Reaction profile

The FDA adverse-event record for difficulty of use

3,272 FDA adverse-event reports reference difficulty of use (VeDDRA 99955). See the species, breeds, and drugs most associated with it below.

3,272
reports citing this reaction
0.2%
death-coded share
Unknown
most-affected species
Milbemycin Oxime + Spinosad
most-associated drug
Verify with FDA CVM →
3,272
Total Reports
5
Deaths
0.2%
Death Rate

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

Difficulty of Use Reaction Insights

3,272 reports name Difficulty of Use; 5 recorded a death outcome (0.2% of reported events, not a population-level mortality rate). VeDDRA code: 99955.

By species: Unknown (2,811 reports), Dog (182 reports), Human (181 reports). By breed: Unknown (2,993), Domestic Shorthair (38), Cat (unknown) (20).

Most co-reported drugs: Milbemycin Oxime + Spinosad (540 reports), Fluralaner Spot-On Solution (477 reports), Cyclosporine (313 reports), Gentamicin Sulfate + Hydrocortisone Aceponate + Miconazole Nitrate (228 reports).

Read these counts as reporting volume, not risk: per our methodology, co-reporting reflects temporal association captured in voluntary submissions, not proof that a drug caused this reaction. A widely-prescribed drug will rack up more raw co-reports at an identical true rate than a rarely-used one, so compare within similar-exposure products.

Source: FDA Center for Veterinary Medicine openFDA Animal & Veterinary Adverse Events (CVM AER) · 2025

Every figure on PlainBreed is rendered directly from FDA openFDA adverse event data, no number is typed in by an editor. This page draws directly on FDA openFDA data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.