Monocytosis after Pyrantel + Sarolaner (Simparica Trio) in dogs

88 reports to the FDA describe monocytosis in dogs given Pyrantel + Sarolaner. That is 0.2% of all reports for this medicine, compared with 0.3% across reports for all dog medicines, so it is reported less often than average with this medicine.

88Reports
86%Marked serious
10%Recovered
14%Died or euthanised
3 daysTypical onset
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How soon it started

Same day
22 27%
1–2 days
15 18%
3–7 days
12 15%
1–4 weeks
16 20%
Over a month
17 21%

How the animals did

Recovered
9 10%
Still unwell when reported
59 67%
Died
5 5.7%
Euthanised
7 8.0%
Not known
8 9.1%

Problems reported at the same time

Age of the animals

Under 1 year
35
1–3 years
19
4–7 years
16
8–11 years
13
12+ years
4

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 monocytosis in dogs?
88 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 3 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).

Monocytosis with similar medicines

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