Death after Selamectin (Revolution) in cats

1,260 reports to the FDA describe death in cats given Selamectin. That is 5.7% of all reports for this medicine, compared with 8.9% across reports for all cat medicines, so it is reported less often than average with this medicine.

1,260Reports
45%Marked serious
0.1%Recovered
97%Died or euthanised
1 daysTypical onset
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How soon it started

Same day
180 36%
1–2 days
157 32%
3–7 days
71 14%
1–4 weeks
44 8.9%
Over a month
45 9.1%

How the animals did

Recovered
1 0.1%
Still unwell when reported
1 0.1%
Died
1,047 83%
Euthanised
177 14%
Not known
34 2.7%

Problems reported at the same time

Age of the animals

Under 1 year
428
1–3 years
191
4–7 years
183
8–11 years
162
12+ years
180

About this medicine

Selamectin prevents heartworm and treats fleas, ear mites and some worms (spot-on).

Products with this ingredient include Revolution. 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.

Questions owners ask

Can Selamectin cause death in cats?
1,260 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 1 day 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).

Death with similar medicines

All reported side effects of Selamectin in cats · Medicines most reported with death