Reaction profile

The FDA adverse-event record for elevated serum alkaline phosphatase (sap)

11,291 FDA reports name elevated serum alkaline phosphatase (sap), a high-volume reaction in the CVM extract (VeDDRA 2055). Plate stamps and neighbourhood peers follow.

#39 of 2,481
by report volume (all reactions)
11,291
reports citing this reaction
18.8%
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 serum alkaline phosphatase (SAP) has 11,291 reports now versus 11,291 in that prior snapshot: 0 the same number of (0.0%).

Report change
+0
Death-coded reports
+0
Death-coded share
+0.0 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 serum alkaline phosphatase (SAP) changes

FDA AER · VeDDRA plate

Code 2055 VOL-HIGH

VOL-HIGH · DEATH-ELEV · TOP-DECILE · PHOTO-FINISH · SPECIES-DOG · DRUG-LEAD · DESK-WIDE · BOOK-FULL

  • VOL-HIGH 11,291 reports
  • DEATH-ELEV 18.8%
  • TOP-DECILE #39/2481
  • PHOTO-FINISH Vocalisation
  • SPECIES-DOG Dog · 10,946
  • DRUG-LEAD Trilostane · 2,411
  • DESK-WIDE 20 breeds
  • BOOK-FULL 8/8 fields

Nearest volume peer: Vocalisation (±72 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 serum alkaline phosphatase

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

Vomiting · highest174348Cardiac disorder NOS · near11531Vocalisation · near11363Elevated serum alkali… · thi…11291Fever · near11181Underdose · near10973Urinary tract neoplas… · low…10
FDA AER report volume · neighbourhood around Elevated serum alkaline phosphatase (SAP)

What the FDA AER plate says about Elevated serum alkaline phosphatase (SAP)

Signature read: 2,127 death-coded reports is a heavy tail count for Elevated serum alkaline phosphatase (SAP) in the CVM extract. Report volume is upper-third scale: 11,291 named reports in the openFDA extract. 2,127 of 11,291 reports were death-coded (18.8% of named reports, not a population mortality rate). Nearest volume peer: Vocalisation (±72 reports). Lead species Dog (10,946). Lead co-reported drug Trilostane (2,411).

Read these counts as reporting volume, not risk: per our methodology, Lead co-reported drug Trilostane 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 10,946
Cat 321
Horse 16
Cattle 5
Other 1
Other Canids 1
Pig 1

Breeds Most Affected

Retriever - Labrador 1,838
Crossbred Canine/dog 865
Chihuahua 402
Shih Tzu 400
Maltese 315
Retriever - Golden 312
Beagle 292
Terrier - Yorkshire 241
Dachshund (unspecified) 219
Boxer (German Boxer) 213

Associated Drugs

Trilostane 2,411
Carprofen 2,370
Oclacitinib Maleate 1,023
Milbemycin Oxime + Spinosad 757
Maropitant Citrate 745
Afoxolaner 494
Fluralaner Chew Tablets 427
Prednisone 396
Moxidectin 380
Deracoxib 361
Spinosad 341
Grapiprant 322
Meloxicam 297
Tramadol 297
Gabapentin 296
Ivermectin + Pyrantel As Pamoate Salt 294
Famotidine 270
Metronidazole 251
Cyclosporine 236
Firocoxib 227

Nationwide reactions with similar profiles

Two openFDA-derived peer sets for Elevated serum alkaline phosphatase (SAP), 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 (11,291 here).

Similar death-coded share

Nearest other reactions by death-coded share (18.8% 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 serum alkaline phosphatase (SAP) (#39 of 2,481 by report volume); death-coded 18.8%. PlainBreed reaction plate · death-coded report count stamp 2,127 · 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 →