Milbemycin Oxime + Lufenuron

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1,093 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.
1,093
Total Reports
42
Deaths Reported
380.0%
Death Rate

Active Ingredients

Milbemycin Oxime + Lufenuron

Administration Routes

OralUnknownIntraocularTopicalOther

Species Affected

Dog 1,090
Unknown 3

Most Affected Breeds

Retriever - Labrador 153
Retriever - Golden 49
Shepherd Dog - German 48
Terrier - Yorkshire 48
Crossbred Canine/dog 46
Chihuahua 37
Maltese 33
Beagle 33
Shepherd Dog - Australian 26
Pit Bull 26

Most Reported Reactions

Lack of efficacy (endoparasite) - heartworm 211
Emesis 178
Vomiting 160
Lethargy (see also Central nervous system depression in 'Neurological') 112
Diarrhoea 78
INEFFECTIVE, HEARTWORM LARVAE 77
Lack of efficacy (ectoparasite) - flea 70
Lack of efficacy - NOS 58
Other abnormal test result NOS 48
Seizure NOS 44
Weight loss 38
Behavioural disorder NOS 37

Outcome Breakdown

Outcome Unknown
504 (46.2%)
Recovered/Normal
374 (34.3%)
Ongoing
124 (11.4%)
Recovered with Sequela
46 (4.2%)
Died
24 (2.2%)
Euthanized
18 (1.7%)

Data Summary

Metric Value
Total adverse event reports 1,093
Reports involving death 42
Case-fatality rate (reported events) 380.0%
Distinct species in reports 2
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.

Milbemycin Oxime + Lufenuron Adverse Event Insights

The FDA Center for Veterinary Medicine database currently holds 1,093 adverse event reports referencing Milbemycin Oxime + Lufenuron, including 42 reports in which the animal died — a 380.0% case-fatality figure among reported events only, not a population-level mortality rate. Active ingredient on file: Milbemycin Oxime + Lufenuron. Reported administration routes include Oral, Unknown, Intraocular, Topical. 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 Milbemycin Oxime + Lufenuron reports are Dog (1,090 reports), Unknown (3 reports), with Dog accounting for the largest share. Within those species, Retriever - Labrador (153), Retriever - Golden (49), Shepherd Dog - German (48) 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 Milbemycin Oxime + Lufenuron are Lack of efficacy (endoparasite) - heartworm (211), Emesis (178), Vomiting (160), Lethargy (see also Central nervous system depression in 'Neurological') (112). Of the 1,090 reports with a coded outcome, Outcome Unknown is the leading category at 46.2%. 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 Milbemycin Oxime + Lufenuron.

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