Drug profile

The FDA adverse-event record for Milbemycin Oxime

9,924 FDA reports name Milbemycin Oxime, a high-volume drug in the CVM extract. Species, reactions, and outcomes follow.

#26 of 2,679
by report volume (all drugs)
9,924
adverse-event reports
3.8%
death-coded share
Dog
most-reported species

Corpus placement

According to the FDA Center for Veterinary Medicine openFDA adverse-event extract, Milbemycin Oxime ranks #26 of 2679 by total reports (9,924) and #859 of 1130 by death-coded share (3.8%). 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)
#26
This drug, reports of 2679
#859
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. Milbemycin Oxime has 9,924 reports now versus 9,827 in that prior snapshot: 97 more (1.0%).

Report change
+97
Death-coded reports
+3
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 Milbemycin Oxime changes

Signature read: 9,924 reports place Milbemycin Oxime in the upper third of FDA AER volume (#26 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.
9,924
Total Reports
381
Deaths Reported
3.8%
Death-coded share of reports

Active Ingredients

Milbemycin Oxime

Administration Routes

OralUnknownAuricular (Otic)TopicalOtherIntraocularIntrauterineTransplacentalRespiratory (Inhalation)Cutaneous

Species Affected

Dog 9,143
Unknown 549
Cat 206
Human 21
Other Canids 1
Primate 1
Rabbit 1
Cockatiel 1
Ferret 1

Most Affected Breeds

Retriever - Labrador 1,541
Crossbred Canine/dog 584
Unknown 581
Shepherd Dog - German 478
Retriever - Golden 429
Dog (unknown) 344
Beagle 297
Shepherd Dog - Australian 234
Chihuahua 221
Pit Bull 218

Most Reported Reactions

INEFFECTIVE, HEARTWORM LARVAE 2,087
Vomiting 1,263
Lack of efficacy (endoparasite) - heartworm 1,237
Lethargy (see also Central nervous system depression in 'Neurological') 653
Diarrhoea 645
Lack of efficacy - NOS 518
Lack of efficacy (endoparasite) - hookworm 490
Emesis 487
Other abnormal test result NOS 337
Seizure NOS 330
INEFFECTIVE, ASCARIDS NOS 324
INEFFECTIVE, HOOKS 273

Outcome Breakdown

Outcome Unknown
3,267 (34.9%)
Ongoing
3,173 (33.9%)
Recovered/Normal
2,428 (25.9%)
Died
234 (2.5%)
Euthanized
147 (1.6%)
Recovered with Sequela
114 (1.2%)

Milbemycin Oxime: low death-coded share 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 Milbemycin Oxime, both floored at ≥50 reports so the neighborhoods stay in the advertised mass.

Similar report volume

Nearest other drugs by FDA report count (9,924 here).

Similar death-coded share

Nearest other drugs by death-coded share (3.8% 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 Milbemycin Oxime (#26 of 2,679 by report volume); death-coded 3.8%. PlainBreed drug row · report volume stamp 9,924 · 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 →