Low serum alkaline phosphatase (ALP)

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VeDDRA Code: 2690

146 adverse event reports referencing this reaction

146
Total Reports
31
Deaths
2120.0%
Death Rate

Species Most Affected

Dog 89
Cat 57

Breeds Most Affected

Domestic Shorthair 30
Retriever - Labrador 18
Crossbred Canine/dog 7
Shepherd Dog - German 7
Domestic Longhair 7
Great Pyrenees 5
Retriever - Golden 5
Domestic Mediumhair 5
Shih Tzu 4
Maine Coon 4

Associated Drugs

Maropitant Citrate 23
Bedinvetmab 18
Afoxolaner 16
Oclacitinib Maleate 13
Eprinomectin + Esafoxolaner + Praziquantel 11
Buprenorphine 10
Metronidazole 9
Fluid Therapy 9
Gabapentin 8
Milbemycin Oxime + Praziquantel 8
Fluralaner 13.64% 12-Week Chew 8
Robenacoxib 7
Velagliflozin Proline Monohydrate 7
Enrofloxacin 7
Rabies Vaccine 7
Pyrantel Pamoate;Sarolaner 6
Bordetella Vaccine 5
Doxycycline 5
Fluralaner 5
Frunevetmab 5

Data Summary

Metric Value
Total reports referencing reaction 146
Reports with fatal outcome 31
Case-fatality rate (reported events) 2120.0%
Species observed 2
Breeds observed 20
Drugs associated with reaction 20

Source: FDA Center for Veterinary Medicine — Adverse Event Reporting (CVM AER); reaction term coded under VeDDRA 2690.

Low serum alkaline phosphatase (ALP) Reaction Insights

The FDA Center for Veterinary Medicine database currently lists 146 adverse event reports that reference Low serum alkaline phosphatase (ALP) as a reaction term, including 31 reports with a death outcome — a 2120.0% case-fatality figure calculated across only those events where this reaction was coded. The reaction is indexed in the openFDA system under VeDDRA code 2690, 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.

Low serum alkaline phosphatase (ALP) appears most frequently in reports for Dog (89 reports), Cat (57 reports) — with Dog dominating at 89 entries. Within those species, the breeds most often named alongside this reaction are Domestic Shorthair (30), Retriever - Labrador (18), Crossbred Canine/dog (7). 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 Low serum alkaline phosphatase (ALP) are Maropitant Citrate (23 reports), Bedinvetmab (18 reports), Afoxolaner (16 reports), Oclacitinib Maleate (13 reports), with Maropitant Citrate appearing alongside this reaction in 23 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