Mental confusion

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VeDDRA Code: 1609

246 adverse event reports referencing this reaction

246
Total Reports
30
Deaths
1220.0%
Death Rate

Species Most Affected

Dog 212
Human 16
Cat 14
Donkey 1
Horse 1
Other Equids 1
Other 1

Breeds Most Affected

Unknown 18
Crossbred Canine/dog 17
Retriever - Labrador 14
Shepherd Dog - German 10
Chihuahua 9
Domestic Shorthair 9
Pit Bull 7
Dog (unknown) 7
Beagle 7
Boxer (German Boxer) 7

Associated Drugs

Afoxolaner 38
Milbemycin Oxime + Spinosad 32
Ivermectin + Pyrantel As Pamoate Salt 22
Trilostane 19
Bedinvetmab 15
Oclacitinib Maleate 14
Pyrantel Pamoate;Sarolaner 12
Sarolaner 11
Fluralaner Chew Tablets 10
Lotilaner 10
Carprofen 9
Gabapentin 8
Fluralaner 13.64% 12-Week Chew 8
Moxidectin 6
Milbemycin Oxime + Praziquantel 6
Buprenorphine 5
Isoflurane 4
Spinosad 4
Prednisone 4
Pimobendan 4

Data Summary

Metric Value
Total reports referencing reaction 246
Reports with fatal outcome 30
Case-fatality rate (reported events) 1220.0%
Species observed 7
Breeds observed 20
Drugs associated with reaction 20

Source: FDA Center for Veterinary Medicine — Adverse Event Reporting (CVM AER); reaction term coded under VeDDRA 1609.

Mental confusion Reaction Insights

The FDA Center for Veterinary Medicine database currently lists 246 adverse event reports that reference Mental confusion as a reaction term, including 30 reports with a death outcome — a 1220.0% case-fatality figure calculated across only those events where this reaction was coded. The reaction is indexed in the openFDA system under VeDDRA code 1609, 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.

Mental confusion appears most frequently in reports for Dog (212 reports), Human (16 reports), Cat (14 reports) — with Dog dominating at 212 entries. Within those species, the breeds most often named alongside this reaction are Unknown (18), Crossbred Canine/dog (17), Retriever - Labrador (14). 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 Mental confusion are Afoxolaner (38 reports), Milbemycin Oxime + Spinosad (32 reports), Ivermectin + Pyrantel As Pamoate Salt (22 reports), Trilostane (19 reports), with Afoxolaner appearing alongside this reaction in 38 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