Tremors after Moxidectin + Praziquantel in dogs

27 reports to the FDA describe tremors in dogs given Moxidectin + Praziquantel. That is 36% of all reports for this medicine, compared with 3.4% across reports for all dog medicines, so it is reported unusually often with this medicine.

27Reports
22%Marked serious
7.4%Recovered
11%Died or euthanised
–Typical onset
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How the animals did

Recovered
2 7.4%
Still unwell when reported
8 30%
Died
3 11%
Not known
14 52%

Problems reported at the same time

Drooling
6 22%
Recumbency
4 15%
Death
3 11%
Itching
3 11%
Behaviour change
3 11%

Age of the animals

Under 1 year
4
1–3 years
3
4–7 years
6
8–11 years
6
12+ years
2

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 tremors in dogs?
27 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).

Tremors with similar medicines

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