Lethargy after Selamectin (Revolution) in cats

The FDA has received 3,126 reports of lethargy in cats after Selamectin. That is 14% of all reports for this medicine, compared with 14% across reports for all cat medicines.

3,126Reports
13%Marked serious
11%Recovered
12%Died or euthanised
1 daysTypical onset
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How soon it started

Same day
601 44%
1–2 days
433 32%
3–7 days
162 12%
1–4 weeks
104 7.6%
Over a month
73 5.3%

How the animals did

Recovered
337 11%
Recovered with lasting effects
5 0.2%
Still unwell when reported
532 17%
Died
312 10.0%
Euthanised
67 2.1%
Not known
1,873 60%

Problems reported at the same time

796 25%
479 15%
384 12%
327 10%
314 10%
243 7.8%

Age of the animals

Under 1 year
793
1–3 years
770
4–7 years
574
8–11 years
437
12+ years
375

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 lethargy in cats?
3,126 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).

Lethargy with similar medicines

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