Underdose

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VeDDRA Code: 3037

10,755 adverse event reports referencing this reaction

10,755
Total Reports
509
Deaths
470.0%
Death Rate

Species Most Affected

Dog 9,455
Cat 1,072
Horse 130
Cattle 65
Chicken 13
Pig 7
Unknown 4
Goat 2
Sheep 2
Turkey 1

Breeds Most Affected

Retriever - Labrador 1,175
Crossbred Canine/dog 728
Domestic Shorthair 589
Shepherd Dog - German 470
Retriever - Golden 401
Chihuahua 318
Dog (unknown) 299
Beagle 284
Pit Bull 255
Boxer (German Boxer) 239

Associated Drugs

Trilostane 1,901
Ivermectin + Pyrantel As Pamoate Salt 1,546
Milbemycin Oxime + Spinosad 965
Spinosad 563
Oclacitinib Maleate 528
Afoxolaner 381
Carprofen 321
Selamectin 285
Imidacloprid + Moxidectin 263
Febantel + Praziquantel + Pyrantel Pamoate 228
Fluralaner 13.64% 12-Week Chew 216
Fenbendazol Granules 196
Nitenpyram 185
Milbemycin Oxime, Lufenuron 184
Pyrantel Pamoate;Sarolaner 184
Moxidectin 180
Dexmedetomidine Hydrochloride 180
Milbemycin Oxime + Praziquantel 178
Fluralaner Chew Tablets 173
Phenylpropanolamine Hcl 163

Data Summary

Metric Value
Total reports referencing reaction 10,755
Reports with fatal outcome 509
Case-fatality rate (reported events) 470.0%
Species observed 10
Breeds observed 20
Drugs associated with reaction 20

Source: FDA Center for Veterinary Medicine — Adverse Event Reporting (CVM AER); reaction term coded under VeDDRA 3037.

Underdose Reaction Insights

The FDA Center for Veterinary Medicine database currently lists 10,755 adverse event reports that reference Underdose as a reaction term, including 509 reports with a death outcome — a 470.0% case-fatality figure calculated across only those events where this reaction was coded. The reaction is indexed in the openFDA system under VeDDRA code 3037, 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.

Underdose appears most frequently in reports for Dog (9,455 reports), Cat (1,072 reports), Horse (130 reports) — with Dog dominating at 9,455 entries. Within those species, the breeds most often named alongside this reaction are Retriever - Labrador (1,175), Crossbred Canine/dog (728), Domestic Shorthair (589). 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 Underdose are Trilostane (1,901 reports), Ivermectin + Pyrantel As Pamoate Salt (1,546 reports), Milbemycin Oxime + Spinosad (965 reports), Spinosad (563 reports), with Trilostane appearing alongside this reaction in 1,901 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