Drug dose omission after Milbemycin Oxime (Interceptor) in dogs

The FDA has received 109 reports of drug dose omission in dogs after Milbemycin Oxime. That is 0.4% of all reports for this medicine, compared with 0.4% across reports for all dog medicines.

109Reports
43%Marked serious
15%Recovered
0.9%Died or euthanised
–Typical onset
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How the animals did

Recovered
10 9.2%
Recovered with lasting effects
6 5.5%
Still unwell when reported
23 21%
Euthanised
1 0.9%
Not known
69 63%

Problems reported at the same time

Age of the animals

Under 1 year
0
1–3 years
33
4–7 years
40
8–11 years
28
12+ years
7

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.

Questions owners ask

Can Milbemycin Oxime cause drug dose omission in dogs?
109 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).

Drug dose omission with similar medicines

All reported side effects of Milbemycin Oxime in dogs · Medicines most reported with drug dose omission