Unpalatable after Milbemycin Oxime (Interceptor) in dogs

The FDA has received 45 reports of unpalatable in dogs after Milbemycin Oxime. That is 0.2% of all reports for this medicine, compared with 0.6% across reports for all dog medicines, so it is reported less often than average with this medicine.

45Reports
20%Marked serious
29%Recovered
11%Died or euthanised
90 daysTypical onset
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How soon it started

Same day
6 29%
1–2 days
1 4.8%
3–7 days
0 0.0%
1–4 weeks
2 9.5%
Over a month
12 57%

How the animals did

Recovered
11 24%
Recovered with lasting effects
2 4.4%
Still unwell when reported
6 13%
Died
3 6.7%
Euthanised
2 4.4%
Not known
21 47%

Problems reported at the same time

Age of the animals

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

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 unpalatable in dogs?
45 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 90 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).

Unpalatable with similar medicines

All reported side effects of Milbemycin Oxime in dogs · Medicines most reported with unpalatable