Afoxolaner (NexGard) side effects in cats

80 reports sent to the FDA between 2014 and 2026 involve Afoxolaner in cats. The most reported problems were vomiting, loss of appetite, lethargy. 31% were marked serious.

80Reports
31%Marked serious
74%Only medicine involved
14%Recovered
5.0%Died or euthanised
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About this medicine

Afoxolaner kills fleas and ticks; given as a monthly chewable.

Products with this ingredient include NexGard. The FDA hides brand names in its public data, so these reports cover every product with the same active ingredients.

In 2018 the FDA alerted owners and vets that isoxazoline products have been associated with neurologic reactions such as muscle tremors, wobbliness (ataxia) and seizures, including in animals with no history of them.

Most reported side effects

Vomiting
16 20%
Loss of appetite
14 18%
Lethargy
12 15%
Itching
11 14%
Breathing problems
9 11%
Administration error
8 10%
Restlessness or agitation
7 8.8%
Hair loss
6 7.5%
Vocalising
4 5.0%
Drooling
4 5.0%
Behaviour change
4 5.0%
Fever
3 3.8%
Accidental exposure
3 3.8%
Skin rash or irritation
3 3.8%
Wobbliness (ataxia)
3 3.8%

Share = percentage of this medicine's reports that mention the problem. One report can list several problems.

Reports that it didn't work

Some reports are about the medicine not working (for example a cat still getting fleas or heartworm), not about a side effect.

Didn't stop fleas
5 6.3%
Didn't work as expected
3 3.8%
Didn't stop worms
2 2.5%

How soon problems started

Same day
33 46%
1–2 days
15 21%
3–7 days
3 4.2%
1–4 weeks
12 17%
Over a month
8 11%

Time from the first dose to the first sign, where both dates were reported (71 reports).

How the animals did

Recovered
11 14%
Still unwell when reported
8 10%
Died
3 3.8%
Euthanised
1 1.3%
Not known
57 71%

Breeds named most often

Popular breeds appear more often because there are more of them.

Other isoxazoline flea and tick medicines for cats