Labelled drug-drug interaction medication error

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VeDDRA Code: 99842

621 adverse event reports referencing this reaction

621
Total Reports
82
Deaths
1320.0%
Death Rate

Species Most Affected

Dog 563
Cat 52
Horse 3
Human 2
Pig 1

Breeds Most Affected

Crossbred Canine/dog 87
Retriever - Labrador 75
Shepherd Dog - German 25
Dog (unknown) 21
Bulldog 21
Chihuahua 20
Retriever - Golden 19
Pit Bull 19
Domestic (unspecified) 18
Shih Tzu 16

Associated Drugs

Spinosad 209
Ivermectin 164
Milbemycin Oxime + Spinosad 114
Cyclosporine 100
Carprofen 52
Firocoxib 31
Meloxicam 23
Dexmedetomidine Hydrochloride 17
Deracoxib 17
Cefovecin Sodium 16
Spinosad, Milbemycin 13
Robenacoxib 13
Cephalexin 9
Grapiprant 7
Prednisone 6
Ketoconazole 5
Ketoprofen 4
Tramadol 4
Maropitant 3
Vaccines (Unknown) 3

Data Summary

Metric Value
Total reports referencing reaction 621
Reports with fatal outcome 82
Case-fatality rate (reported events) 1320.0%
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 99842.

Labelled drug-drug interaction medication error Reaction Insights

The FDA Center for Veterinary Medicine database currently lists 621 adverse event reports that reference Labelled drug-drug interaction medication error as a reaction term, including 82 reports with a death outcome — a 1320.0% case-fatality figure calculated across only those events where this reaction was coded. The reaction is indexed in the openFDA system under VeDDRA code 99842, 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.

Labelled drug-drug interaction medication error appears most frequently in reports for Dog (563 reports), Cat (52 reports), Horse (3 reports) — with Dog dominating at 563 entries. Within those species, the breeds most often named alongside this reaction are Crossbred Canine/dog (87), Retriever - Labrador (75), Shepherd Dog - German (25). 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 Labelled drug-drug interaction medication error are Spinosad (209 reports), Ivermectin (164 reports), Milbemycin Oxime + Spinosad (114 reports), Cyclosporine (100 reports), with Spinosad appearing alongside this reaction in 209 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