Lufenuron + Milbemycin Oxime

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8,207 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.
8,207
Total Reports
154
Deaths Reported
190.0%
Death Rate

Active Ingredients

LufenuronMilbemycin Oxime

Administration Routes

OralUnknownTopicalOphthalmicOther

Species Affected

Dog 7,760
Unknown 410
Human 22
Cat 11
Wolf 2
Quail 1
Other Canids 1

Most Affected Breeds

Retriever - Labrador 1,156
Unknown 441
Shepherd Dog - German 439
Retriever - Golden 389
Crossbred Canine/dog 385
Chihuahua 248
Beagle 235
Dog (unknown) 232
Terrier - Yorkshire 213
Shih Tzu 206

Most Reported Reactions

INEFFECTIVE, HEARTWORM LARVAE 1,253
Lack of efficacy - NOS 962
INEFFECTIVE, HOOKS 879
Diarrhoea 715
Vomiting 701
Lethargy (see also Central nervous system depression in 'Neurological') 697
Lack of efficacy (endoparasite) - heartworm 615
Emesis 597
Lack of efficacy (endoparasite) - hookworm 504
INEFFECTIVE, ASCARIDS NOS 349
Lack of efficacy (heartworm) 338
Lack of efficacy (endoparasite) - whipworm 239

Outcome Breakdown

Outcome Unknown
3,296 (42.3%)
Recovered/Normal
2,821 (36.2%)
Ongoing
1,488 (19.1%)
Died
78 (1.0%)
Euthanized
76 (1.0%)
Recovered with Sequela
26 (0.3%)

Data Summary

Metric Value
Total adverse event reports 8,207
Reports involving death 154
Case-fatality rate (reported events) 190.0%
Distinct species in reports 7
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.

Lufenuron + Milbemycin Oxime Adverse Event Insights

The FDA Center for Veterinary Medicine database currently holds 8,207 adverse event reports referencing Lufenuron + Milbemycin Oxime, including 154 reports in which the animal died — a 190.0% case-fatality figure among reported events only, not a population-level mortality rate. Active ingredients on file: Lufenuron, Milbemycin Oxime. Reported administration routes include Oral, Unknown, Topical, 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 Lufenuron + Milbemycin Oxime reports are Dog (7,760 reports), Unknown (410 reports), Human (22 reports), with Dog accounting for the largest share. Within those species, Retriever - Labrador (1,156), Unknown (441), Shepherd Dog - German (439) 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 Lufenuron + Milbemycin Oxime are INEFFECTIVE, HEARTWORM LARVAE (1,253), Lack of efficacy - NOS (962), INEFFECTIVE, HOOKS (879), Diarrhoea (715). Of the 7,785 reports with a coded outcome, Outcome Unknown is the leading category at 42.3%. 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 Lufenuron + Milbemycin Oxime.

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