Reaction profile

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

8,320 FDA reports name lack of efficacy (flea), a high-volume reaction in the CVM extract (VeDDRA 2649). Plate stamps and neighbourhood peers follow.

#55 of 2,481
by report volume (all reactions)
8,320
reports citing this reaction
0.2%
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 (flea) has 8,320 reports now versus 8,320 in that prior snapshot: 0 the same number of (0.0%).

Report change
+0
Death-coded reports
+0
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 (flea) changes

FDA AER · VeDDRA plate

Code 2649 VOL-HIGH

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

  • VOL-HIGH 8,320 reports
  • DEATH-RARE 0.2%
  • TOP-DECILE #55/2481
  • PHOTO-FINISH Hives (see also 'Skin…
  • SPECIES-DOG Dog · 7,217
  • DRUG-LEAD Nitenpyram · 1,803
  • DESK-WIDE 20 breeds
  • BOOK-FULL 8/8 fields

Nearest volume peer: Hives (see also 'Skin') (±16 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

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

Vomiting · highest174348Loose stool · near8484Product Defect, Gener… · near8459Hives (see also 'Skin… · near8336Lack of efficacy (fle… · thi…8320Lack of efficacy (end… · near8280Urinary tract neoplas… · low…10
FDA AER report volume · neighbourhood around Lack of efficacy (flea)

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

Signature read: 8,320 reports place Lack of efficacy (flea) in the upper third of FDA AER volume (#55 of 2,481). Report volume is upper-third scale: 8,320 named reports in the openFDA extract. Death-coded share is lower-third: 13 of 8,320 reports (0.2% of named reports). Nearest volume peer: Hives (see also 'Skin') (±16 reports). Lead species Dog (7,217). Lead co-reported drug Nitenpyram (1,803).

Read these counts as reporting volume, not risk: per our methodology, Lead co-reported drug Nitenpyram 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 7,217
Cat 1,095
Unknown 5
Other 3

Breeds Most Affected

Dog (unknown) 1,023
Crossbred Canine/dog 787
Chihuahua 630
Domestic Shorthair 482
Terrier - Yorkshire 376
Retriever - Labrador 355
Shih Tzu 342
Pit Bull 244
Cat (unknown) 217
Shepherd Dog - German 176

Associated Drugs

Nitenpyram 1,803
Milbemycin Oxime + Spinosad 1,591
Fluralaner Chew Tablets 1,451
Spinosad 1,081
Afoxolaner 830
Afoxolaner 28.3 Mg Chewable Tablets 301
Selamectin 236
Afoxolaner 68 Mg Chewable Tablets 215
Lotilaner 177
Fluralaner Spot-On Solution 165
Afoxolaner 11.3 Mg Chewable Tablets 152
Afoxolaner 136 Mg Chewable Tablets 137
Imidacloprid + Moxidectin 117
Flea Product (Unknown) 97
Lufenuron + Milbemycin Oxime 97
Flea Shampoo 83
Sarolaner 73
Fipronil 72
Milbemycin Oxime, Lufenuron 66
Lufenuron + Milbemycin Oxime + Praziquantel 61

Nationwide reactions with similar profiles

Two openFDA-derived peer sets for Lack of efficacy (flea), 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 (0.2% 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 (flea) (#55 of 2,481 by report volume); death-coded 0.2%. PlainBreed reaction plate · report volume stamp 8,320 · 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 →