Imidacloprid + Moxidectin (Advantage Multi) side effects in cats

8,157 reports sent to the FDA between 2006 and 2026 involve Imidacloprid + Moxidectin in cats. The most reported problems were itching, drooling, hair loss. 52% were marked serious, and where it was recorded, signs eased after stopping the medicine in 94% of cases.

8,157Reports
52%Marked serious
84%Only medicine involved
33%Recovered
4.8%Died or euthanised
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About this medicine

Imidacloprid kills fleas (spot-on or collar). Moxidectin prevents heartworm disease (monthly topical, or a 6- or 12-month injection for dogs).

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

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.

How soon problems started

Same day
2,353 43%
1–2 days
1,282 24%
3–7 days
533 9.8%
1–4 weeks
884 16%
Over a month
403 7.4%

Time from the first dose to the first sign, where both dates were reported (5,455 reports).

How the animals did

Recovered
2,672 33%
Recovered with lasting effects
8 0.1%
Still unwell when reported
257 3.2%
Died
280 3.4%
Euthanised
113 1.4%
Not known
4,827 59%

Breeds named most often

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

Other flea and tick treatments for cats