Eprinomectin + Esafoxolaner + Praziquantel (NexGard Combo) side effects in cats

3,247 reports sent to the FDA between 2023 and 2026 involve Eprinomectin + Esafoxolaner + Praziquantel in cats. The most reported problems were lethargy, drooling, loss of appetite. 15% were marked serious.

3,247Reports
15%Marked serious
86%Only medicine involved
28%Recovered
7.9%Died or euthanised
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About this medicine

Eprinomectin controls worms and prevents heartworm. Esafoxolaner kills fleas and ticks (spot-on for cats). Praziquantel treats tapeworms.

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

Some herding breeds (for example Collies) carry the MDR1 gene variant and can be more sensitive to this drug class at high doses.

Most reported side effects

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 prevent heartworm
4 0.1%

How soon problems started

Same day
1,429 45%
1–2 days
812 26%
3–7 days
303 9.6%
1–4 weeks
489 15%
Over a month
135 4.3%

Time from the first dose to the first sign, where both dates were reported (3,168 reports).

How the animals did

Recovered
903 28%
Recovered with lasting effects
4 0.1%
Still unwell when reported
272 8.4%
Died
129 4.0%
Euthanised
129 4.0%
Not known
1,810 56%

Breeds named most often

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

Other macrocyclic lactone (heartworm and parasite prevention)s for cats