Accidental exposure after Ivermectin + Pyrantel (Heartgard Plus) in dogs

583 reports to the FDA describe accidental exposure in dogs given Ivermectin + Pyrantel. That is 0.4% of all reports for this medicine, compared with 1.5% across reports for all dog medicines, so it is reported less often than average with this medicine.

583Reports
13%Marked serious
26%Recovered
0.9%Died or euthanised
Same dayTypical onset
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How soon it started

Same day
108 67%
1–2 days
34 21%
3–7 days
5 3.1%
1–4 weeks
5 3.1%
Over a month
10 6.2%

How the animals did

Recovered
151 26%
Recovered with lasting effects
1 0.2%
Still unwell when reported
39 6.7%
Died
4 0.7%
Euthanised
1 0.2%
Not known
387 66%

Problems reported at the same time

290 50%
210 36%
133 23%
121 21%
34 5.8%
25 4.3%

Age of the animals

Under 1 year
117
1–3 years
189
4–7 years
129
8–11 years
60
12+ years
25

About this medicine

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

Products with this combination include Heartgard Plus, Tri-Heart Plus, Iverhart Plus. 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 + Pyrantel cause accidental exposure in dogs?
583 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).

Accidental exposure with similar medicines

All reported side effects of Ivermectin + Pyrantel in dogs · Medicines most reported with accidental exposure