Weight gain after Ivermectin + Pyrantel (Heartgard Plus) in dogs

The FDA has received 596 reports of weight gain in dogs after Ivermectin + Pyrantel. That is 0.4% of all reports for this medicine, compared with 0.6% across reports for all dog medicines, so it is reported less often than average with this medicine.

596Reports
48%Marked serious
26%Recovered
0.8%Died or euthanised
153 daysTypical onset
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How soon it started

Same day
7 4.6%
1–2 days
3 2.0%
3–7 days
4 2.6%
1–4 weeks
30 20%
Over a month
107 71%

How the animals did

Recovered
24 4.0%
Recovered with lasting effects
129 22%
Still unwell when reported
102 17%
Died
2 0.3%
Euthanised
3 0.5%
Not known
336 56%

Problems reported at the same time

Age of the animals

Under 1 year
4
1–3 years
201
4–7 years
270
8–11 years
103
12+ years
13

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 weight gain in dogs?
596 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 153 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).

Weight gain with similar medicines

All reported side effects of Ivermectin + Pyrantel in dogs · Medicines most reported with weight gain