Decreased red blood cell count after Maropitant (Cerenia) in dogs

The FDA has received 125 reports of decreased red blood cell count in dogs after Maropitant. That is 1.1% of all reports for this medicine, compared with 0.1% across reports for all dog medicines, so it is reported unusually often with this medicine.

125Reports
93%Marked serious
4.8%Recovered
54%Died or euthanised
15 daysTypical onset
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How soon it started

Same day
16 14%
1–2 days
16 14%
3–7 days
17 15%
1–4 weeks
27 24%
Over a month
36 32%

How the animals did

Recovered
5 4.0%
Recovered with lasting effects
1 0.8%
Still unwell when reported
27 22%
Died
21 17%
Euthanised
46 37%
Not known
25 20%

Problems reported at the same time

Age of the animals

Under 1 year
14
1–3 years
21
4–7 years
39
8–11 years
34
12+ years
17

About this medicine

Maropitant prevents vomiting and motion sickness.

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

Questions owners ask

Can Maropitant cause decreased red blood cell count in dogs?
125 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 15 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).

All reported side effects of Maropitant in dogs · Medicines most reported with decreased red blood cell count