Reaction profile

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

49,836 FDA adverse-event reports reference lack of efficacy (endoparasite) - heartworm (VeDDRA 2430). See the species, breeds, and drugs most associated with it below.

49,836
reports citing this reaction
0.5%
death-coded share
Dog
most-affected species
Ivermectin + Pyrantel As Pamoate Salt
most-associated drug
Verify with FDA CVM →
49,836
Total Reports
245
Deaths
0.5%
Death Rate

Species Most Affected

Dog 49,695
Cat 132
Other Canids 4
Other 3
Wolf 2

Breeds Most Affected

Retriever - Labrador 10,134
Crossbred Canine/dog 4,990
Shepherd Dog - German 4,371
Pit Bull 2,152
Beagle 1,577
Retriever - Golden 1,269
Dog (unknown) 1,206
Shepherd Dog - Australian 1,155
Boxer (German Boxer) 1,146
Terrier (unspecified) 1,120

Associated Drugs

Ivermectin + Pyrantel As Pamoate Salt 18,221
Milbemycin Oxime + Praziquantel 9,737
Moxidectin 8,728
Milbemycin Oxime + Spinosad 7,382
Pyrantel Pamoate;Sarolaner 4,843
Melarsomine Dihydrochloride 2,244
Ivermectin + Pyrantel 2,155
Ivermectin 1,739
Milbemycin/Lufenuron Tablets 1,386
Milbemycin/Lufenuron/Pzq Chew 1,316
Milbemycin Oxime 1,181
Doxycycline 1,098
Ivermectin + Pyrantel Pamoate 789
Imidacloprid + Moxidectin 713
Afoxolaner 667
Selamectin 648
Lufenuron + Milbemycin Oxime 615
Lotilaner 516
Prednisone 442
Fluralaner 432

Lack of efficacy (endoparasite) - heartworm Reaction Insights

49,836 reports name Lack of efficacy (endoparasite) - heartworm; 245 recorded a death outcome (0.5% of reported events, not a population-level mortality rate). VeDDRA code: 2430.

By species: Dog (49,695 reports), Cat (132 reports), Other Canids (4 reports). By breed: Retriever - Labrador (10,134), Crossbred Canine/dog (4,990), Shepherd Dog - German (4,371).

Most co-reported drugs: Ivermectin + Pyrantel As Pamoate Salt (18,221 reports), Milbemycin Oxime + Praziquantel (9,737 reports), Moxidectin (8,728 reports), Milbemycin Oxime + Spinosad (7,382 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.