Drug profile

The FDA adverse-event record for Ponazuril

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

#394 of 2,679
by report volume (all drugs)
330
adverse-event reports
16.4%
death-coded share
Horse
most-reported species

Corpus placement

According to the FDA Center for Veterinary Medicine openFDA adverse-event extract, Ponazuril ranks #394 of 2679 by total reports (330) and #327 of 1130 by death-coded share (16.4%). 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)
#394
This drug, reports of 2679
#327
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. Ponazuril has 330 reports now versus 320 in that prior snapshot: 10 more (3.1%).

Report change
+10
Death-coded reports
+1
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 Ponazuril changes

Signature read: death-coded report count at 54 is the most distinctive stamp on Ponazuril'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.
330
Total Reports
54
Deaths Reported
16.4%
Death-coded share of reports

Active Ingredients

Ponazuril

Administration Routes

OralUnknownTopicalSubcutaneousIntramuscularIntragastricOtherIntraocular

Species Affected

Horse 119
Unknown 105
Dog 64
Cat 33
Human 3
Ferret 2
Pig 2
Macaw 1
Cattle 1

Most Affected Breeds

Unknown 113
Quarter Horse 25
Horse (unknown) 22
Domestic Shorthair 20
Thoroughbred 14
Paint 12
Warmblood (unspecified) 11
Retriever - Labrador 9
Tennessee Walking Horse 8
Crossbred Canine/dog 7

Most Reported Reactions

Uncoded sign 32
Death by euthanasia 29
Ataxia 28
Death 27
Diarrhoea 23
Other abnormal test result NOS 23
Vomiting 23
Anorexia 20
Lack of efficacy (protozoa) - NOS 20
Lethargy (see also Central nervous system depression in 'Neurological') 18
Lack of efficacy - NOS 15
Neurological signs NOS 14

Outcome Breakdown

Outcome Unknown
88 (39.3%)
Recovered/Normal
50 (22.3%)
Ongoing
30 (13.4%)
Died
28 (12.5%)
Euthanized
28 (12.5%)

Ponazuril: 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 Ponazuril, 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 Ponazuril (#394 of 2,679 by report volume); death-coded 16.4%. PlainBreed drug row · death-coded report count stamp 54 · 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 →