Drug profile

The FDA adverse-event record for Milk Thistle

151 FDA reports name Milk Thistle, a high-volume drug in the CVM extract. Species, reactions, and outcomes follow.

#630 of 2,679
by report volume (all drugs)
151
adverse-event reports
17.9%
death-coded share
Dog
most-reported species

Corpus placement

According to the FDA Center for Veterinary Medicine openFDA adverse-event extract, Milk Thistle ranks #627 of 2679 by total reports (151) and #279 of 1130 by death-coded share (17.9%). 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)
#627
This drug, reports of 2679
#279
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. Milk Thistle has 151 reports now versus 149 in that prior snapshot: 2 more (1.3%).

Report change
+2
Death-coded reports
+0
Death-coded share
−0.2 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 Milk Thistle changes

Signature read: death-coded report count at 27 is the most distinctive stamp on Milk Thistle's FDA AER row.

Important: Adverse event reports do not establish that a drug caused or contributed to the event. Consult your veterinarian before making treatment decisions.
151
Total Reports
27
Deaths Reported
17.9%
Death-coded share of reports

Active Ingredients

Milk Thistle

Administration Routes

OralUnknown

Species Affected

Dog 145
Cat 5
Other Birds 1

Most Affected Breeds

Retriever - Labrador 20
Shepherd Dog - German 7
Crossbred Canine/dog 7
Maltese 5
Collie - Border 5
Terrier - Bull - American Pit 5
Schnauzer (unspecified) 4
Dog (other) 4
Terrier - Scottish 4
Siberian Husky 4

Most Reported Reactions

Lethargy (see also Central nervous system depression in 'Neurological') 38
Vomiting 32
Elevated alanine aminotransferase (ALT) 26
Elevated serum alkaline phosphatase (SAP) 23
Other abnormal test result NOS 19
Anorexia 18
Diarrhoea 18
Seizure NOS 17
Panting 16
Death 15
Elevated liver enzymes 15
Elevated total bilirubin 15

Outcome Breakdown

Ongoing
49 (32.5%)
Outcome Unknown
38 (25.2%)
Recovered/Normal
34 (22.5%)
Died
16 (10.6%)
Euthanized
11 (7.3%)
Recovered with Sequela
3 (2.0%)

Milk Thistle: high 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 Milk Thistle, both floored at ≥50 reports so the neighborhoods stay in the advertised mass.

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 Milk Thistle (#630 of 2,679 by report volume); death-coded 17.9%. PlainBreed drug row · death-coded report count stamp 27 · 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 →