Misoprostal

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49 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.
49
Total Reports
1
Deaths Reported
200.0%
Death Rate

Active Ingredients

Misoprostal

Administration Routes

UnknownOral

Species Affected

Horse 48
Dog 1

Most Affected Breeds

Quarter Horse 12
Warmblood (unspecified) 9
Thoroughbred 9
Horse (unknown) 3
Hanovarian 2
Morgan 2
Crossbred Equine/horse 2
Retriever - Labrador 1
Irish Cob (Tinker) 1
Warmblood - Swedish 1

Most Reported Reactions

Lack of efficacy - NOS 26
INEFFECTIVE, GASTRIC ULCER(S) 20
Partial lack of efficacy 9
PR-STOMACH, LESION(S) 2
Licking 1
Hair loss NOS 1
Erythema (for urticaria see Immune SOC) 1
Urticaria 1
Restlessness 1
Not drinking 1
Skin lesion NOS 1
Skin vascular disorder NOS 1

Outcome Breakdown

Ongoing
27 (55.1%)
Outcome Unknown
14 (28.6%)
Recovered/Normal
7 (14.3%)
Euthanized
1 (2.0%)

Data Summary

Metric Value
Total adverse event reports 49
Reports involving death 1
Case-fatality rate (reported events) 200.0%
Distinct species in reports 2
Distinct breeds in reports 17
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.

Misoprostal Adverse Event Insights

The FDA Center for Veterinary Medicine database currently holds 49 adverse event reports referencing Misoprostal, including 1 reports in which the animal died — a 200.0% case-fatality figure among reported events only, not a population-level mortality rate. Active ingredient on file: Misoprostal. Reported administration routes include Unknown, Oral. 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 Misoprostal reports are Horse (48 reports), Dog (1 reports), with Horse accounting for the largest share. Within those species, Quarter Horse (12), Warmblood (unspecified) (9), Thoroughbred (9) 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 Misoprostal are Lack of efficacy - NOS (26), INEFFECTIVE, GASTRIC ULCER(S) (20), Partial lack of efficacy (9), PR-STOMACH, LESION(S) (2). Of the 49 reports with a coded outcome, Ongoing is the leading category at 55.1%. 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 Misoprostal.

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