Unable to rise after Ivermectin + Pyrantel (Heartgard Plus) in dogs

The FDA has received 67 reports of unable to rise in dogs after Ivermectin + Pyrantel. That is 0.0% of all reports for this medicine, compared with 0.1% across reports for all dog medicines, so it is reported less often than average with this medicine.

67Reports
81%Marked serious
24%Recovered
33%Died or euthanised
5 daysTypical onset
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How soon it started

Same day
12 26%
1–2 days
10 22%
3–7 days
3 6.5%
1–4 weeks
8 17%
Over a month
13 28%

How the animals did

Recovered
15 22%
Recovered with lasting effects
1 1.5%
Still unwell when reported
11 16%
Died
7 10%
Euthanised
15 22%
Not known
18 27%

Problems reported at the same time

Age of the animals

Under 1 year
3
1–3 years
10
4–7 years
15
8–11 years
19
12+ years
18

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 unable to rise in dogs?
67 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).

Unable to rise with similar medicines

All reported side effects of Ivermectin + Pyrantel in dogs · Medicines most reported with unable to rise