Death after Milbemycin Oxime + Praziquantel (Interceptor Plus) in dogs

920 reports to the FDA describe death in dogs given Milbemycin Oxime + Praziquantel. That is 2.9% 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.

920Reports
99%Marked serious
0.0%Recovered
99%Died or euthanised
32 daysTypical onset
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How soon it started

Same day
105 18%
1–2 days
34 5.7%
3–7 days
27 4.6%
1–4 weeks
113 19%
Over a month
313 53%

How the animals did

Still unwell when reported
1 0.1%
Died
554 60%
Euthanised
360 39%
Not known
5 0.5%

Problems reported at the same time

Age of the animals

Under 1 year
66
1–3 years
66
4–7 years
102
8–11 years
185
12+ years
232

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.

Questions owners ask

Can Milbemycin Oxime + Praziquantel cause death in dogs?
920 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 32 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 Milbemycin Oxime + Praziquantel in dogs · Medicines most reported with death