Death after Lufenuron + Milbemycin Oxime + Praziquantel (Sentinel Spectrum) in dogs

The FDA has received 139 reports of death in dogs after Lufenuron + Milbemycin Oxime + Praziquantel. That is 1.4% of all reports for this medicine, compared with 5.2% across reports for all dog medicines, so it is reported less often than average with this medicine.

139Reports
98%Marked serious
0.0%Recovered
99%Died or euthanised
2 daysTypical onset
SponsoredWorried about your pet? Ask a veterinarian online, 24/7

How soon it started

Same day
19 27%
1–2 days
18 25%
3–7 days
8 11%
1–4 weeks
6 8.5%
Over a month
20 28%

How the animals did

Still unwell when reported
1 0.7%
Died
71 51%
Euthanised
66 47%
Not known
1 0.7%

Problems reported at the same time

Age of the animals

Under 1 year
13
1–3 years
19
4–7 years
26
8–11 years
48
12+ years
27

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.

Questions owners ask

Can Lufenuron + Milbemycin Oxime + Praziquantel cause death in dogs?
139 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 2 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).

Death with similar medicines

All reported side effects of Lufenuron + Milbemycin Oxime + Praziquantel in dogs · Medicines most reported with death