Milbemycin Oxime (Interceptor) side effects in dogs

29,766 reports sent to the FDA between 1995 and 2026 involve Milbemycin Oxime in dogs. The most reported problems were vomiting, diarrhea, lethargy. 10% were marked serious, and where it was recorded, signs eased after stopping the medicine in 7% of cases.

29,766Reports
10%Marked serious
81%Only medicine involved
8.2%Recovered
3.5%Died or euthanised
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About this medicine

Milbemycin Oxime prevents heartworm and controls some intestinal worms (monthly).

Products with this ingredient include Interceptor. 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.

Most reported side effects

4,379 15%
2,873 9.7%
2,528 8.5%
1,089 3.7%
729 2.4%
563 1.9%
354 1.2%
348 1.2%
327 1.1%

Share = percentage of this medicine's reports that mention the problem. One report can list several problems.

Reports that it didn't work

Some reports are about the medicine not working (for example a dog still getting fleas or heartworm), not about a side effect.

Didn't stop mites
16 0.1%

How soon problems started

Same day
1,020 27%
1–2 days
357 9.6%
3–7 days
158 4.2%
1–4 weeks
375 10%
Over a month
1,823 49%

Time from the first dose to the first sign, where both dates were reported (3,733 reports).

How the animals did

Recovered
2,325 7.8%
Recovered with lasting effects
117 0.4%
Still unwell when reported
2,891 9.7%
Died
897 3.0%
Euthanised
150 0.5%
Not known
23,386 79%

Breeds named most often

Popular breeds appear more often because there are more of them.

Other macrocyclic lactone (heartworm and parasite prevention)s for dogs