Pancreatitis after Ivermectin (Heartgard) in dogs

The FDA has received 35 reports of pancreatitis in dogs after Ivermectin. That is 0.3% of all reports for this medicine, compared with 0.4% across reports for all dog medicines.

35Reports
74%Marked serious
8.6%Recovered
20%Died or euthanised
26 daysTypical onset
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How soon it started

Same day
2 11%
1–2 days
1 5.3%
3–7 days
1 5.3%
1–4 weeks
6 32%
Over a month
9 47%

How the animals did

Recovered
2 5.7%
Recovered with lasting effects
1 2.9%
Still unwell when reported
11 31%
Died
2 5.7%
Euthanised
5 14%
Not known
14 40%

Problems reported at the same time

Age of the animals

Under 1 year
0
1–3 years
4
4–7 years
11
8–11 years
15
12+ years
5

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 pancreatitis in dogs?
35 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 26 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).

Pancreatitis with similar medicines

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