Ivermectin (Heartgard) side effects in dogs

12,017 reports sent to the FDA between 1995 and 2026 involve Ivermectin in dogs. The most reported problems were vomiting, lethargy, wobbliness (ataxia). 27% were marked serious, and where it was recorded, signs eased after stopping the medicine in 55% of cases.

12,017Reports
27%Marked serious
26%Only medicine involved
31%Recovered
5.2%Died or euthanised
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About this medicine

Ivermectin prevents heartworm disease (monthly).

Products with this ingredient include Heartgard. 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.

Most reported side effects

Share = percentage of this medicine's reports that mention the problem. One report can list several problems.

Reports that it didn't work

Some reports are about the medicine not working (for example a dog still getting fleas or heartworm), not about a side effect.

How soon problems started

Same day
937 17%
1–2 days
375 6.9%
3–7 days
252 4.6%
1–4 weeks
595 11%
Over a month
3,295 60%

Time from the first dose to the first sign, where both dates were reported (5,454 reports).

How the animals did

Recovered
3,284 27%
Recovered with lasting effects
446 3.7%
Still unwell when reported
2,494 21%
Died
443 3.7%
Euthanised
181 1.5%
Not known
5,169 43%

Breeds named most often

Popular breeds appear more often because there are more of them.

Other macrocyclic lactone (heartworm and parasite prevention)s for dogs