Milbemycin Oxime + Spinosad (Trifexis) side effects in Shih Tzus

3,795 FDA reports involve Milbemycin Oxime + Spinosad in a Shih Tzu. These are the problems they describe.

Vomiting
2,543 67%
Lethargy
571 15%
Didn't stop fleas
341 9.0%
Didn't work as expected
304 8.0%
Loss of appetite
252 6.6%
Itching
239 6.3%
Diarrhea
231 6.1%
Tremors
164 4.3%
Seizures
138 3.6%
Behaviour change
110 2.9%
Liver problems
90 2.4%
Unpalatable
88 2.3%

All reports for Milbemycin Oxime + Spinosad in dogs