Elevated creatine-kinase (CK)

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VeDDRA Code: 2245

995 adverse event reports referencing this reaction

995
Total Reports
225
Deaths
2260.0%
Death Rate

Species Most Affected

Dog 709
Cat 202
Horse 66
Human 6
Cattle 6
Pig 2
Sheep 1
Other Birds 1
Hedgehog 1
Wolf 1

Breeds Most Affected

Domestic Shorthair 129
Retriever - Labrador 82
Crossbred Canine/dog 67
Retriever - Golden 32
Chihuahua 28
Quarter Horse 25
Domestic (unspecified) 25
Collie - Border 21
Shepherd Dog - German 19
Beagle 16

Associated Drugs

Afoxolaner 81
Carprofen 77
Trilostane 75
Maropitant Citrate 71
Oclacitinib Maleate 51
Fluralaner Chew Tablets 51
Ivermectin + Pyrantel As Pamoate Salt 48
Bedinvetmab 38
Cefovecin 37
Gabapentin 35
Moxidectin 33
Milbemycin Oxime + Spinosad 31
Meloxicam 30
Prednisone 28
Fluralaner 13.64% 12-Week Chew 27
Deracoxib 23
Buprenorphine 22
Isoflurane 22
Frunevetmab 22
Enrofloxacin 21

Data Summary

Metric Value
Total reports referencing reaction 995
Reports with fatal outcome 225
Case-fatality rate (reported events) 2260.0%
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 2245.

Elevated creatine-kinase (CK) Reaction Insights

The FDA Center for Veterinary Medicine database currently lists 995 adverse event reports that reference Elevated creatine-kinase (CK) as a reaction term, including 225 reports with a death outcome — a 2260.0% case-fatality figure calculated across only those events where this reaction was coded. The reaction is indexed in the openFDA system under VeDDRA code 2245, 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 creatine-kinase (CK) appears most frequently in reports for Dog (709 reports), Cat (202 reports), Horse (66 reports) — with Dog dominating at 709 entries. Within those species, the breeds most often named alongside this reaction are Domestic Shorthair (129), Retriever - Labrador (82), Crossbred Canine/dog (67). 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 creatine-kinase (CK) are Afoxolaner (81 reports), Carprofen (77 reports), Trilostane (75 reports), Maropitant Citrate (71 reports), with Afoxolaner appearing alongside this reaction in 81 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