Liver disorder after Afoxolaner (NexGard) in dogs

The FDA has received 88 reports of liver disorder in dogs after Afoxolaner. That is 0.2% of all reports for this medicine, compared with 0.1% across reports for all dog medicines.

88Reports
69%Marked serious
19%Recovered
35%Died or euthanised
6 daysTypical onset
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How soon it started

Same day
12 19%
1–2 days
14 22%
3–7 days
14 22%
1–4 weeks
11 17%
Over a month
13 20%

How the animals did

Recovered
15 17%
Recovered with lasting effects
2 2.3%
Still unwell when reported
11 13%
Died
23 26%
Euthanised
8 9.1%
Not known
29 33%

Problems reported at the same time

Age of the animals

Under 1 year
4
1–3 years
11
4–7 years
26
8–11 years
26
12+ years
15

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.

Questions owners ask

Can Afoxolaner cause liver disorder in dogs?
88 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 6 days 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).

Liver disorder with similar medicines

All reported side effects of Afoxolaner in dogs · Medicines most reported with liver disorder