Elevated alanine aminotransferase (ALT)

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VeDDRA Code: 2050

15,315 adverse event reports referencing this reaction

15,315
Total Reports
2,558
Deaths
1670.0%
Death Rate

Species Most Affected

Dog 13,754
Cat 1,534
Human 9
Horse 7
Ferret 3
Cattle 3
Rabbit 1
Other Canids 1
Other 1
Other Rodents 1

Breeds Most Affected

Retriever - Labrador 2,462
Crossbred Canine/dog 1,061
Domestic Shorthair 912
Chihuahua 612
Retriever - Golden 457
Shih Tzu 426
Shepherd Dog - German 349
Terrier - Yorkshire 343
Maltese 332
Beagle 304

Associated Drugs

Carprofen 3,152
Trilostane 1,902
Milbemycin Oxime + Spinosad 1,215
Maropitant Citrate 1,102
Oclacitinib Maleate 1,076
Moxidectin 713
Afoxolaner 630
Gabapentin 591
Bedinvetmab 531
Grapiprant 499
Prednisone 493
Fluralaner Chew Tablets 452
Spinosad 439
Ivermectin + Pyrantel As Pamoate Salt 417
Meloxicam 378
Melarsomine Dihydrochloride 349
Famotidine 341
Tramadol 335
Metronidazole 333
Deracoxib 321

Data Summary

Metric Value
Total reports referencing reaction 15,315
Reports with fatal outcome 2,558
Case-fatality rate (reported events) 1670.0%
Species observed 10
Breeds observed 20
Drugs associated with reaction 20

Source: FDA Center for Veterinary Medicine — Adverse Event Reporting (CVM AER); reaction term coded under VeDDRA 2050.

Elevated alanine aminotransferase (ALT) Reaction Insights

The FDA Center for Veterinary Medicine database currently lists 15,315 adverse event reports that reference Elevated alanine aminotransferase (ALT) as a reaction term, including 2,558 reports with a death outcome — a 1670.0% case-fatality figure calculated across only those events where this reaction was coded. The reaction is indexed in the openFDA system under VeDDRA code 2050, 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.

Elevated alanine aminotransferase (ALT) appears most frequently in reports for Dog (13,754 reports), Cat (1,534 reports), Human (9 reports) — with Dog dominating at 13,754 entries. Within those species, the breeds most often named alongside this reaction are Retriever - Labrador (2,462), Crossbred Canine/dog (1,061), Domestic Shorthair (912). 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 Elevated alanine aminotransferase (ALT) are Carprofen (3,152 reports), Trilostane (1,902 reports), Milbemycin Oxime + Spinosad (1,215 reports), Maropitant Citrate (1,102 reports), with Carprofen appearing alongside this reaction in 3,152 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