Reaction profile

The FDA adverse-event record for elevated bile acids

725 FDA reports name elevated bile acids, a high-volume reaction in the CVM extract (VeDDRA 2051). Plate stamps and neighbourhood peers follow.

#497 of 2,481
by report volume (all reactions)
725
reports citing this reaction
9.8%
death-coded share
Dog
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. Elevated bile acids has 725 reports now versus 714 in that prior snapshot: 11 more (1.5%).

Report change
+11
Death-coded reports
+3
Death-coded share
+0.3 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 Elevated bile acids changes

FDA AER · VeDDRA plate

Code 2051 VOL-MID

VOL-MID · DEATH-PAR · UPPER-Q · PHOTO-FINISH · SPECIES-DOG · DRUG-LEAD · DESK-WIDE · BOOK-FULL

  • VOL-MID 725 reports
  • DEATH-PAR 9.8%
  • UPPER-Q #497/2481
  • PHOTO-FINISH Balance impaired
  • SPECIES-DOG Dog · 700
  • DRUG-LEAD Milbemycin Oxime… · 158
  • DESK-WIDE 20 breeds
  • BOOK-FULL 8/8 fields

Nearest volume peer: Balance impaired (±0 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 Elevated bile acids

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

Vomiting · highest174348Anisocoria · near726Balance impaired · near725Elevated bile acids · this r…725Mental impairment NOS · near725Trauma NOS · near725Urinary tract neoplas… · low…10
FDA AER report volume · neighbourhood around Elevated bile acids

What the FDA AER plate says about Elevated bile acids

Signature read: 725 reports place Elevated bile acids in the upper third of FDA AER volume (#497 of 2,481). Report volume is upper-third scale: 725 named reports in the openFDA extract. 71 of 725 reports were death-coded (9.8% of named reports, not a population mortality rate). Nearest volume peer: Balance impaired (±0 reports). Lead species Dog (700). Lead co-reported drug Milbemycin Oxime + Spinosad (158).

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

Dog 700
Cat 23
Horse 2

Breeds Most Affected

Retriever - Labrador 72
Terrier - Yorkshire 67
Crossbred Canine/dog 52
Chihuahua 49
Shih Tzu 45
Maltese 43
Dachshund (unspecified) 22
Spitz - German Pomeranian 20
Retriever - Golden 16
Dog (unknown) 15

Associated Drugs

Milbemycin Oxime + Spinosad 158
Carprofen 94
Oclacitinib Maleate 56
Afoxolaner 49
Spinosad 45
Fluralaner Chew Tablets 38
Trilostane 34
Maropitant Citrate 30
Moxidectin 26
Meloxicam 23
Sam-E, Silybin, Vitamin E, Zinc 19
Milbemycin Oxime + Praziquantel 19
Pyrantel Pamoate;Sarolaner 18
Famotidine 17
Grapiprant 17
Ivermectin + Pyrantel As Pamoate Salt 16
Sarolaner 16
Deracoxib 15
Milbemycin Oxime 12
Gabapentin 12

Nationwide reactions with similar profiles

Two openFDA-derived peer sets for Elevated bile acids, 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 (725 here).

Similar death-coded share

Nearest other reactions by death-coded share (9.8% 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 Elevated bile acids (#497 of 2,481 by report volume); death-coded 9.8%. PlainBreed reaction plate · report volume stamp 725 · 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 →