Lack of efficacy (roundworm)

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VeDDRA Code: 2656

2,765 adverse event reports referencing this reaction

2,765
Total Reports
13
Deaths
50.0%
Death Rate

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

Data Summary

Metric Value
Total reports referencing reaction 2,765
Reports with fatal outcome 13
Case-fatality rate (reported events) 50.0%
Species observed 6
Breeds observed 20
Drugs associated with reaction 20

Source: FDA Center for Veterinary Medicine — Adverse Event Reporting (CVM AER); reaction term coded under VeDDRA 2656.

Lack of efficacy (roundworm) Reaction Insights

The FDA Center for Veterinary Medicine database currently lists 2,765 adverse event reports that reference Lack of efficacy (roundworm) as a reaction term, including 13 reports with a death outcome — a 50.0% case-fatality figure calculated across only those events where this reaction was coded. The reaction is indexed in the openFDA system under VeDDRA code 2656, the standardized veterinary dictionary used to normalize clinical signs across submitters. Because reports are voluntary and often describe multiple concurrent signs per animal, the volume here reflects reporting intensity rather than true incidence in the broader pet population.

Lack of efficacy (roundworm) appears most frequently in reports for Dog (2,685 reports), Cat (59 reports), Cattle (16 reports) — with Dog dominating at 2,685 entries. Within those species, the breeds most often named alongside this reaction are Retriever - Labrador (519), Retriever - Golden (226), Crossbred Canine/dog (129). These distributions are influenced both by underlying breed popularity and by how veterinarians and owners code a given clinical sign, so they should be interpreted as a reporting fingerprint rather than a pure susceptibility ranking.

The drugs most commonly co-reported with Lack of efficacy (roundworm) are Milbemycin Oxime + Praziquantel (1,286 reports), Ivermectin + Pyrantel As Pamoate Salt (624 reports), Milbemycin Oxime + Spinosad (337 reports), Lufenuron + Milbemycin Oxime (236 reports), with Milbemycin Oxime + Praziquantel appearing alongside this reaction in 1,286 submissions. Co-reporting does not establish that any specific product caused the reaction — FDA CVM data captures temporal association only. The value of these aggregates is in flagging which therapeutic classes appear repeatedly alongside a given clinical sign, so owners and veterinarians can ask targeted questions about medications currently in use.

Source: FDA Center for Veterinary Medicine — Adverse Event Reports FDA Center for Veterinary Medicine — Adverse Event Reports Data reflects voluntary submissions and may not represent actual incidence rates

Related

Data sourced from official AKC, AVMA, ACVO, and breed-club veterinary references. See our methodology for details. Retrieved and formatted by PlainBreed Editorial