Reaction profile

The FDA adverse-event record for labelled drug-drug interaction medication error

621 FDA adverse-event reports reference labelled drug-drug interaction medication error (VeDDRA 99842). See the species, breeds, and drugs most associated with it below.

621
reports citing this reaction
13.2%
death-coded share
Dog
most-affected species
Spinosad
most-associated drug
Verify with FDA CVM →
621
Total Reports
82
Deaths
13.2%
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

Labelled drug-drug interaction medication error Reaction Insights

621 reports name Labelled drug-drug interaction medication error; 82 recorded a death outcome (13.2% of reported events, not a population-level mortality rate). VeDDRA code: 99842.

By species: Dog (563 reports), Cat (52 reports), Horse (3 reports). By breed: Crossbred Canine/dog (87), Retriever - Labrador (75), Shepherd Dog - German (25).

Most co-reported drugs: Spinosad (209 reports), Ivermectin (164 reports), Milbemycin Oxime + Spinosad (114 reports), Cyclosporine (100 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.