Lethargy after Metronidazole in cats

The FDA has received 93 reports of lethargy in cats after Metronidazole. That is 24% of all reports for this medicine, compared with 14% across reports for all cat medicines, so it is reported unusually often with this medicine.

93Reports
56%Marked serious
28%Recovered
19%Died or euthanised
2 daysTypical onset
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How soon it started

Same day
22 28%
1–2 days
19 24%
3–7 days
12 15%
1–4 weeks
20 26%
Over a month
5 6.4%

How the animals did

Recovered
25 27%
Recovered with lasting effects
1 1.1%
Still unwell when reported
24 26%
Died
9 9.7%
Euthanised
9 9.7%
Not known
25 27%

Problems reported at the same time

Age of the animals

Under 1 year
17
1–3 years
7
4–7 years
20
8–11 years
16
12+ years
31

About this medicine

Metronidazole treats some bacterial and parasitic gut infections.

Questions owners ask

Can Metronidazole cause lethargy in cats?
93 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 2 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).

Lethargy with similar medicines

All reported side effects of Metronidazole in cats · Medicines most reported with lethargy