Milbemycin Oxime (Interceptor) side effects in cats

405 reports sent to the FDA between 1995 and 2026 involve Milbemycin Oxime in cats. The most reported problems were lethargy, vomiting, wobbliness (ataxia). 13% were marked serious, and where it was recorded, signs eased after stopping the medicine in 5% of cases.

405Reports
13%Marked serious
75%Only medicine involved
13%Recovered
5.2%Died or euthanised
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About this medicine

Milbemycin Oxime prevents heartworm and controls some intestinal worms (monthly).

Products with this ingredient include Interceptor. 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

79 20%
69 17%
21 5.2%
21 5.2%
20 4.9%
Fever
17 4.2%
Drooling
12 3.0%
Head tilt - ear disorder
10 2.5%
Eye or vision problems
9 2.2%
Breathing problems
8 2.0%
Swelling
8 2.0%
Pain
8 2.0%

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.

Didn't prevent heartworm
5 1.2%
Didn't stop worms
4 1.0%
Didn't stop fleas
1 0.2%

How soon problems started

Same day
41 27%
1–2 days
22 14%
3–7 days
10 6.5%
1–4 weeks
40 26%
Over a month
40 26%

Time from the first dose to the first sign, where both dates were reported (153 reports).

How the animals did

Recovered
49 12%
Recovered with lasting effects
2 0.5%
Still unwell when reported
41 10%
Died
15 3.7%
Euthanised
6 1.5%
Not known
292 72%

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