Drug profile

The FDA adverse-event record for S-Adenosylmethionine + Silybin

196 FDA reports name S-Adenosylmethionine + Silybin, a high-volume drug in the CVM extract. Species, reactions, and outcomes follow.

#539 of 2,679
by report volume (all drugs)
196
adverse-event reports
10.7%
death-coded share
Dog
most-reported species

Corpus placement

According to the FDA Center for Veterinary Medicine openFDA adverse-event extract, S-Adenosylmethionine + Silybin ranks #538 of 2679 by total reports (196) and #514 of 1130 by death-coded share (10.7%). 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)
#538
This drug, reports of 2679
#514
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. S-Adenosylmethionine + Silybin has 196 reports now versus 187 in that prior snapshot: 9 more (4.8%).

Report change
+9
Death-coded reports
+2
Death-coded share
+0.6 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 S-Adenosylmethionine + Silybin changes

Signature read: 196 reports place S-Adenosylmethionine + Silybin in the upper third of FDA AER volume (#539 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.
196
Total Reports
21
Deaths Reported
10.7%
Death-coded share of reports

Active Ingredients

S-Adenosylmethionine + Silybin

Administration Routes

UnknownOralIntravenousIntraocular

Species Affected

Dog 184
Cat 11
Human 1

Most Affected Breeds

Retriever - Labrador 27
Crossbred Canine/dog 12
Shih Tzu 11
Beagle 9
Spitz - German Pomeranian 8
Chihuahua 8
Domestic Shorthair 8
Retriever - Golden 7
Maltese 6
Dog (unknown) 5

Most Reported Reactions

Vomiting 43
Elevated alanine aminotransferase (ALT) 43
Diarrhoea 27
Elevated serum alkaline phosphatase (ALP) 21
Lethargy (see also Central nervous system depression in Neurological) 19
Elevated blood urea nitrogen (BUN) 18
Other abnormal test result NOS 17
Elevated serum alkaline phosphatase (SAP) 17
Death by euthanasia 17
Weight loss 17
Not eating 16
Elevated liver enzymes 15

Outcome Breakdown

Ongoing
71 (36.2%)
Outcome Unknown
66 (33.7%)
Recovered/Normal
35 (17.9%)
Euthanized
17 (8.7%)
Died
4 (2.0%)
Recovered with Sequela
3 (1.5%)

S-Adenosylmethionine + Silybin: 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 S-Adenosylmethionine + Silybin, both floored at ≥50 reports so the neighborhoods stay in the advertised mass.

Similar death-coded share

Nearest other drugs by death-coded share (10.7% here), distinct from the volume row.

What to do with this drug

  • Compare S-Adenosylmethionine + Silybin'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 S-Adenosylmethionine + Silybin (#539 of 2,679 by report volume); death-coded 10.7%. PlainBreed drug row · report volume stamp 196 · 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 →