Levothyroxine

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1,379 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.
1,379
Total Reports
159
Deaths Reported
1150.0%
Death Rate

Active Ingredients

Levothyroxine

Administration Routes

OralUnknownOphthalmic

Species Affected

Dog 1,312
Human 44
Cat 16
Unknown 4
Horse 3

Most Affected Breeds

Retriever - Labrador 204
Retriever - Golden 129
Crossbred Canine/dog 76
Beagle 53
Boxer (German Boxer) 51
Unknown 50
Chihuahua 35
Shepherd Dog - German 27
Shih Tzu 24
Terrier - Jack Russell 22

Most Reported Reactions

Vomiting 218
Diarrhoea 158
Lethargy (see also Central nervous system depression in 'Neurological') 143
Elevated alanine aminotransferase (ALT) 103
Anorexia 101
Other abnormal test result NOS 100
Death by euthanasia 100
Lack of efficacy - NOS 96
Weight loss 96
Elevated serum alkaline phosphatase (SAP) 86
Polydipsia 85
Seizure NOS 81

Outcome Breakdown

Ongoing
487 (35.8%)
Recovered/Normal
355 (26.1%)
Outcome Unknown
345 (25.3%)
Euthanized
103 (7.6%)
Died
56 (4.1%)
Recovered with Sequela
16 (1.2%)

Data Summary

Metric Value
Total adverse event reports 1,379
Reports involving death 159
Case-fatality rate (reported events) 1150.0%
Distinct species in reports 5
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.

Levothyroxine Adverse Event Insights

The FDA Center for Veterinary Medicine database currently holds 1,379 adverse event reports referencing Levothyroxine, including 159 reports in which the animal died — a 1150.0% case-fatality figure among reported events only, not a population-level mortality rate. Active ingredient on file: Levothyroxine. Reported administration routes include Oral, Unknown, Ophthalmic. 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 Levothyroxine reports are Dog (1,312 reports), Human (44 reports), Cat (16 reports), with Dog accounting for the largest share. Within those species, Retriever - Labrador (204), Retriever - Golden (129), Crossbred Canine/dog (76) 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 Levothyroxine are Vomiting (218), Diarrhoea (158), Lethargy (see also Central nervous system depression in 'Neurological') (143), Elevated alanine aminotransferase (ALT) (103). Of the 1,362 reports with a coded outcome, Ongoing is the leading category at 35.8%. 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 Levothyroxine.

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