Reaction profile

The FDA adverse-event record for elevated symmetrical dimethylarginine (sdma)

1,713 FDA adverse-event reports reference elevated symmetrical dimethylarginine (sdma) (VeDDRA 2583). See the species, breeds, and drugs most associated with it below.

1,713
reports citing this reaction
19.4%
death-coded share
Dog
most-affected species
Trilostane
most-associated drug
Verify with FDA CVM →
1,713
Total Reports
333
Deaths
19.4%
Death Rate

Species Most Affected

Dog 1,180
Cat 522
Horse 11

Breeds Most Affected

Domestic Shorthair 351
Retriever - Labrador 164
Crossbred Canine/dog 83
Retriever - Golden 55
Chihuahua 53
Domestic Longhair 51
Shepherd Dog - German 44
Terrier - Yorkshire 42
Shih Tzu 42
Domestic Mediumhair 37

Associated Drugs

Trilostane 268
Bedinvetmab 251
Maropitant Citrate 161
Carprofen 143
Gabapentin 138
Grapiprant 120
Frunevetmab 115
Oclacitinib Maleate 106
Bexagliflozin 93
Velagliflozin Proline Monohydrate 74
Meloxicam 54
Afoxolaner 54
Cefovecin 53
Buprenorphine 52
Pyrantel Pamoate;Sarolaner 48
Fluralaner Chew Tablets 47
Prednisone 45
Moxidectin 42
Fluralaner 13.64% 12-Week Chew 41
Robenacoxib 40

Elevated symmetrical dimethylarginine (SDMA) Reaction Insights

1,713 reports name Elevated symmetrical dimethylarginine (SDMA); 333 recorded a death outcome (19.4% of reported events, not a population-level mortality rate). VeDDRA code: 2583.

By species: Dog (1,180 reports), Cat (522 reports), Horse (11 reports). By breed: Domestic Shorthair (351), Retriever - Labrador (164), Crossbred Canine/dog (83).

Most co-reported drugs: Trilostane (268 reports), Bedinvetmab (251 reports), Maropitant Citrate (161 reports), Carprofen (143 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.