No sign after Milbemycin Oxime + Spinosad (Trifexis) in dogs

41 reports to the FDA describe no sign in dogs given Milbemycin Oxime + Spinosad. That is 0.0% 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.

41Reports
12%Marked serious
32%Recovered
2.4%Died or euthanised
–Typical onset
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How the animals did

Recovered
13 32%
Still unwell when reported
9 22%
Euthanised
1 2.4%
Not known
18 44%

Problems reported at the same time

Age of the animals

Under 1 year
8
1–3 years
10
4–7 years
9
8–11 years
4
12+ years
2

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 no sign in dogs?
41 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.
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).

No sign with similar medicines

All reported side effects of Milbemycin Oxime + Spinosad in dogs · Medicines most reported with no sign