Liver problems after Clomipramine (Clomicalm) in dogs

The FDA has received 271 reports of liver problems in dogs after Clomipramine. That is 18% of all reports for this medicine, compared with 4.6% across reports for all dog medicines, so it is reported unusually often with this medicine.

271Reports
18%Marked serious
3.3%Recovered
8.9%Died or euthanised
38 daysTypical onset
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How soon it started

Same day
3 7.9%
1–2 days
4 11%
3–7 days
4 11%
1–4 weeks
7 18%
Over a month
20 53%

How the animals did

Recovered
7 2.6%
Recovered with lasting effects
2 0.7%
Still unwell when reported
26 9.6%
Died
21 7.7%
Euthanised
3 1.1%
Not known
212 78%

Problems reported at the same time

Age of the animals

Under 1 year
3
1–3 years
32
4–7 years
89
8–11 years
97
12+ years
49

About this medicine

Clomipramine treats separation anxiety.

Products with this ingredient include Clomicalm. The FDA hides brand names in its public data, so these reports cover every product with the same active ingredients.

Questions owners ask

Can Clomipramine cause liver problems in dogs?
271 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 38 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 problems with similar medicines

All reported side effects of Clomipramine in dogs · Medicines most reported with liver problems