Drug profile

The FDA adverse-event record for Misoprostol

156 FDA reports name Misoprostol, a high-volume drug in the CVM extract. Species, reactions, and outcomes follow.

#613 of 2,679
by report volume (all drugs)
156
adverse-event reports
15.4%
death-coded share
Horse
most-reported species

Corpus placement

According to the FDA Center for Veterinary Medicine openFDA adverse-event extract, Misoprostol ranks #613 of 2679 by total reports (156) and #351 of 1130 by death-coded share (15.4%). 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)
#613
This drug, reports of 2679
#351
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. Misoprostol has 156 reports now versus 152 in that prior snapshot: 4 more (2.6%).

Report change
+4
Death-coded reports
+0
Death-coded share
−0.4 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 Misoprostol changes

Signature read: death-coded report count at 24 is the most distinctive stamp on Misoprostol'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.
156
Total Reports
24
Deaths Reported
15.4%
Death-coded share of reports

Active Ingredients

Misoprostol

Administration Routes

UnknownOralTransplacental

Species Affected

Horse 91
Dog 62
Cat 2
Donkey 1

Most Affected Breeds

Retriever - Labrador 18
Warmblood (unspecified) 18
Horse (unknown) 17
Quarter Horse 16
Thoroughbred 7
Arab 5
Paint 4
Shepherd (unspecified) 3
Siberian Husky 3
Appaloosa 3

Most Reported Reactions

Lack of efficacy - NOS 67
INEFFECTIVE, GASTRIC ULCER(S) 26
Vomiting 25
Lethargy (see also Central nervous system depression in 'Neurological') 20
Death by euthanasia 20
Anorexia 17
Elevated alanine aminotransferase (ALT) 17
Elevated serum alkaline phosphatase (SAP) 16
Diarrhoea 16
Anaemia NOS 15
Other abnormal test result NOS 15
Hypoproteinaemia 12

Outcome Breakdown

Outcome Unknown
64 (41.0%)
Ongoing
46 (29.5%)
Recovered/Normal
21 (13.5%)
Euthanized
20 (12.8%)
Died
4 (2.6%)
Recovered with Sequela
1 (0.6%)

Misoprostol: high report volume 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 Misoprostol, both floored at ≥50 reports so the neighborhoods stay in the advertised mass.

Similar death-coded share

Nearest other drugs by death-coded share (15.4% here), distinct from the volume row.

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 Misoprostol (#613 of 2,679 by report volume); death-coded 15.4%. PlainBreed drug row · death-coded report count stamp 24 · 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 →