Tilmicosin

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469 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.
469
Total Reports
144
Deaths Reported
3070.0%
Death Rate

Active Ingredients

Tilmicosin

Administration Routes

ParenteralUnknownOralSubcutaneousTopicalIntramuscularCutaneousIntraocularIntradermalOphthalmic

Species Affected

Human 188
Cattle 166
Unknown 81
Pig 30
Sheep 2
Horse 1
Dog 1

Most Affected Breeds

Unknown 270
Cattle (unknown) 61
Crossbred Bovine/Cattle 27
Aberdeen Angus 23
Holstein-Friesian also known as Holstein 18
Pig (unknown) 14
Mixed (Cattle) 13
Crossbred Porcine/Pig 10
Cattle (other) 7
Jersey 4

Most Reported Reactions

Death 129
Accidental exposure 111
Injection site bleeding 37
Injection site swelling 28
Injection site pain 25
Containers, Leaking 25
Lack of efficacy - NOS 24
Bad taste 22
Anaphylaxis 17
Unclassifiable adverse event 17
High blood pressure 16
Increased heart rate 16

Outcome Breakdown

Died
143 (32.4%)
Recovered/Normal
123 (27.8%)
Outcome Unknown
105 (23.8%)
Ongoing
57 (12.9%)
Euthanized
14 (3.2%)

Data Summary

Metric Value
Total adverse event reports 469
Reports involving death 144
Case-fatality rate (reported events) 3070.0%
Distinct species in reports 7
Distinct breeds in reports 20
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.

Tilmicosin Adverse Event Insights

The FDA Center for Veterinary Medicine database currently holds 469 adverse event reports referencing Tilmicosin, including 144 reports in which the animal died — a 3070.0% case-fatality figure among reported events only, not a population-level mortality rate. Active ingredient on file: Tilmicosin. Reported administration routes include Parenteral, Unknown, Oral, Subcutaneous. 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 Tilmicosin reports are Human (188 reports), Cattle (166 reports), Unknown (81 reports), with Human accounting for the largest share. Within those species, Unknown (270), Cattle (unknown) (61), Crossbred Bovine/Cattle (27) 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 Tilmicosin are Death (129), Accidental exposure (111), Injection site bleeding (37), Injection site swelling (28). Of the 442 reports with a coded outcome, Died is the leading category at 32.4%. 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 Tilmicosin.

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