Lymphopenia after Milbemycin Oxime + Spinosad (Trifexis) in dogs
179 reports to the FDA describe lymphopenia in dogs given Milbemycin Oxime + Spinosad. That is 0.1% of all reports for this medicine, compared with 0.3% across reports for all dog medicines, so it is reported less often than average with this medicine.
How soon it started
How the animals did
Problems reported at the same time
Age of the animals
About this medicine
Milbemycin Oxime prevents heartworm and controls some intestinal worms (monthly). Spinosad kills fleas; monthly chewable.
Products with this combination include Trifexis. 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 + Spinosad cause lymphopenia in dogs?
- 179 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 21 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).
Lymphopenia with similar medicines
- Lymphopenia after Ivermectin + Pyrantel (Heartgard Plus) 146 reports · 0.1% of its reports
- Lymphopenia after Moxidectin (ProHeart 6) 139 reports · 0.3% of its reports
- Lymphopenia after Milbemycin Oxime + Praziquantel (Interceptor Plus) 48 reports · 0.2% of its reports
- Lymphopenia after Milbemycin Oxime (Interceptor) 35 reports · 0.1% of its reports
- Lymphopenia after Selamectin (Revolution) 26 reports · 0.1% of its reports
- Lymphopenia after Ivermectin (Heartgard) 36 reports · 0.3% of its reports
All reported side effects of Milbemycin Oxime + Spinosad in dogs · Medicines most reported with lymphopenia