Kidney problems after Ivermectin (Heartgard) in cats

The FDA has received 20 reports of kidney problems in cats after Ivermectin. That is 2.1% of all reports for this medicine, compared with 4.5% across reports for all cat medicines, so it is reported less often than average with this medicine.

20Reports
10%Marked serious
10%Recovered
55%Died or euthanised
–Typical onset
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How the animals did

Recovered
1 5.0%
Recovered with lasting effects
1 5.0%
Died
11 55%
Not known
7 35%

Problems reported at the same time

11 55%
Liver problems
6 30%
Blood problems
3 15%
Hyperphosphataemia
3 15%

Age of the animals

Under 1 year
3
1–3 years
4
4–7 years
3
8–11 years
4
12+ years
4

About this medicine

Ivermectin prevents heartworm disease (monthly).

Products with this ingredient include Heartgard. 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.

Questions owners ask

Can Ivermectin cause kidney problems in cats?
20 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.
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).

Kidney problems with similar medicines

All reported side effects of Ivermectin in cats · Medicines most reported with kidney problems