Drug profile

The FDA adverse-event record for Milbemycin Oxime + Spinosad

149,624 FDA reports name Milbemycin Oxime + Spinosad, a high-volume drug in the CVM extract. Species, reactions, and outcomes follow.

#1 of 2,679
by report volume (all drugs)
149,624
adverse-event reports
2.3%
death-coded share
Dog
most-reported species

Corpus placement

According to the FDA Center for Veterinary Medicine openFDA adverse-event extract, Milbemycin Oxime + Spinosad is #1 of 2679 by total 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)
#1
This drug, reports of 2679
#965
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 + Spinosad has 149,624 reports now versus 149,465 in that prior snapshot: 159 more (0.1%).

Report change
+159
Death-coded reports
+10
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 + Spinosad changes

Signature read: 149,624 reports place Milbemycin Oxime + Spinosad in the upper third of FDA AER volume (#1 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.
149,624
Total Reports
3,486
Deaths Reported
2.3%
Death-coded share of reports

Active Ingredients

Milbemycin OximeMilbemycin Oxime + SpinosadSpinosad

Administration Routes

OralUnknownCutaneousOtherTopicalRespiratory (Inhalation)IntraocularIntramammarySubcutaneousTransdermal

Species Affected

Dog 138,716
Unknown 10,359
Cat 297
Human 239
Other Canids 7
Other 3
Wolf 2
Fish 1

Most Affected Breeds

Retriever - Labrador 16,527
Unknown 10,653
Crossbred Canine/dog 6,880
Chihuahua 6,100
Retriever - Golden 5,544
Shepherd Dog - German 5,515
Terrier - Yorkshire 5,204
Dog (unknown) 5,142
Boxer (German Boxer) 4,959
Shih Tzu 4,841

Most Reported Reactions

Emesis 43,148
Vomiting 33,692
Lethargy (see also Central nervous system depression in 'Neurological') 20,659
Lack of efficacy - NOS 13,055
UNPALATABLE 12,144
INEFFECTIVE, HEARTWORM LARVAE 7,899
Lack of efficacy (endoparasite) - heartworm 7,499
Lack of efficacy (ectoparasite) - flea 7,040
Diarrhoea 6,955
Seizure NOS 4,401
Weight gain 4,241
Behavioural disorder NOS 4,115

Outcome Breakdown

Recovered/Normal
80,639 (57.9%)
Outcome Unknown
40,162 (28.8%)
Ongoing
7,997 (5.7%)
Recovered with Sequela
7,023 (5.0%)
Died
2,238 (1.6%)
Euthanized
1,251 (0.9%)

Milbemycin Oxime + Spinosad: 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 + Spinosad, both floored at ≥50 reports so the neighborhoods stay in the advertised mass.

What to do with this drug

  • Compare Milbemycin Oxime + Spinosad's report volume and death-coded share against similar drugs nationwide. See similar drugs
  • Read how death-coded share differs from a mortality rate before drawing conclusions. Understanding adverse events
  • Browse the full drug directory to compare report counts across products. All drugs

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 + Spinosad (#1 of 2,679 by report volume); death-coded 2.3%. PlainBreed drug row · report volume stamp 149,624 · 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 →