Lethargy after Moxidectin + Praziquantel in dogs

21 reports to the FDA describe lethargy in dogs given Moxidectin + Praziquantel. That is 28% of all reports for this medicine, compared with 11% across reports for all dog medicines, so it is reported unusually often with this medicine.

21Reports
4.8%Marked serious
0.0%Recovered
14%Died or euthanised
–Typical onset
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How the animals did

Still unwell when reported
5 24%
Died
3 14%
Not known
13 62%

Problems reported at the same time

6 29%
Loss of appetite
4 19%
Itching
3 14%
Seizures
3 14%
Recumbency
3 14%
Death
3 14%

Age of the animals

Under 1 year
5
1–3 years
4
4–7 years
4
8–11 years
2
12+ years
3

About this medicine

Moxidectin prevents heartworm disease (monthly topical, or a 6- or 12-month injection for dogs). Praziquantel treats tapeworms.

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 Moxidectin + Praziquantel cause lethargy in dogs?
21 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).

Lethargy with similar medicines

All reported side effects of Moxidectin + Praziquantel in dogs · Medicines most reported with lethargy