Tachycardia after Afoxolaner (NexGard) in dogs

176 reports to the FDA describe tachycardia in dogs given Afoxolaner. That is 0.3% of all reports for this medicine, compared with 0.5% across reports for all dog medicines, so it is reported less often than average with this medicine.

176Reports
68%Marked serious
27%Recovered
18%Died or euthanised
1 daysTypical onset
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How soon it started

Same day
78 50%
1–2 days
35 22%
3–7 days
11 7.1%
1–4 weeks
9 5.8%
Over a month
23 15%

How the animals did

Recovered
46 26%
Recovered with lasting effects
1 0.6%
Still unwell when reported
22 13%
Died
13 7.4%
Euthanised
18 10%
Not known
76 43%

Problems reported at the same time

Age of the animals

Under 1 year
32
1–3 years
40
4–7 years
37
8–11 years
40
12+ years
21

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 tachycardia in dogs?
176 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).

Tachycardia with similar medicines

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