.3%)
Euthanized
48 (3.4%)
Died
39 (2.8%)
Recovered with Sequela
34 (2.4%)

Ketoconazole: high report volume 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 Ketoconazole, both floored at ≥50 reports so the neighborhoods stay in the advertised mass.

Similar death-coded share

Nearest other drugs by death-coded share (6.2% here), distinct from the volume row.

What to do with this drug

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 Ketoconazole (#141 of 2,679 by report volume); death-coded 6.2%. PlainBreed drug row · report volume stamp 1,406 · 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 →