Hypoalbuminaemia after Moxidectin (ProHeart 6) in dogs

303 reports to the FDA describe hypoalbuminaemia in dogs given Moxidectin. That is 0.6% of all reports for this medicine, compared with 0.6% across reports for all dog medicines.

303Reports
41%Marked serious
5.9%Recovered
42%Died or euthanised
2 daysTypical onset
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How soon it started

Same day
55 37%
1–2 days
23 16%
3–7 days
22 15%
1–4 weeks
23 16%
Over a month
24 16%

How the animals did

Recovered
18 5.9%
Still unwell when reported
88 29%
Died
91 30%
Euthanised
37 12%
Not known
69 23%

Problems reported at the same time

Age of the animals

Under 1 year
10
1–3 years
70
4–7 years
130
8–11 years
73
12+ years
18

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 hypoalbuminaemia in dogs?
303 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 2 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).

Hypoalbuminaemia with similar medicines

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