Confusion

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VeDDRA Code: 659

2,156 adverse event reports referencing this reaction

2,156
Total Reports
314
Deaths
1460.0%
Death Rate

Species Most Affected

Dog 1,860
Cat 278
Horse 13
Cattle 4
Unknown 1

Breeds Most Affected

Crossbred Canine/dog 231
Retriever - Labrador 189
Domestic Shorthair 112
Domestic (unspecified) 85
Chihuahua 82
Terrier - Yorkshire 68
Retriever - Golden 66
Dog (unknown) 63
Shepherd Dog - German 58
Boxer (German Boxer) 49

Associated Drugs

Bedinvetmab 233
Milbemycin Oxime + Spinosad 215
Spinosad 162
Carprofen 143
Afoxolaner 124
Pyrantel Pamoate;Sarolaner 99
Maropitant Citrate 71
Fluralaner 13.64% 12-Week Chew 71
Gabapentin 68
Oclacitinib Maleate 59
Ivermectin + Pyrantel As Pamoate Salt 59
Trilostane 58
Sarolaner 52
Ivermectin 50
Meloxicam 48
Selamectin 44
Buprenorphine 42
Fluralaner Chew Tablets 39
Prednisone 31
Nitenpyram 30

Data Summary

Metric Value
Total reports referencing reaction 2,156
Reports with fatal outcome 314
Case-fatality rate (reported events) 1460.0%
Species observed 5
Breeds observed 20
Drugs associated with reaction 20

Source: FDA Center for Veterinary Medicine — Adverse Event Reporting (CVM AER); reaction term coded under VeDDRA 659.

Confusion Reaction Insights

The FDA Center for Veterinary Medicine database currently lists 2,156 adverse event reports that reference Confusion as a reaction term, including 314 reports with a death outcome — a 1460.0% case-fatality figure calculated across only those events where this reaction was coded. The reaction is indexed in the openFDA system under VeDDRA code 659, 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.

Confusion appears most frequently in reports for Dog (1,860 reports), Cat (278 reports), Horse (13 reports) — with Dog dominating at 1,860 entries. Within those species, the breeds most often named alongside this reaction are Crossbred Canine/dog (231), Retriever - Labrador (189), Domestic Shorthair (112). 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 Confusion are Bedinvetmab (233 reports), Milbemycin Oxime + Spinosad (215 reports), Spinosad (162 reports), Carprofen (143 reports), with Bedinvetmab appearing alongside this reaction in 233 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