Reaction profile

The FDA adverse-event record for difficulty of use

3,272 FDA reports name difficulty of use, a high-volume reaction in the CVM extract (VeDDRA 99955). Plate stamps and neighbourhood peers follow.

#142 of 2,481
by report volume (all reactions)
3,272
reports citing this reaction
0.2%
death-coded share
Unknown
most-affected species

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. Difficulty of Use has 3,272 reports now versus 3,272 in that prior snapshot: 0 the same number of (0.0%).

Report change
+0
Death-coded reports
+0
Death-coded share
+0.0 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 Difficulty of Use changes

FDA AER · VeDDRA plate

Code 99955 VOL-MID

VOL-MID · DEATH-RARE · TOP-DECILE · PHOTO-FINISH · SPECIES-UNKNOWN · DRUG-LEAD · DESK-WIDE · BOOK-FULL

  • VOL-MID 3,272 reports
  • DEATH-RARE 0.2%
  • TOP-DECILE #142/2481
  • PHOTO-FINISH Appetite loss
  • SPECIES-UNKNOWN Unknown · 2,811
  • DRUG-LEAD Milbemycin Oxime… · 540
  • DESK-WIDE 20 breeds
  • BOOK-FULL 8/8 fields

Nearest volume peer: Appetite loss (±1 reports)

Upper-third report volume drives the scale stamps on this plate; death-coded share and co-report peers follow. Not a clinical diagnosis.

High-volume neighbourhood around Difficulty of Use

Upper-third volume poles plus nearest peers, not a full reaction corpus board reprint.

Vomiting · highest174348Dyspnoea · near3279Difficulty of Use · this rea…3272Appetite loss · near3271Partial lack of effic… · near3270Hair loss NOS · near3225Urinary tract neoplas… · low…10
FDA AER report volume · neighbourhood around Difficulty of Use

Difficulty of Use: low death-coded share in the FDA AER plate

Signature read: 3,272 reports place Difficulty of Use in the upper third of FDA AER volume (#142 of 2,481). Report volume is upper-third scale: 3,272 named reports in the openFDA extract. Death-coded share is lower-third: 5 of 3,272 reports (0.2% of named reports). Nearest volume peer: Appetite loss (±1 reports). Lead species Unknown (2,811). Lead co-reported drug Milbemycin Oxime + Spinosad (540).

Read these counts as reporting volume, not risk: per our methodology, Lead co-reported drug Milbemycin Oxime + Spinosad appears in filings alongside this reaction; that is association, not causation. Browse the full reactions index or the about page for how PlainBreed frames FDA CVM extracts.

Species Most Affected

Unknown 2,811
Dog 182
Human 181
Cat 87
Horse 6
Cattle 3
Chicken 2

Breeds Most Affected

Unknown 2,993
Domestic Shorthair 38
Cat (unknown) 20
Retriever - Labrador 17
Chihuahua 14
Dog (unknown) 10
Terrier - Yorkshire 10
Shih Tzu 9
Domestic Longhair 9
Bichon Frise 8

Associated Drugs

Milbemycin Oxime + Spinosad 540
Fluralaner Spot-On Solution 477
Cyclosporine 313
Gentamicin Sulfate + Hydrocortisone Aceponate + Miconazole Nitrate 228
Spinosad 185
Selamectin 110
Moxidectin 109
Hydrocortisone Aceponate/Miconazole Nitrate/Gentamicin Sulfate 85
Ciclesonide 80
Vetpen Starter Kit 75
Meloxicam 67
Selamectin;Sarolaner 67
Milbemycin Oxime + Praziquantel 57
Omeprazole 45
Deslorelin Acetate 45
Cyclosporin Ointment 33
Cloxacillin Benz Intramam Dc 30
Nitenpyram 27
Sarolaner 27
Afoxolaner 26

Nationwide reactions with similar profiles

Two openFDA-derived peer sets for Difficulty of Use, both floored at ≥50 reports so the neighborhoods stay in the advertised mass (the volume chart above is the unfloored photo-finish strip).

Similar report volume

Nearest other reactions by FDA report count (3,272 here).

Similar death-coded share

Nearest other reactions by death-coded share (0.2% here), distinct from the volume row.

What to do with this reaction

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 Difficulty of Use (#142 of 2,481 by report volume); death-coded 0.2%. PlainBreed reaction plate · report volume stamp 3,272 · 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 →