Drug profile

The FDA adverse-event record for Tilmicosin

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

#309 of 2,679
by report volume (all drugs)
486
adverse-event reports
30.7%
death-coded share
Human
most-reported species

Corpus placement

According to the FDA Center for Veterinary Medicine openFDA adverse-event extract, Tilmicosin ranks #309 of 2679 by total reports (486) and #120 of 1130 by death-coded share (30.7%). 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)
#309
This drug, reports of 2679
#120
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. Tilmicosin has 486 reports now versus 478 in that prior snapshot: 8 more (1.7%).

Report change
+8
Death-coded reports
+5
Death-coded share
+0.5 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 Tilmicosin changes

Signature read: death-coded report count at 149 is the most distinctive stamp on Tilmicosin'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.
486
Total Reports
149
Deaths Reported
30.7%
Death-coded share of reports

Active Ingredients

Tilmicosin

Administration Routes

ParenteralUnknownOralSubcutaneousTopicalIntramuscularCutaneousIntraocularIntradermalOphthalmic

Species Affected

Human 193
Cattle 171
Unknown 86
Pig 32
Sheep 2
Horse 1
Dog 1

Most Affected Breeds

Unknown 280
Cattle (unknown) 63
Crossbred Bovine/Cattle 28
Aberdeen Angus 23
Holstein-Friesian also known as Holstein 18
Pig (unknown) 16
Mixed (Cattle) 15
Crossbred Porcine/Pig 10
Cattle (other) 7
Jersey 4

Most Reported Reactions

Death 133
Accidental exposure 116
Injection site bleeding 38
Injection site swelling 30
Lack of efficacy - NOS 27
Injection site pain 26
Containers, Leaking 25
Bad taste 23
Anaphylaxis 17
Unclassifiable adverse event 17
Feeling anxious 16
Increased heart rate 16

Outcome Breakdown

Died
147 (32.0%)
Recovered/Normal
130 (28.3%)
Outcome Unknown
110 (24.0%)
Ongoing
57 (12.4%)
Euthanized
15 (3.3%)

Tilmicosin: high death-coded share 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 Tilmicosin, both floored at ≥50 reports so the neighborhoods stay in the advertised mass.

Similar death-coded share

Nearest other drugs by death-coded share (30.7% 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 Tilmicosin (#309 of 2,679 by report volume); death-coded 30.7%. PlainBreed drug row · death-coded report count stamp 149 · 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 →