Seizures after Ivermectin + Praziquantel in dogs

The FDA has received 22 reports of seizures in dogs after Ivermectin + Praziquantel. That is 11% of all reports for this medicine, compared with 4.4% across reports for all dog medicines, so it is reported unusually often with this medicine.

22Reports
27%Marked serious
4.5%Recovered
18%Died or euthanised
–Typical onset
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How the animals did

Recovered
1 4.5%
Died
4 18%
Not known
17 77%

Problems reported at the same time

9 41%
Death
4 18%
Drooling
3 14%
Unresponsive
2 9.1%

Age of the animals

Under 1 year
7
1–3 years
5
4–7 years
2
8–11 years
1
12+ years
1

About this medicine

Ivermectin prevents heartworm disease (monthly). Praziquantel treats tapeworms.

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 cause seizures in dogs?
22 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.
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 in dogs · Medicines most reported with seizures