Drug profile

The FDA adverse-event record for Milbemcyin Oxime, Lufenuron, Praziquantel

3,685 adverse-event reports submitted to the FDA Center for Veterinary Medicine reference Milbemcyin Oxime, Lufenuron, Praziquantel. See the species affected, top reactions, and outcomes below.

3,685
adverse-event reports
1.1%
death-coded share
Dog
most-reported species
617
INEFFECTIVE, HEARTWORM LARVAE - top reaction
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Important: Adverse event reports do not establish that a drug caused or contributed to the event. Consult your veterinarian before making treatment decisions.
3,685
Total Reports
41
Deaths Reported
1.1%
Death Rate

Active Ingredients

Milbemcyin Oxime, Lufenuron, Praziquantel

Administration Routes

OralUnknownOtherTopical

Species Affected

Dog 3,486
Unknown 193
Human 3
Cat 2
Other Canids 1

Most Affected Breeds

Retriever - Labrador 481
Crossbred Canine/dog 418
Unknown 198
Shepherd Dog - German 164
Retriever - Golden 151
Dog (unknown) 124
Chihuahua 107
Beagle 101
Terrier - Yorkshire 89
Collie - Border 87

Most Reported Reactions

INEFFECTIVE, HEARTWORM LARVAE 617
Vomiting 589
Lack of efficacy (endoparasite) - hookworm 549
Diarrhoea 322
INEFFECTIVE, ASCARIDS NOS 301
Lethargy (see also Central nervous system depression in 'Neurological') 250
Lack of efficacy (endoparasite) - tapeworm 225
Lack of efficacy - NOS 215
Lack of efficacy (endoparasite) - whipworm 157
Emesis 131
Lack of efficacy (ectoparasite) - flea 128
INEFFECTIVE, HOOKS 114

Outcome Breakdown

Outcome Unknown
2,065 (59.1%)
Recovered/Normal
1,205 (34.5%)
Ongoing
170 (4.9%)
Died
26 (0.7%)
Euthanized
15 (0.4%)
Recovered with Sequela
14 (0.4%)

Milbemcyin Oxime, Lufenuron, Praziquantel Adverse Event Insights

3,685 reports name Milbemcyin Oxime, Lufenuron, Praziquantel; 41 recorded a death outcome (1.1% of reported events, not a population-level mortality rate). Active ingredient: Milbemcyin Oxime, Lufenuron, Praziquantel. Administration routes: Oral, Unknown, Other, Topical.

By species: Dog (3,486 reports), Unknown (193 reports), Human (3 reports). By breed: Retriever - Labrador (481), Crossbred Canine/dog (418), Unknown (198).

Leading clinical signs: INEFFECTIVE, HEARTWORM LARVAE (617), Vomiting (589), Lack of efficacy (endoparasite) - hookworm (549), Diarrhoea (322). Outcome, 3,495 coded reports: Outcome Unknown leads at 59.1%.

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.

Source: FDA Center for Veterinary Medicine openFDA Animal & Veterinary Adverse Events (CVM AER) · 2025

Every figure on PlainBreed is rendered directly from FDA openFDA adverse event data, no number is typed in by an editor. This page draws directly on FDA openFDA data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.