Elevated bile acids

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VeDDRA Code: 2051

692 adverse event reports referencing this reaction

692
Total Reports
64
Deaths
920.0%
Death Rate

Species Most Affected

Dog 669
Cat 21
Horse 2

Breeds Most Affected

Retriever - Labrador 68
Terrier - Yorkshire 65
Crossbred Canine/dog 51
Chihuahua 45
Shih Tzu 45
Maltese 43
Dachshund (unspecified) 21
Spitz - German Pomeranian 20
Dog (unknown) 15
Retriever - Golden 13

Associated Drugs

Milbemycin Oxime + Spinosad 158
Carprofen 91
Oclacitinib Maleate 47
Spinosad 45
Afoxolaner 44
Fluralaner Chew Tablets 38
Trilostane 34
Maropitant Citrate 26
Moxidectin 25
Meloxicam 22
Sam-E, Silybin, Vitamin E, Zinc 19
Milbemycin Oxime + Praziquantel 19
Grapiprant 17
Ivermectin + Pyrantel As Pamoate Salt 16
Deracoxib 15
Famotidine 15
Sarolaner 15
Pyrantel Pamoate;Sarolaner 14
Milbemycin Oxime 12
Selamectin 11

Data Summary

Metric Value
Total reports referencing reaction 692
Reports with fatal outcome 64
Case-fatality rate (reported events) 920.0%
Species observed 3
Breeds observed 20
Drugs associated with reaction 20

Source: FDA Center for Veterinary Medicine — Adverse Event Reporting (CVM AER); reaction term coded under VeDDRA 2051.

Elevated bile acids Reaction Insights

The FDA Center for Veterinary Medicine database currently lists 692 adverse event reports that reference Elevated bile acids as a reaction term, including 64 reports with a death outcome — a 920.0% case-fatality figure calculated across only those events where this reaction was coded. The reaction is indexed in the openFDA system under VeDDRA code 2051, 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 bile acids appears most frequently in reports for Dog (669 reports), Cat (21 reports), Horse (2 reports) — with Dog dominating at 669 entries. Within those species, the breeds most often named alongside this reaction are Retriever - Labrador (68), Terrier - Yorkshire (65), Crossbred Canine/dog (51). 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 bile acids are Milbemycin Oxime + Spinosad (158 reports), Carprofen (91 reports), Oclacitinib Maleate (47 reports), Spinosad (45 reports), with Milbemycin Oxime + Spinosad appearing alongside this reaction in 158 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