Lufenuron + Milbemycin Oxime (Sentinel) side effects in dogs

26,051 reports sent to the FDA between 1997 and 2026 involve Lufenuron + Milbemycin Oxime in dogs. The most reported problems were vomiting, diarrhea, lethargy. 24% were marked serious, and where it was recorded, signs eased after stopping the medicine in 11% of cases.

26,051Reports
24%Marked serious
85%Only medicine involved
22%Recovered
2.2%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).

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

Most reported side effects

4,725 18%
2,524 9.7%
2,341 9.0%
1,223 4.7%
937 3.6%
590 2.3%
355 1.4%
332 1.3%

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
2,366 30%
1–2 days
962 12%
3–7 days
611 7.7%
1–4 weeks
1,692 21%
Over a month
2,287 29%

Time from the first dose to the first sign, where both dates were reported (7,918 reports).

How the animals did

Recovered
5,599 21%
Recovered with lasting effects
124 0.5%
Still unwell when reported
4,364 17%
Died
414 1.6%
Euthanised
168 0.6%
Not known
15,382 59%

Breeds named most often

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

Other flea and tick treatments for dogs