Drug profile

The FDA adverse-event record for Milbemycin Oxime + Spinosad

149,298 adverse-event reports submitted to the FDA Center for Veterinary Medicine reference Milbemycin Oxime + Spinosad. See the species affected, top reactions, and outcomes below.

149,298
adverse-event reports
2.3%
death-coded share
Dog
most-reported species
43,142
Emesis - 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.
149,298
Total Reports
3,462
Deaths Reported
2.3%
Death Rate

Active Ingredients

Milbemycin OximeMilbemycin Oxime + SpinosadSpinosad

Administration Routes

OralUnknownCutaneousOtherTopicalRespiratory (Inhalation)IntraocularIntramammarySubcutaneousTransdermal

Species Affected

Dog 138,407
Unknown 10,344
Cat 297
Human 237
Other Canids 7
Other 3
Wolf 2
Fish 1

Most Affected Breeds

Retriever - Labrador 16,498
Unknown 10,636
Crossbred Canine/dog 6,856
Chihuahua 6,085
Retriever - Golden 5,536
Shepherd Dog - German 5,496
Terrier - Yorkshire 5,198
Dog (unknown) 5,114
Boxer (German Boxer) 4,949
Shih Tzu 4,835

Most Reported Reactions

Emesis 43,142
Vomiting 33,623
Lethargy (see also Central nervous system depression in 'Neurological') 20,659
Lack of efficacy - NOS 13,054
UNPALATABLE 12,118
INEFFECTIVE, HEARTWORM LARVAE 7,899
Lack of efficacy (endoparasite) - heartworm 7,382
Lack of efficacy (ectoparasite) - flea 7,020
Diarrhoea 6,950
Seizure NOS 4,381
Weight gain 4,225
Behavioural disorder NOS 4,102

Outcome Breakdown

Recovered/Normal
80,586 (58.0%)
Outcome Unknown
39,980 (28.8%)
Ongoing
7,947 (5.7%)
Recovered with Sequela
7,021 (5.1%)
Died
2,221 (1.6%)
Euthanized
1,244 (0.9%)

Milbemycin Oxime + Spinosad Adverse Event Insights

149,298 reports name Milbemycin Oxime + Spinosad; 3,462 recorded a death outcome (2.3% of reported events, not a population-level mortality rate). Active ingredients: Milbemycin Oxime, Milbemycin Oxime + Spinosad, Spinosad. Administration routes: Oral, Unknown, Cutaneous, Other.

By species: Dog (138,407 reports), Unknown (10,344 reports), Cat (297 reports). By breed: Retriever - Labrador (16,498), Unknown (10,636), Crossbred Canine/dog (6,856).

Leading clinical signs: Emesis (43,142), Vomiting (33,623), Lethargy (see also Central nervous system depression in 'Neurological') (20,659), Lack of efficacy - NOS (13,054). Outcome, 138,999 coded reports: Recovered/Normal leads at 58.0%.

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.