Bradycardia after Ivermectin (Heartgard) in dogs

The FDA has received 49 reports of bradycardia in dogs after Ivermectin. That is 0.4% of all reports for this medicine, compared with 0.3% across reports for all dog medicines.

49Reports
31%Marked serious
8.2%Recovered
37%Died or euthanised
11 daysTypical onset
SponsoredWorried about your pet? Ask a veterinarian online, 24/7

How soon it started

Same day
5 38%
1–2 days
1 7.7%
3–7 days
0 0.0%
1–4 weeks
2 15%
Over a month
5 38%

How the animals did

Recovered
3 6.1%
Recovered with lasting effects
1 2.0%
Still unwell when reported
5 10%
Died
15 31%
Euthanised
3 6.1%
Not known
22 45%

Problems reported at the same time

Age of the animals

Under 1 year
12
1–3 years
16
4–7 years
9
8–11 years
5
12+ years
4

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.

Questions owners ask

Can Ivermectin cause bradycardia in dogs?
49 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 11 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).

Bradycardia with similar medicines

All reported side effects of Ivermectin in dogs · Medicines most reported with bradycardia