Didn't work as expected after Nitenpyram (Capstar) in dogs

The FDA has received 803 reports of didn't work as expected in dogs after Nitenpyram. That is 7.4% of all reports for this medicine, compared with 13% across reports for all dog medicines, so it is reported less often than average with this medicine.

803Reports
5.6%Marked serious
1.9%Recovered
0.2%Died or euthanised
4 daysTypical onset
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How soon it started

Same day
150 22%
1–2 days
152 22%
3–7 days
152 22%
1–4 weeks
163 24%
Over a month
71 10%

How the animals did

Recovered
12 1.5%
Recovered with lasting effects
3 0.4%
Still unwell when reported
487 61%
Euthanised
2 0.2%
Not known
299 37%

Problems reported at the same time

Age of the animals

Under 1 year
68
1–3 years
227
4–7 years
207
8–11 years
128
12+ years
49

About this medicine

Nitenpyram kills adult fleas quickly; a single-dose tablet.

Products with this ingredient include Capstar. The FDA hides brand names in its public data, so these reports cover every product with the same active ingredients.

Questions owners ask

Can Nitenpyram cause didn't work as expected in dogs?
803 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 4 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).

Didn't work as expected with similar medicines

All reported side effects of Nitenpyram in dogs · Medicines most reported with didn't work as expected