Excess tear flow

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VeDDRA Code: 438

143 adverse event reports referencing this reaction

143
Total Reports
11
Deaths
770.0%
Death Rate

Species Most Affected

Dog 107
Cat 28
Human 3
Cattle 3
Horse 2

Breeds Most Affected

Domestic Shorthair 19
Retriever - Labrador 8
Maltese 7
Shih Tzu 6
Chihuahua 6
Terrier - Yorkshire 5
Shepherd Dog - German 4
Shepherd Dog - Australian 4
Beagle 4
Retriever - Golden 3

Associated Drugs

Milbemycin Oxime + Spinosad 30
Imidacloprid + Moxidectin 9
Spinosad 8
Oclacitinib Maleate 8
Afoxolaner 7
Nitenpyram 6
Ivermectin + Pyrantel As Pamoate Salt 6
Maropitant Citrate 5
Moxidectin 5
Pyrantel Pamoate;Sarolaner 5
Selamectin 4
Fluralaner Chew Tablets 4
Bordetella Vaccine 4
Ivermectin 3
Cefovecin Sodium 3
Enrofloxacin 3
Milbemycin Oxime + Praziquantel 3
Fluralaner Spot-On Solution 3
Fluralaner 13.64% 12-Week Chew 3
Lotilaner 3

Data Summary

Metric Value
Total reports referencing reaction 143
Reports with fatal outcome 11
Case-fatality rate (reported events) 770.0%
Species observed 5
Breeds observed 20
Drugs associated with reaction 20

Source: FDA Center for Veterinary Medicine — Adverse Event Reporting (CVM AER); reaction term coded under VeDDRA 438.

Excess tear flow Reaction Insights

The FDA Center for Veterinary Medicine database currently lists 143 adverse event reports that reference Excess tear flow as a reaction term, including 11 reports with a death outcome — a 770.0% case-fatality figure calculated across only those events where this reaction was coded. The reaction is indexed in the openFDA system under VeDDRA code 438, 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.

Excess tear flow appears most frequently in reports for Dog (107 reports), Cat (28 reports), Human (3 reports) — with Dog dominating at 107 entries. Within those species, the breeds most often named alongside this reaction are Domestic Shorthair (19), Retriever - Labrador (8), Maltese (7). 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 Excess tear flow are Milbemycin Oxime + Spinosad (30 reports), Imidacloprid + Moxidectin (9 reports), Spinosad (8 reports), Oclacitinib Maleate (8 reports), with Milbemycin Oxime + Spinosad appearing alongside this reaction in 30 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