Sarolaner + Selamectin (Revolution Plus) side effects in cats

8,227 reports sent to the FDA between 2019 and 2026 involve Sarolaner + Selamectin in cats. The most reported problems were hair loss, application site reaction, itching. 33% were marked serious, and where it was recorded, signs eased after stopping the medicine in 13% of cases.

8,227Reports
33%Marked serious
85%Only medicine involved
13%Recovered
2.6%Died or euthanised
SponsoredWorried about your pet? Ask a veterinarian online, 24/7

About this medicine

Sarolaner kills fleas, ticks and some mites; monthly. Selamectin prevents heartworm and treats fleas, ear mites and some worms (spot-on).

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

In 2018 the FDA alerted owners and vets that isoxazoline products have been associated with neurologic reactions such as muscle tremors, wobbliness (ataxia) and seizures, including in animals with no history of them.

Most reported side effects

3,362 41%
1,034 13%
1,018 12%
729 8.9%
282 3.4%
269 3.3%
264 3.2%
194 2.4%
190 2.3%
182 2.2%

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.

How soon problems started

Same day
2,904 38%
1–2 days
2,162 28%
3–7 days
1,019 13%
1–4 weeks
823 11%
Over a month
733 9.6%

Time from the first dose to the first sign, where both dates were reported (7,641 reports).

How the animals did

Recovered
1,066 13%
Recovered with lasting effects
4 0.0%
Still unwell when reported
3,950 48%
Died
138 1.7%
Euthanised
79 1.0%
Not known
2,990 36%

Breeds named most often

Popular breeds appear more often because there are more of them.

Other isoxazoline flea and tick medicines for cats