Behaviour change after Lotilaner + Moxidectin + Praziquantel + Pyrantel (Credelio Quattro) in dogs

199 reports to the FDA describe behaviour change in dogs given Lotilaner + Moxidectin + Praziquantel + Pyrantel. That is 6.5% of all reports for this medicine, compared with 2.5% across reports for all dog medicines, so it is reported unusually often with this medicine.

199Reports
13%Marked serious
37%Recovered
5.0%Died or euthanised
1 daysTypical onset
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How soon it started

Same day
73 44%
1–2 days
25 15%
3–7 days
9 5.4%
1–4 weeks
16 9.6%
Over a month
44 26%

How the animals did

Recovered
74 37%
Still unwell when reported
58 29%
Died
3 1.5%
Euthanised
7 3.5%
Not known
57 29%

Problems reported at the same time

Age of the animals

Under 1 year
24
1–3 years
53
4–7 years
66
8–11 years
30
12+ years
10

About this medicine

Lotilaner kills fleas and ticks; monthly chewable. Moxidectin prevents heartworm disease (monthly topical, or a 6- or 12-month injection for dogs). Praziquantel treats tapeworms. Pyrantel treats roundworms and hookworms.

Products with this combination include Credelio Quattro. The FDA hides brand names in its public data, so these reports cover every product with the same active ingredients.

In 2018 the FDA alerted owners and vets that isoxazoline products have been associated with neurologic reactions such as muscle tremors, wobbliness (ataxia) and seizures, including in animals with no history of them.

Questions owners ask

Can Lotilaner + Moxidectin + Praziquantel + Pyrantel cause behaviour change in dogs?
199 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 1 day 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).

Behaviour change with similar medicines

All reported side effects of Lotilaner + Moxidectin + Praziquantel + Pyrantel in dogs · Medicines most reported with behaviour change