Metronidazole

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3,306 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.
3,306
Total Reports
620
Deaths Reported
1880.0%
Death Rate

Active Ingredients

Metronidazole

Administration Routes

UnknownOralIntravenousParenteralSubcutaneousTopicalOtherOphthalmic

Species Affected

Dog 2,798
Cat 353
Unknown 138
Horse 8
Human 4
Ferret 2
Chinchilla 1
Donkey 1
Other Reptiles 1

Most Affected Breeds

Retriever - Labrador 351
Domestic Shorthair 216
Unknown 153
Crossbred Canine/dog 151
Retriever - Golden 139
Shepherd Dog - German 129
Terrier - Yorkshire 128
Shih Tzu 90
Chihuahua 82
Boxer (German Boxer) 63

Most Reported Reactions

Diarrhoea 929
Vomiting 880
Lethargy (see also Central nervous system depression in 'Neurological') 570
Other abnormal test result NOS 397
Anorexia 395
Death by euthanasia 361
Elevated alanine aminotransferase (ALT) 333
Weight loss 297
Not eating 286
Bloody diarrhoea 279
Elevated serum alkaline phosphatase (SAP) 251
Death 244

Outcome Breakdown

Ongoing
1,144 (36.0%)
Recovered/Normal
774 (24.4%)
Outcome Unknown
597 (18.8%)
Euthanized
361 (11.4%)
Died
264 (8.3%)
Recovered with Sequela
35 (1.1%)

Data Summary

Metric Value
Total adverse event reports 3,306
Reports involving death 620
Case-fatality rate (reported events) 1880.0%
Distinct species in reports 9
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.

Metronidazole Adverse Event Insights

The FDA Center for Veterinary Medicine database currently holds 3,306 adverse event reports referencing Metronidazole, including 620 reports in which the animal died — a 1880.0% case-fatality figure among reported events only, not a population-level mortality rate. Active ingredient on file: Metronidazole. Reported administration routes include Unknown, Oral, Intravenous, Parenteral. 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 Metronidazole reports are Dog (2,798 reports), Cat (353 reports), Unknown (138 reports), with Dog accounting for the largest share. Within those species, Retriever - Labrador (351), Domestic Shorthair (216), Unknown (153) 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 Metronidazole are Diarrhoea (929), Vomiting (880), Lethargy (see also Central nervous system depression in 'Neurological') (570), Other abnormal test result NOS (397). Of the 3,175 reports with a coded outcome, Ongoing is the leading category at 36.0%. 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 Metronidazole.

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