Reluctant to move after Milbemycin Oxime + Praziquantel (Interceptor Plus) in dogs

84 reports to the FDA describe reluctant to move in dogs given Milbemycin Oxime + Praziquantel. That is 0.3% of all reports for this medicine, compared with 0.5% across reports for all dog medicines, so it is reported less often than average with this medicine.

84Reports
38%Marked serious
35%Recovered
14%Died or euthanised
2 daysTypical onset
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How soon it started

Same day
24 40%
1–2 days
7 12%
3–7 days
7 12%
1–4 weeks
1 1.7%
Over a month
21 35%

How the animals did

Recovered
29 35%
Still unwell when reported
26 31%
Died
3 3.6%
Euthanised
9 11%
Not known
17 20%

Problems reported at the same time

Age of the animals

Under 1 year
8
1–3 years
22
4–7 years
19
8–11 years
22
12+ years
12

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 reluctant to move in dogs?
84 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 2 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).

Reluctant to move with similar medicines

All reported side effects of Milbemycin Oxime + Praziquantel in dogs · Medicines most reported with reluctant to move