Lethargy after Emodepside + Praziquantel (Profender) in cats

The FDA has received 909 reports of lethargy in cats after Emodepside + Praziquantel. That is 16% of all reports for this medicine, compared with 14% across reports for all cat medicines.

909Reports
61%Marked serious
32%Recovered
10%Died or euthanised
1 daysTypical onset
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How soon it started

Same day
304 42%
1–2 days
266 37%
3–7 days
84 12%
1–4 weeks
45 6.2%
Over a month
24 3.3%

How the animals did

Recovered
293 32%
Recovered with lasting effects
2 0.2%
Still unwell when reported
75 8.3%
Died
48 5.3%
Euthanised
47 5.2%
Not known
444 49%

Problems reported at the same time

Age of the animals

Under 1 year
173
1–3 years
281
4–7 years
217
8–11 years
104
12+ years
93

About this medicine

Emodepside treats intestinal worms (spot-on for cats). Praziquantel treats tapeworms.

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

Questions owners ask

Can Emodepside + Praziquantel cause lethargy in cats?
909 reports link the two, but a report alone does not prove the medicine was the cause: other illnesses, other medicines or coincidence can be involved. Your vet can judge it for your animal.
How soon after a dose was it reported?
In half of the reports with dates, it started within 1 day of the first dose.
What should I do?
Don't give another dose until you've spoken to your vet, and keep the packaging so you can tell them the product and dose. Your vet can also report it to the FDA (or you can, through the manufacturer or FDA form 1932a).

Lethargy with similar medicines

All reported side effects of Emodepside + Praziquantel in cats · Medicines most reported with lethargy