Reaction profile

The FDA adverse-event record for elevated bile acids

692 FDA adverse-event reports reference elevated bile acids (VeDDRA 2051). See the species, breeds, and drugs most associated with it below.

692
reports citing this reaction
9.2%
death-coded share
Dog
most-affected species
Milbemycin Oxime + Spinosad
most-associated drug
Verify with FDA CVM →
692
Total Reports
64
Deaths
9.2%
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

Elevated bile acids Reaction Insights

692 reports name Elevated bile acids; 64 recorded a death outcome (9.2% of reported events, not a population-level mortality rate). VeDDRA code: 2051.

By species: Dog (669 reports), Cat (21 reports), Horse (2 reports). By breed: Retriever - Labrador (68), Terrier - Yorkshire (65), Crossbred Canine/dog (51).

Most co-reported drugs: Milbemycin Oxime + Spinosad (158 reports), Carprofen (91 reports), Oclacitinib Maleate (47 reports), Spinosad (45 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.