Liver problems after Nitenpyram (Capstar) in cats

The FDA has received 44 reports of liver problems in cats after Nitenpyram. That is 0.5% of all reports for this medicine, compared with 2.8% across reports for all cat medicines, so it is reported less often than average with this medicine.

44Reports
61%Marked serious
2.3%Recovered
45%Died or euthanised
2 daysTypical onset
SponsoredWorried about your pet? Ask a veterinarian online, 24/7

How soon it started

Same day
6 23%
1–2 days
10 38%
3–7 days
1 3.8%
1–4 weeks
5 19%
Over a month
4 15%

How the animals did

Recovered with lasting effects
1 2.3%
Still unwell when reported
8 18%
Died
11 25%
Euthanised
9 20%
Not known
15 34%

Problems reported at the same time

Age of the animals

Under 1 year
7
1–3 years
3
4–7 years
14
8–11 years
5
12+ years
14

About this medicine

Nitenpyram kills adult fleas quickly; a single-dose tablet.

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

Questions owners ask

Can Nitenpyram cause liver problems in cats?
44 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).

Liver problems with similar medicines

All reported side effects of Nitenpyram in cats · Medicines most reported with liver problems