Wobbliness (ataxia) after Selamectin (Revolution) in cats

The FDA has received 812 reports of wobbliness (ataxia) in cats after Selamectin. That is 3.7% of all reports for this medicine, compared with 4.7% across reports for all cat medicines.

812Reports
18%Marked serious
8.7%Recovered
17%Died or euthanised
1 daysTypical onset
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How soon it started

Same day
133 42%
1–2 days
103 32%
3–7 days
39 12%
1–4 weeks
21 6.6%
Over a month
21 6.6%

How the animals did

Recovered
68 8.4%
Recovered with lasting effects
3 0.4%
Still unwell when reported
158 19%
Died
110 14%
Euthanised
28 3.4%
Not known
445 55%

Problems reported at the same time

280 34%
142 17%
135 17%
115 14%
76 9.4%
72 8.9%
71 8.7%

Age of the animals

Under 1 year
280
1–3 years
144
4–7 years
137
8–11 years
90
12+ years
135

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 wobbliness (ataxia) in cats?
812 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).

Wobbliness (ataxia) with similar medicines

All reported side effects of Selamectin in cats · Medicines most reported with wobbliness (ataxia)