Ivermectin + Pyrantel (Heartgard Plus) side effects in cats

66 reports sent to the FDA between 2001 and 2025 involve Ivermectin + Pyrantel in cats. The most reported problems were accidental exposure, vomiting, lethargy. 20% were marked serious.

66Reports
20%Marked serious
95%Only medicine involved
17%Recovered
3.0%Died or euthanised
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About this medicine

Ivermectin prevents heartworm disease (monthly). Pyrantel treats roundworms and hookworms.

Products with this combination include Heartgard Plus, Tri-Heart Plus, Iverhart Plus. 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

31 47%
Lethargy
17 26%
Wobbliness (ataxia)
8 12%
Diarrhea
7 11%
Loss of appetite
7 11%
Drooling
5 7.6%
Hiding
4 6.1%
Breathing problems
4 6.1%
Tremors
3 4.5%
Seizures
3 4.5%
Fever
3 4.5%
Behaviour change
3 4.5%
Blood in vomit
2 3.0%
Unresponsive
2 3.0%

Share = percentage of this medicine's reports that mention the problem. One report can list several problems.

How soon problems started

Same day
21 78%
1–2 days
5 19%
3–7 days
0 0.0%
1–4 weeks
1 3.7%
Over a month
0 0.0%

Time from the first dose to the first sign, where both dates were reported (27 reports).

How the animals did

Recovered
11 17%
Still unwell when reported
3 4.5%
Died
1 1.5%
Euthanised
1 1.5%
Not known
50 76%

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