Seizures after Ivermectin + Praziquantel + Pyrantel (Iverhart Max) in dogs

196 reports to the FDA describe seizures in dogs given Ivermectin + Praziquantel + Pyrantel. That is 2.3% of all reports for this medicine, compared with 4.4% across reports for all dog medicines, so it is reported less often than average with this medicine.

196Reports
39%Marked serious
51%Recovered
11%Died or euthanised
Same dayTypical onset
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How soon it started

Same day
79 56%
1–2 days
26 18%
3–7 days
7 5.0%
1–4 weeks
11 7.8%
Over a month
18 13%

How the animals did

Recovered
96 49%
Recovered with lasting effects
3 1.5%
Still unwell when reported
4 2.0%
Died
17 8.7%
Euthanised
4 2.0%
Not known
72 37%

Problems reported at the same time

54 28%
29 15%
20 10%
18 9.2%
17 8.7%
17 8.7%

Age of the animals

Under 1 year
14
1–3 years
59
4–7 years
54
8–11 years
39
12+ years
21

About this medicine

Ivermectin prevents heartworm disease (monthly). Praziquantel treats tapeworms. Pyrantel treats roundworms and hookworms.

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

Some herding breeds (for example Collies) carry the MDR1 gene variant and can be more sensitive to this drug class at high doses.

Questions owners ask

Can Ivermectin + Praziquantel + Pyrantel cause seizures in dogs?
196 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 the same day 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).

Seizures with similar medicines

All reported side effects of Ivermectin + Praziquantel + Pyrantel in dogs · Medicines most reported with seizures