Milbemycin Oxime & Lufenuron

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538 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.
538
Total Reports
22
Deaths Reported
410.0%
Death Rate

Active Ingredients

Milbemycin Oxime & Lufenuron

Administration Routes

OralUnknown

Species Affected

Dog 537
Cat 1

Most Affected Breeds

Retriever - Labrador 91
Retriever - Golden 33
Shepherd Dog - German 22
Beagle 20
Terrier - Bull - American Pit 19
Chihuahua 18
Shih Tzu 17
Shepherd Dog - Australian 12
Terrier - Yorkshire 12
Maltese 12

Most Reported Reactions

Lack of efficacy (endoparasite) - heartworm 109
Vomiting 95
Lethargy (see also Central nervous system depression in 'Neurological') 81
Seizure NOS 56
Diarrhoea 41
Lack of efficacy - NOS 36
Tremor 34
INEFFECTIVE, HEARTWORM LARVAE 30
Anorexia 29
Other abnormal test result NOS 23
Elevated alanine aminotransferase (ALT) 23
Ataxia 19

Outcome Breakdown

Ongoing
353 (65.6%)
Recovered/Normal
100 (18.6%)
Outcome Unknown
63 (11.7%)
Died
12 (2.2%)
Euthanized
10 (1.9%)

Data Summary

Metric Value
Total adverse event reports 538
Reports involving death 22
Case-fatality rate (reported events) 410.0%
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 538 adverse event reports referencing Milbemycin Oxime & Lufenuron, including 22 reports in which the animal died — a 410.0% 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. 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 (537 reports), Cat (1 reports), with Dog accounting for the largest share. Within those species, Retriever - Labrador (91), Retriever - Golden (33), Shepherd Dog - German (22) 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 (109), Vomiting (95), Lethargy (see also Central nervous system depression in 'Neurological') (81), Seizure NOS (56). Of the 538 reports with a coded outcome, Ongoing is the leading category at 65.6%. 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