Systemic disorder after Afoxolaner (NexGard) in dogs

248 reports to the FDA describe systemic disorder in dogs given Afoxolaner. That is 0.4% of all reports for this medicine, compared with 0.2% across reports for all dog medicines, so it is reported unusually often with this medicine.

248Reports
79%Marked serious
15%Recovered
6.5%Died or euthanised
9 daysTypical onset
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How soon it started

Same day
27 26%
1–2 days
19 18%
3–7 days
5 4.8%
1–4 weeks
15 14%
Over a month
39 37%

How the animals did

Recovered
36 15%
Recovered with lasting effects
2 0.8%
Still unwell when reported
22 8.9%
Died
11 4.4%
Euthanised
5 2.0%
Not known
172 69%

Problems reported at the same time

Age of the animals

Under 1 year
30
1–3 years
73
4–7 years
65
8–11 years
29
12+ years
10

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 systemic disorder in dogs?
248 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 9 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).

Systemic disorder with similar medicines

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