Afoxolaner (NexGard) side effects in dogs

57,082 reports sent to the FDA between 2013 and 2026 involve Afoxolaner in dogs. The most reported problems were vomiting, lethargy, itching. 35% were marked serious, and where it was recorded, signs eased after stopping the medicine in 71% of cases.

57,082Reports
35%Marked serious
68%Only medicine involved
31%Recovered
3.3%Died or euthanised
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About this medicine

Afoxolaner kills fleas and ticks; given as a monthly chewable.

Products with this ingredient include NexGard. The FDA hides brand names in its public data, so these reports cover every product with the same active ingredients.

In 2018 the FDA alerted owners and vets that isoxazoline products have been associated with neurologic reactions such as muscle tremors, wobbliness (ataxia) and seizures, including in animals with no history of them.

Most reported side effects

15,643 27%
6,825 12%
6,468 11%
6,014 11%
4,287 7.5%
2,689 4.7%
2,620 4.6%
1,408 2.5%
1,053 1.8%

Share = percentage of this medicine's reports that mention the problem. One report can list several problems.

Reports that it didn't work

Some reports are about the medicine not working (for example a dog still getting fleas or heartworm), not about a side effect.

How soon problems started

Same day
15,041 36%
1–2 days
7,078 17%
3–7 days
3,159 7.5%
1–4 weeks
5,902 14%
Over a month
10,728 26%

Time from the first dose to the first sign, where both dates were reported (41,908 reports).

How the animals did

Recovered
17,510 31%
Recovered with lasting effects
138 0.2%
Still unwell when reported
4,737 8.3%
Died
1,120 2.0%
Euthanised
746 1.3%
Not known
32,831 58%

Breeds named most often

Popular breeds appear more often because there are more of them.

Other isoxazoline flea and tick medicines for dogs