Moxidectin + Pyrantel + Sarolaner (Simparica Trio) side effects in dogs

1,160 reports sent to the FDA between 2017 and 2026 involve Moxidectin + Pyrantel + Sarolaner in dogs. The most reported problems were vomiting, lethargy, diarrhea. 23% were marked serious, and where it was recorded, signs eased after stopping the medicine in 72% of cases.

1,160Reports
23%Marked serious
5.5%Only medicine involved
18%Recovered
5.3%Died or euthanised
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About this medicine

Moxidectin prevents heartworm disease (monthly topical, or a 6- or 12-month injection for dogs). Pyrantel treats roundworms and hookworms. Sarolaner kills fleas, ticks and some mites; monthly.

Products with this combination include Simparica Trio. 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

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.

How soon problems started

Same day
79 11%
1–2 days
43 6.2%
3–7 days
34 4.9%
1–4 weeks
115 16%
Over a month
428 61%

Time from the first dose to the first sign, where both dates were reported (699 reports).

How the animals did

Recovered
194 17%
Recovered with lasting effects
10 0.9%
Still unwell when reported
226 19%
Died
30 2.6%
Euthanised
31 2.7%
Not known
669 58%

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