Hypothermia after Moxidectin (ProHeart 6) in dogs

The FDA has received 197 reports of hypothermia in dogs after Moxidectin. That is 0.4% of all reports for this medicine, compared with 0.2% across reports for all dog medicines, so it is reported unusually often with this medicine.

197Reports
57%Marked serious
18%Recovered
28%Died or euthanised
Same dayTypical onset
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How soon it started

Same day
102 75%
1–2 days
12 8.8%
3–7 days
8 5.9%
1–4 weeks
7 5.1%
Over a month
7 5.1%

How the animals did

Recovered
36 18%
Still unwell when reported
74 38%
Died
40 20%
Euthanised
15 7.6%
Not known
32 16%

Problems reported at the same time

Age of the animals

Under 1 year
13
1–3 years
98
4–7 years
51
8–11 years
20
12+ years
11

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 hypothermia in dogs?
197 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).

Hypothermia with similar medicines

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