Didn't work as expected after Sarolaner + Selamectin (Revolution Plus) in cats

The FDA has received 159 reports of didn't work as expected in cats after Sarolaner + Selamectin. That is 1.9% of all reports for this medicine, compared with 8.7% across reports for all cat medicines, so it is reported less often than average with this medicine.

159Reports
50%Marked serious
3.1%Recovered
8.8%Died or euthanised
9 daysTypical onset
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How soon it started

Same day
34 26%
1–2 days
19 15%
3–7 days
11 8.5%
1–4 weeks
23 18%
Over a month
43 33%

How the animals did

Recovered
5 3.1%
Still unwell when reported
80 50%
Died
3 1.9%
Euthanised
11 6.9%
Not known
60 38%

Problems reported at the same time

Age of the animals

Under 1 year
15
1–3 years
44
4–7 years
23
8–11 years
26
12+ years
18

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.

Questions owners ask

Can Sarolaner + Selamectin cause didn't work as expected in cats?
159 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 9 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).

Didn't work as expected with similar medicines

All reported side effects of Sarolaner + Selamectin in cats · Medicines most reported with didn't work as expected