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

56 reports to the FDA describe flatulence in dogs given Milbemycin Oxime + Praziquantel. That is 0.2% of all reports for this medicine, compared with 0.1% across reports for all dog medicines.

56Reports
32%Marked serious
36%Recovered
0.0%Died or euthanised
25 daysTypical onset
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How soon it started

Same day
7 18%
1–2 days
4 10%
3–7 days
3 7.7%
1–4 weeks
9 23%
Over a month
16 41%

How the animals did

Recovered
20 36%
Still unwell when reported
16 29%
Not known
20 36%

Problems reported at the same time

Age of the animals

Under 1 year
11
1–3 years
10
4–7 years
17
8–11 years
11
12+ years
6

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 flatulence in dogs?
56 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 25 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).

Flatulence with similar medicines

All reported side effects of Milbemycin Oxime + Praziquantel in dogs · Medicines most reported with flatulence