Liver problems after Emodepside + Praziquantel (Profender) in cats

The FDA has received 89 reports of liver problems in cats after Emodepside + Praziquantel. That is 1.6% of all reports for this medicine, compared with 2.8% across reports for all cat medicines, so it is reported less often than average with this medicine.

89Reports
78%Marked serious
16%Recovered
35%Died or euthanised
1 daysTypical onset
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How soon it started

Same day
22 32%
1–2 days
19 28%
3–7 days
13 19%
1–4 weeks
9 13%
Over a month
5 7.4%

How the animals did

Recovered
14 16%
Still unwell when reported
8 9.0%
Died
17 19%
Euthanised
14 16%
Not known
36 40%

Problems reported at the same time

Age of the animals

Under 1 year
22
1–3 years
23
4–7 years
19
8–11 years
14
12+ years
11

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 liver problems in cats?
89 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).

Liver problems with similar medicines

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