Proteinuria after Afoxolaner (NexGard) in dogs

166 reports to the FDA describe proteinuria in dogs given Afoxolaner. That is 0.3% of all reports for this medicine, compared with 0.4% across reports for all dog medicines, so it is reported less often than average with this medicine.

166Reports
54%Marked serious
14%Recovered
16%Died or euthanised
10 daysTypical onset
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How soon it started

Same day
19 17%
1–2 days
17 15%
3–7 days
16 14%
1–4 weeks
20 17%
Over a month
43 37%

How the animals did

Recovered
23 14%
Recovered with lasting effects
1 0.6%
Still unwell when reported
40 24%
Died
6 3.6%
Euthanised
21 13%
Not known
75 45%

Problems reported at the same time

Age of the animals

Under 1 year
7
1–3 years
34
4–7 years
49
8–11 years
47
12+ years
29

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 proteinuria in dogs?
166 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 10 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).

Proteinuria with similar medicines

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