Lufenuron + Milbemycin Oxime + Praziquantel (Sentinel Spectrum) side effects in dogs

9,966 reports sent to the FDA between 2011 and 2026 involve Lufenuron + Milbemycin Oxime + Praziquantel in dogs. The most reported problems were vomiting, diarrhea, lethargy. 40% were marked serious, and where it was recorded, signs eased after stopping the medicine in 11% of cases.

9,966Reports
40%Marked serious
83%Only medicine involved
28%Recovered
1.5%Died or euthanised
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About this medicine

Lufenuron stops flea eggs from developing. Milbemycin Oxime prevents heartworm and controls some intestinal worms (monthly). Praziquantel treats tapeworms.

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

Most reported side effects

1,925 19%
800 8.0%
666 6.7%
281 2.8%
279 2.8%
213 2.1%
148 1.5%
132 1.3%
116 1.2%

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
1,585 32%
1–2 days
546 11%
3–7 days
375 7.6%
1–4 weeks
1,070 22%
Over a month
1,375 28%

Time from the first dose to the first sign, where both dates were reported (4,951 reports).

How the animals did

Recovered
2,743 28%
Recovered with lasting effects
51 0.5%
Still unwell when reported
3,219 32%
Died
77 0.8%
Euthanised
68 0.7%
Not known
3,808 38%

Breeds named most often

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

Other flea and tick treatments for dogs