Liver problems after Lufenuron + Milbemycin Oxime (Sentinel) in dogs

414 reports to the FDA describe liver problems in dogs given Lufenuron + Milbemycin Oxime. That is 1.6% of all reports for this medicine, compared with 4.6% across reports for all dog medicines, so it is reported less often than average with this medicine.

414Reports
49%Marked serious
9.2%Recovered
18%Died or euthanised
10 daysTypical onset
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How soon it started

Same day
31 22%
1–2 days
26 18%
3–7 days
10 7.1%
1–4 weeks
25 18%
Over a month
49 35%

How the animals did

Recovered
29 7.0%
Recovered with lasting effects
9 2.2%
Still unwell when reported
99 24%
Died
50 12%
Euthanised
26 6.3%
Not known
201 49%

Problems reported at the same time

Age of the animals

Under 1 year
24
1–3 years
79
4–7 years
113
8–11 years
135
12+ years
61

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.

Questions owners ask

Can Lufenuron + Milbemycin Oxime cause liver problems in dogs?
414 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 10 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).

Liver problems with similar medicines

All reported side effects of Lufenuron + Milbemycin Oxime in dogs · Medicines most reported with liver problems