Reaction profile

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

2,765 FDA reports name lack of efficacy (roundworm), a high-volume reaction in the CVM extract (VeDDRA 2656). Plate stamps and neighbourhood peers follow.

#167 of 2,481
by report volume (all reactions)
2,765
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 (roundworm) has 2,765 reports now versus 2,765 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 (roundworm) changes

FDA AER · VeDDRA plate

Code 2656 VOL-MID

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

  • VOL-MID 2,765 reports
  • DEATH-RARE 0.5%
  • TOP-DECILE #167/2481
  • PHOTO-FINISH Blood in vomit
  • SPECIES-DOG Dog · 2,685
  • DRUG-LEAD Milbemycin Oxime… · 1,286
  • DESK-WIDE 20 breeds
  • BOOK-FULL 8/8 fields

Nearest volume peer: Blood in vomit (±14 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 · highest174348Lack of efficacy (rou… · thi…2765Blood in vomit · near2751Device Defective NOS · near2733Hypothermia · near2724Urticaria · near2718Urinary tract neoplas… · low…10
FDA AER report volume · neighbourhood around Lack of efficacy (roundworm)

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

Signature read: 2,765 reports place Lack of efficacy (roundworm) in the upper third of FDA AER volume (#167 of 2,481). Report volume is upper-third scale: 2,765 named reports in the openFDA extract. Death-coded share is lower-third: 13 of 2,765 reports (0.5% of named reports). Nearest volume peer: Blood in vomit (±14 reports). Lead species Dog (2,685). Lead co-reported drug Milbemycin Oxime + Praziquantel (1,286).

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 2,685
Cat 59
Cattle 16
Sheep 3
Horse 1
Pig 1

Breeds Most Affected

Retriever - Labrador 519
Retriever - Golden 226
Crossbred Canine/dog 129
Shepherd Dog - German 112
Beagle 108
Shepherd Dog - Australian 87
Dog (unknown) 70
Collie - Border 66
Pit Bull 64
Boxer (German Boxer) 56

Associated Drugs

Milbemycin Oxime + Praziquantel 1,286
Ivermectin + Pyrantel As Pamoate Salt 624
Milbemycin Oxime + Spinosad 337
Lufenuron + Milbemycin Oxime 236
Lufenuron + Milbemycin Oxime + Praziquantel 127
Milbemycin Oxime 122
Moxidectin 102
Afoxolaner 80
Selamectin 68
Milbemycin Oxime, Lufenuron 67
Fluralaner 60
Milbemcyin Oxime, Lufenuron, Praziquantel 30
Sarolaner 22
Pyrantel Pamoate 18
Lotilaner 16
Selamectin;Sarolaner 15
Ivermectin + Praziquantel + Pyrantel Pamoate 14
Imidacloprid + Moxidectin 13
Oclacitinib Maleate 12
Gabapentin 10

Nationwide reactions with similar profiles

Two openFDA-derived peer sets for Lack of efficacy (roundworm), 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 (2,765 here).

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 (roundworm) (#167 of 2,481 by report volume); death-coded 0.5%. PlainBreed reaction plate · report volume stamp 2,765 · 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 →