Anisocoria after Moxidectin (ProHeart 6) in dogs

51 reports to the FDA describe anisocoria in dogs given Moxidectin. That is 0.1% of all reports for this medicine, compared with 0.0% across reports for all dog medicines, so it is reported unusually often with this medicine.

51Reports
59%Marked serious
33%Recovered
7.8%Died or euthanised
Same dayTypical onset
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How soon it started

Same day
28 78%
1–2 days
4 11%
3–7 days
2 5.6%
1–4 weeks
1 2.8%
Over a month
1 2.8%

How the animals did

Recovered
16 31%
Recovered with lasting effects
1 2.0%
Still unwell when reported
20 39%
Died
3 5.9%
Euthanised
1 2.0%
Not known
10 20%

Problems reported at the same time

Age of the animals

Under 1 year
5
1–3 years
31
4–7 years
8
8–11 years
5
12+ years
2

About this medicine

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

Products with this ingredient include ProHeart 6, ProHeart 12. 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 Moxidectin cause anisocoria in dogs?
51 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 the same day 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).

Anisocoria with similar medicines

All reported side effects of Moxidectin in dogs · Medicines most reported with anisocoria