Confused

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VeDDRA Code: 1393

387 adverse event reports referencing this reaction

387
Total Reports
29
Deaths
750.0%
Death Rate

Species Most Affected

Dog 329
Cat 35
Human 21
Horse 2

Breeds Most Affected

Retriever - Golden 27
Retriever - Labrador 25
Crossbred Canine/dog 23
Chihuahua 22
Unknown 21
Domestic Shorthair 19
Shepherd Dog - German 13
Terrier - Yorkshire 12
Dog (unknown) 12
Boxer (German Boxer) 11

Associated Drugs

Afoxolaner 49
Milbemycin Oxime + Spinosad 42
Fluralaner Chew Tablets 34
Sarolaner 26
Ivermectin + Pyrantel As Pamoate Salt 25
Fluralaner 13.64% 12-Week Chew 24
Trilostane 23
Carprofen 19
Milbemycin Oxime + Praziquantel 16
Oclacitinib Maleate 14
Moxidectin 14
Maropitant Citrate 13
Fluralaner Spot-On Solution 12
Pyrantel Pamoate;Sarolaner 10
Selamectin 9
Ivermectin 8
Spinosad 7
Imidacloprid + Moxidectin 7
Cefovecin 6
Diazepam 6

Data Summary

Metric Value
Total reports referencing reaction 387
Reports with fatal outcome 29
Case-fatality rate (reported events) 750.0%
Species observed 4
Breeds observed 20
Drugs associated with reaction 20

Source: FDA Center for Veterinary Medicine — Adverse Event Reporting (CVM AER); reaction term coded under VeDDRA 1393.

Confused Reaction Insights

The FDA Center for Veterinary Medicine database currently lists 387 adverse event reports that reference Confused as a reaction term, including 29 reports with a death outcome — a 750.0% case-fatality figure calculated across only those events where this reaction was coded. The reaction is indexed in the openFDA system under VeDDRA code 1393, the standardized veterinary dictionary used to normalize clinical signs across submitters. Because reports are voluntary and often describe multiple concurrent signs per animal, the volume here reflects reporting intensity rather than true incidence in the broader pet population.

Confused appears most frequently in reports for Dog (329 reports), Cat (35 reports), Human (21 reports) — with Dog dominating at 329 entries. Within those species, the breeds most often named alongside this reaction are Retriever - Golden (27), Retriever - Labrador (25), Crossbred Canine/dog (23). These distributions are influenced both by underlying breed popularity and by how veterinarians and owners code a given clinical sign, so they should be interpreted as a reporting fingerprint rather than a pure susceptibility ranking.

The drugs most commonly co-reported with Confused are Afoxolaner (49 reports), Milbemycin Oxime + Spinosad (42 reports), Fluralaner Chew Tablets (34 reports), Sarolaner (26 reports), with Afoxolaner appearing alongside this reaction in 49 submissions. Co-reporting does not establish that any specific product caused the reaction — FDA CVM data captures temporal association only. The value of these aggregates is in flagging which therapeutic classes appear repeatedly alongside a given clinical sign, so owners and veterinarians can ask targeted questions about medications currently in use.

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