Dehydration after Selamectin (Revolution) in cats

299 reports to the FDA describe dehydration in cats given Selamectin. That is 1.4% of all reports for this medicine, compared with 2.0% across reports for all cat medicines.

299Reports
25%Marked serious
8.7%Recovered
31%Died or euthanised
1 daysTypical onset
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How soon it started

Same day
43 36%
1–2 days
36 30%
3–7 days
18 15%
1–4 weeks
11 9.2%
Over a month
11 9.2%

How the animals did

Recovered
24 8.0%
Recovered with lasting effects
2 0.7%
Still unwell when reported
55 18%
Died
73 24%
Euthanised
20 6.7%
Not known
125 42%

Problems reported at the same time

Age of the animals

Under 1 year
90
1–3 years
64
4–7 years
51
8–11 years
47
12+ years
43

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 dehydration in cats?
299 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).

Dehydration with similar medicines

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