Digestive tract disorder after Selamectin (Revolution) in cats

The FDA has received 77 reports of digestive tract disorder in cats after Selamectin. That is 0.4% of all reports for this medicine, compared with 0.4% across reports for all cat medicines.

77Reports
14%Marked serious
6.5%Recovered
16%Died or euthanised
1 daysTypical onset
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How soon it started

Same day
12 32%
1–2 days
13 35%
3–7 days
6 16%
1–4 weeks
4 11%
Over a month
2 5.4%

How the animals did

Recovered
5 6.5%
Still unwell when reported
20 26%
Died
10 13%
Euthanised
2 2.6%
Not known
40 52%

Problems reported at the same time

Age of the animals

Under 1 year
15
1–3 years
19
4–7 years
10
8–11 years
13
12+ years
14

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 digestive tract disorder in cats?
77 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).

All reported side effects of Selamectin in cats · Medicines most reported with digestive tract disorder