Kidney problems after Milbemycin Oxime + Praziquantel (Interceptor Plus) in dogs

256 reports to the FDA describe kidney problems in dogs given Milbemycin Oxime + Praziquantel. That is 0.8% of all reports for this medicine, compared with 2.4% across reports for all dog medicines, so it is reported less often than average with this medicine.

256Reports
72%Marked serious
7.8%Recovered
28%Died or euthanised
52 daysTypical onset
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How soon it started

Same day
19 14%
1–2 days
15 11%
3–7 days
10 7.5%
1–4 weeks
16 12%
Over a month
74 55%

How the animals did

Recovered
19 7.4%
Recovered with lasting effects
1 0.4%
Still unwell when reported
92 36%
Died
21 8.2%
Euthanised
51 20%
Not known
72 28%

Problems reported at the same time

Age of the animals

Under 1 year
15
1–3 years
40
4–7 years
52
8–11 years
61
12+ years
80

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 kidney problems in dogs?
256 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 52 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).

Kidney problems with similar medicines

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