Drug profile

The FDA adverse-event record for Trilostane

15,881 FDA reports name Trilostane, a high-volume drug in the CVM extract. Species, reactions, and outcomes follow.

#17 of 2,679
by report volume (all drugs)
15,881
adverse-event reports
10.8%
death-coded share
Dog
most-reported species

Corpus placement

According to the FDA Center for Veterinary Medicine openFDA adverse-event extract, Trilostane ranks #17 of 2679 by total reports (15,881) and #511 of 1130 by death-coded share (10.8%). 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)
#17
This drug, reports of 2679
#511
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. Trilostane has 15,881 reports now versus 15,662 in that prior snapshot: 219 more (1.4%).

Report change
+219
Death-coded reports
+8
Death-coded share
−0.1 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 Trilostane changes

Signature read: death-coded report count at 1,711 is the most distinctive stamp on Trilostane'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.
15,881
Total Reports
1,711
Deaths Reported
10.8%
Death-coded share of reports

Active Ingredients

Trilostane

Administration Routes

OralUnknownOtherTopicalTransdermalOphthalmic

Species Affected

Dog 15,583
Unknown 234
Human 49
Cat 13
Horse 1
Other 1

Most Affected Breeds

Retriever - Labrador 1,134
Shih Tzu 823
Chihuahua 761
Crossbred Canine/dog 717
Beagle 690
Terrier - Boston 677
Maltese 642
Terrier - Yorkshire 558
Dog (unknown) 522
Dachshund - Miniature 473

Most Reported Reactions

Lethargy (see also Central nervous system depression in 'Neurological') 2,678
Vomiting 2,611
Elevated serum alkaline phosphatase (SAP) 2,411
Hyperkalaemia 2,354
Weight loss 2,154
Elevated alanine aminotransferase (ALT) 1,979
Diarrhoea 1,928
Underdose 1,908
Decreased appetite 1,617
INEFFECTIVE, CUSHINGS 1,585
Elevated blood urea nitrogen (BUN) 1,458
Anorexia 1,364

Outcome Breakdown

Outcome Unknown
9,264 (59.9%)
Recovered/Normal
2,463 (15.9%)
Ongoing
1,896 (12.3%)
Euthanized
1,205 (7.8%)
Died
509 (3.3%)
Recovered with Sequela
117 (0.8%)

Trilostane: 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 Trilostane, both floored at ≥50 reports so the neighborhoods stay in the advertised mass.

Similar report volume

Nearest other drugs by FDA report count (15,881 here).

Similar death-coded share

Nearest other drugs by death-coded share (10.8% 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 Trilostane (#17 of 2,679 by report volume); death-coded 10.8%. PlainBreed drug row · death-coded report count stamp 1,711 · 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 →