Liver problems after Fluralaner (Bravecto) in dogs

The FDA has received 1,685 reports of liver problems in dogs after Fluralaner. That is 2.5% of all reports for this medicine, compared with 4.6% across reports for all dog medicines, so it is reported less often than average with this medicine.

1,685Reports
92%Marked serious
9.4%Recovered
28%Died or euthanised
5 daysTypical onset
SponsoredWorried about your pet? Ask a veterinarian online, 24/7

How soon it started

Same day
192 19%
1–2 days
236 24%
3–7 days
127 13%
1–4 weeks
149 15%
Over a month
290 29%

How the animals did

Recovered
97 5.8%
Recovered with lasting effects
62 3.7%
Still unwell when reported
802 48%
Died
145 8.6%
Euthanised
327 19%
Not known
252 15%

Problems reported at the same time

663 39%
648 38%
465 28%
333 20%
286 17%

Age of the animals

Under 1 year
60
1–3 years
277
4–7 years
447
8–11 years
582
12+ years
304

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 liver problems in dogs?
1,685 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 5 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 Fluralaner in dogs · Medicines most reported with liver problems