Behaviour change after Pyrantel + Sarolaner (Simparica Trio) in dogs

The FDA has received 1,082 reports of behaviour change in dogs after Pyrantel + Sarolaner. That is 2.0% of all reports for this medicine, compared with 2.5% across reports for all dog medicines.

1,082Reports
43%Marked serious
27%Recovered
4.1%Died or euthanised
1 daysTypical onset
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How soon it started

Same day
508 49%
1–2 days
213 21%
3–7 days
107 10%
1–4 weeks
112 11%
Over a month
97 9.4%

How the animals did

Recovered
290 27%
Still unwell when reported
411 38%
Died
17 1.6%
Euthanised
27 2.5%
Not known
337 31%

Problems reported at the same time

231 21%
224 21%
214 20%
194 18%
106 9.8%
93 8.6%

Age of the animals

Under 1 year
169
1–3 years
357
4–7 years
274
8–11 years
133
12+ years
84

About this medicine

Pyrantel treats roundworms and hookworms. Sarolaner kills fleas, ticks and some mites; monthly.

Products with this combination include Simparica Trio (which also contains moxidectin). The FDA hides brand names in its public data, so these reports cover every product with the same active ingredients.

Questions owners ask

Can Pyrantel + Sarolaner cause behaviour change in dogs?
1,082 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 1 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).

Behaviour change with similar medicines

All reported side effects of Pyrantel + Sarolaner in dogs · Medicines most reported with behaviour change