Decreased red blood cell count after Dexamethasone in dogs

66 reports to the FDA describe decreased red blood cell count in dogs given Dexamethasone. That is 2.4% of all reports for this medicine, compared with 0.1% across reports for all dog medicines, so it is reported unusually often with this medicine.

66Reports
88%Marked serious
1.5%Recovered
56%Died or euthanised
8 daysTypical onset
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How soon it started

Same day
11 19%
1–2 days
7 12%
3–7 days
10 17%
1–4 weeks
11 19%
Over a month
20 34%

How the animals did

Recovered
1 1.5%
Still unwell when reported
13 20%
Died
13 20%
Euthanised
24 36%
Not known
15 23%

Problems reported at the same time

Age of the animals

Under 1 year
9
1–3 years
8
4–7 years
20
8–11 years
20
12+ years
8

About this medicine

Dexamethasone reduces inflammation and immune activity.

Steroids commonly cause increased thirst, urination and appetite, especially at higher doses.

Questions owners ask

Can Dexamethasone cause decreased red blood cell count in dogs?
66 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 8 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).

Decreased red blood cell count with similar medicines

All reported side effects of Dexamethasone in dogs · Medicines most reported with decreased red blood cell count