Reaction profile

The FDA adverse-event record for lack of efficacy - nos

54,525 FDA reports name lack of efficacy - nos, a high-volume reaction in the CVM extract (VeDDRA 1039). Plate stamps and neighbourhood peers follow.

#6 of 2,481
by report volume (all reactions)
54,525
reports citing this reaction
6.1%
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 - NOS has 54,525 reports now versus 53,667 in that prior snapshot: 858 more (1.6%).

Report change
+858
Death-coded reports
+59
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 - NOS changes

FDA AER · VeDDRA plate

Code 1039 VOL-MEGA

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

  • VOL-MEGA 54,525 reports
  • DEATH-PAR 6.1%
  • TOP-DECILE #6/2481
  • PHOTO-FINISH Lack of efficacy (end…
  • SPECIES-DOG Dog · 42,966
  • DRUG-LEAD Milbemycin Oxime… · 13,055
  • DESK-WIDE 20 breeds
  • BOOK-FULL 8/8 fields

Nearest volume peer: Lack of efficacy (endoparasite) - heartworm (±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 - NOS

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

Vomiting · highest174348Diarrhoea · near64292Lack of efficacy (ect… · near59231Lack of efficacy - NOS · thi…54525Lack of efficacy (end… · near52770Lack of efficacy (end… · near42123Urinary tract neoplas… · low…10
FDA AER report volume · neighbourhood around Lack of efficacy - NOS

Lack of efficacy - NOS: low death-coded share in the FDA AER plate

Signature read: 54,525 reports place Lack of efficacy - NOS in the upper third of FDA AER volume (#6 of 2,481). Report volume is upper-third scale: 54,525 named reports in the openFDA extract. Death-coded share is lower-third: 3,336 of 54,525 reports (6.1% of named reports). Nearest volume peer: Lack of efficacy (endoparasite) - heartworm (±1,755 reports). Lead species Dog (42,966). Lead co-reported drug Milbemycin Oxime + Spinosad (13,055).

Read these counts as reporting volume, not risk: per our methodology, Lead co-reported drug Milbemycin Oxime + Spinosad 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 42,966
Cat 6,810
Cattle 2,744
Horse 1,338
Ferret 140
Pig 105
Chicken 102
Other 73
Unknown 44
Goat 39

Breeds Most Affected

Retriever - Labrador 5,895
Domestic Shorthair 3,744
Dog (unknown) 3,390
Crossbred Canine/dog 3,165
Shepherd Dog - German 1,890
Retriever - Golden 1,722
Chihuahua 1,465
Shih Tzu 1,152
Beagle 1,140
Terrier - Yorkshire 1,087

Associated Drugs

Milbemycin Oxime + Spinosad 13,055
Ivermectin + Pyrantel As Pamoate Salt 5,441
Oclacitinib Maleate 3,664
Spinosad 2,530
Maropitant Citrate 1,507
Moxidectin 1,179
Trilostane 1,173
Bedinvetmab 1,162
Betamethasone + Florfenicol + Terbinafine 1,129
Insulin Injectable Vial 1,064
Selamectin 1,060
Velagliflozin Proline Monohydrate 1,004
Grapiprant 994
Lufenuron + Milbemycin Oxime 962
Anti-Il31 Mab Mcs Lot #1283563 956
Carprofen 892
Nitenpyram 862
Gabapentin 860
Tigilanol Tiglate 856
Prednisone 847

Nationwide reactions with similar profiles

Two openFDA-derived peer sets for Lack of efficacy - NOS, 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 (6.1% 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 - NOS (#6 of 2,481 by report volume); death-coded 6.1%. PlainBreed reaction plate · report volume stamp 54,525 · 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 →