Reaction profile

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

1,001 FDA reports name lack of efficacy (heartworm), a high-volume reaction in the CVM extract (VeDDRA 2430). Plate stamps and neighbourhood peers follow.

#393 of 2,481
by report volume (all reactions)
1,001
reports citing this reaction
1.0%
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 (heartworm) has 1,001 reports now versus 1,001 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 (heartworm) changes

FDA AER · VeDDRA plate

Code 2430 VOL-MID

VOL-MID · DEATH-RARE · UPPER-Q · PHOTO-FINISH · SPECIES-DOG · DRUG-LEAD · DESK-WIDE · BOOK-FULL

  • VOL-MID 1,001 reports
  • DEATH-RARE 1.0%
  • UPPER-Q #393/2481
  • PHOTO-FINISH Itchy skin
  • SPECIES-DOG Dog · 1,000
  • DRUG-LEAD Milbemycin Oxime… · 345
  • DESK-WIDE 20 breeds
  • BOOK-FULL 8/8 fields

Nearest volume peer: Itchy skin (±4 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 · highest174348Paddling · near1009Decreased haemoglobin · near1007Itchy skin · near1005Lack of efficacy (hea… · thi…1001Abnormal menace refle… · near993Urinary tract neoplas… · low…10
FDA AER report volume · neighbourhood around Lack of efficacy (heartworm)

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

Signature read: Lack of efficacy (heartworm)'s 1.0% death-coded share is among the lowest in the openFDA reaction corpus. Report volume is upper-third scale: 1,001 named reports in the openFDA extract. Death-coded share is lower-third: 10 of 1,001 reports (1.0% of named reports). Nearest volume peer: Itchy skin (±4 reports). Lead species Dog (1,000). Lead co-reported drug Milbemycin Oxime + Praziquantel (345).

Read these counts as reporting volume, not risk: per our methodology, Lead co-reported drug Milbemycin Oxime + Praziquantel 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 1,000
Cat 1

Breeds Most Affected

Retriever - Labrador 226
Shepherd Dog - German 74
Crossbred Canine/dog 74
Beagle 41
Dog (unknown) 38
Pit Bull 37
Retriever - Golden 30
Boxer (German Boxer) 27
Terrier (unspecified) 26
Shepherd Dog - Australian 24

Associated Drugs

Milbemycin Oxime + Praziquantel 345
Lufenuron + Milbemycin Oxime 338
Lufenuron + Milbemycin Oxime + Praziquantel 199
Moxidectin 162
Milbemycin Oxime 86
Ivermectin + Pyrantel Pamoate 56
Milbemycin Oxime + Spinosad 52
Ivermectin 49
Selamectin 45
Ivermectin + Pyrantel As Pamoate Salt 33
Ivermectin/Pyrantel 31
Melarsomine Dihydrochloride 24
Afoxolaner 19
Ivermectin + Praziquantel + Pyrantel Pamoate 19
Fluralaner 18
Doxycycline 18
Milbemycin Oxime + Lufenuron 11
Spinosad/Milbemycin Oxime 10
Imidacolprid And Moxidectin 9
Prednisone 9

Nationwide reactions with similar profiles

Two openFDA-derived peer sets for Lack of efficacy (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 report volume

Nearest other reactions by FDA report count (1,001 here).

Similar death-coded share

Nearest other reactions by death-coded share (1.0% 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 (heartworm) (#393 of 2,481 by report volume); death-coded 1.0%. PlainBreed reaction plate · death-coded share stamp 1.0% · 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 →