Application site reaction after Flumethrin + Imidacloprid (Seresto) in cats

187 reports to the FDA describe application site reaction in cats given Flumethrin + Imidacloprid. That is 28% of all reports for this medicine, compared with 8.1% across reports for all cat medicines, so it is reported unusually often with this medicine.

187Reports
61%Marked serious
27%Recovered
2.1%Died or euthanised
14 daysTypical onset
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How soon it started

Same day
10 6.9%
1–2 days
12 8.3%
3–7 days
29 20%
1–4 weeks
44 31%
Over a month
49 34%

How the animals did

Recovered
50 27%
Still unwell when reported
37 20%
Died
1 0.5%
Euthanised
3 1.6%
Not known
96 51%

Problems reported at the same time

Age of the animals

Under 1 year
8
1–3 years
79
4–7 years
44
8–11 years
31
12+ years
20

About this medicine

Imidacloprid kills fleas (spot-on or collar).

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

Questions owners ask

Can Flumethrin + Imidacloprid cause application site reaction in cats?
187 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 14 days 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).

Application site reaction with similar medicines

All reported side effects of Flumethrin + Imidacloprid in cats · Medicines most reported with application site reaction