Foaming at the mouth after Fluralaner (Bravecto) in dogs

The FDA has received 210 reports of foaming at the mouth in dogs after Fluralaner. That is 0.3% 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.

210Reports
93%Marked serious
29%Recovered
19%Died or euthanised
3 daysTypical onset
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How soon it started

Same day
38 32%
1–2 days
20 17%
3–7 days
19 16%
1–4 weeks
16 13%
Over a month
26 22%

How the animals did

Recovered
55 26%
Recovered with lasting effects
6 2.9%
Still unwell when reported
94 45%
Died
18 8.6%
Euthanised
21 10%
Not known
16 7.6%

Problems reported at the same time

Age of the animals

Under 1 year
16
1–3 years
56
4–7 years
73
8–11 years
39
12+ years
21

About this medicine

Fluralaner kills fleas and ticks for up to 12 weeks (chewable or spot-on).

Products with this ingredient include Bravecto. 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 Fluralaner cause foaming at the mouth in dogs?
210 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 3 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).

Foaming at the mouth with similar medicines

All reported side effects of Fluralaner in dogs · Medicines most reported with foaming at the mouth