Milbemycin Oxime + Praziquantel (Interceptor Plus) side effects in dogs

31,526 reports sent to the FDA between 2012 and 2026 involve Milbemycin Oxime + Praziquantel in dogs. The most reported problems were vomiting, diarrhea, lethargy. 11% were marked serious, and where it was recorded, signs eased after stopping the medicine in 75% of cases.

31,526Reports
11%Marked serious
50%Only medicine involved
23%Recovered
3.0%Died or euthanised
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About this medicine

Milbemycin Oxime prevents heartworm and controls some intestinal worms (monthly). Praziquantel treats tapeworms.

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

Some herding breeds (for example Collies) carry the MDR1 gene variant and can be more sensitive to this drug class at high doses.

Most reported side effects

7,113 23%
2,695 8.5%
2,407 7.6%
945 3.0%
766 2.4%
763 2.4%
575 1.8%
515 1.6%
420 1.3%
406 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.

Didn't stop mites
5 0.0%

How soon problems started

Same day
4,630 27%
1–2 days
1,264 7.4%
3–7 days
591 3.5%
1–4 weeks
1,775 10%
Over a month
8,822 52%

Time from the first dose to the first sign, where both dates were reported (17,082 reports).

How the animals did

Recovered
7,191 23%
Recovered with lasting effects
69 0.2%
Still unwell when reported
4,001 13%
Died
598 1.9%
Euthanised
363 1.2%
Not known
19,304 61%

Breeds named most often

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

Other macrocyclic lactone (heartworm and parasite prevention)s for dogs