Reaction profile

The FDA adverse-event record for lack of efficacy (endoparasite) - heartworm

52,770 FDA reports name lack of efficacy (endoparasite) - heartworm, a high-volume reaction in the CVM extract (VeDDRA 2430). Plate stamps and neighbourhood peers follow.

#7 of 2,481
by report volume (all reactions)
52,770
reports citing this reaction
0.5%
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. Lack of efficacy (endoparasite) - heartworm has 52,770 reports now versus 51,506 in that prior snapshot: 1,264 more (2.5%).

Report change
+1,264
Death-coded reports
+3
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 Lack of efficacy (endoparasite) - heartworm changes

FDA AER · VeDDRA plate

Code 2430 VOL-MEGA

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

  • VOL-MEGA 52,770 reports
  • DEATH-RARE 0.5%
  • TOP-DECILE #7/2481
  • PHOTO-FINISH Lack of efficacy - NOS
  • SPECIES-DOG Dog · 52,619
  • DRUG-LEAD Ivermectin + Pyra… · 18,937
  • DESK-WIDE 20 breeds
  • BOOK-FULL 8/8 fields

Nearest volume peer: Lack of efficacy - NOS (±1,755 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 Lack of efficacy - heartworm

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

Vomiting · highest174348Diarrhoea · near64292Lack of efficacy (ect… · near59231Lack of efficacy - NOS · near54525Lack of efficacy (end… · thi…52770Lack of efficacy (end… · near42123Urinary tract neoplas… · low…10
FDA AER report volume · neighbourhood around Lack of efficacy (endoparasite) - heartworm

Lack of efficacy (endoparasite) - heartworm: low death-coded share in the FDA AER plate

Signature read: 52,770 reports place Lack of efficacy (endoparasite) - heartworm in the upper third of FDA AER volume (#7 of 2,481). Report volume is upper-third scale: 52,770 named reports in the openFDA extract. Death-coded share is lower-third: 262 of 52,770 reports (0.5% of named reports). Nearest volume peer: Lack of efficacy - NOS (±1,755 reports). Lead species Dog (52,619). Lead co-reported drug Ivermectin + Pyrantel As Pamoate Salt (18,937).

Read these counts as reporting volume, not risk: per our methodology, Lead co-reported drug Ivermectin + Pyrantel As Pamoate Salt 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 52,619
Cat 142
Other Canids 4
Other 3
Wolf 2

Breeds Most Affected

Retriever - Labrador 10,620
Crossbred Canine/dog 5,323
Shepherd Dog - German 4,586
Pit Bull 2,280
Beagle 1,663
Retriever - Golden 1,326
Dog (unknown) 1,265
Shepherd Dog - Australian 1,239
Boxer (German Boxer) 1,205
Terrier (unspecified) 1,203

Associated Drugs

Ivermectin + Pyrantel As Pamoate Salt 18,937
Milbemycin Oxime + Praziquantel 10,041
Moxidectin 9,377
Milbemycin Oxime + Spinosad 7,499
Pyrantel Pamoate;Sarolaner 5,532
Melarsomine Dihydrochloride 2,363
Ivermectin + Pyrantel 2,250
Ivermectin 1,772
Milbemycin/Lufenuron Tablets 1,446
Milbemycin/Lufenuron/Pzq Chew 1,437
Milbemycin Oxime 1,237
Doxycycline 1,187
Ivermectin + Pyrantel Pamoate 823
Imidacloprid + Moxidectin 752
Afoxolaner 741
Selamectin 668
Lufenuron + Milbemycin Oxime 615
Lotilaner 570
Afoxolaner 75Mg / Moxidectin 360Mcg / Pyrantel 150Mg Chewable Tablet 482
Prednisone 481

Nationwide reactions with similar profiles

Two openFDA-derived peer sets for Lack of efficacy (endoparasite) - heartworm, both floored at ≥50 reports so the neighborhoods stay in the advertised mass (the volume chart above is the unfloored photo-finish strip).

Similar death-coded share

Nearest other reactions by death-coded share (0.5% 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 Lack of efficacy (endoparasite) - heartworm (#7 of 2,481 by report volume); death-coded 0.5%. PlainBreed reaction plate · report volume stamp 52,770 · 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 →