Reddening of the skin after Pyrantel + Sarolaner (Simparica Trio) in dogs

156 reports to the FDA describe reddening of the skin in dogs given Pyrantel + Sarolaner. That is 0.3% of all reports for this medicine, compared with 0.4% across reports for all dog medicines.

156Reports
61%Marked serious
23%Recovered
1.3%Died or euthanised
1 daysTypical onset
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How soon it started

Same day
66 43%
1–2 days
44 29%
3–7 days
20 13%
1–4 weeks
10 6.5%
Over a month
14 9.1%

How the animals did

Recovered
36 23%
Still unwell when reported
79 51%
Died
1 0.6%
Euthanised
1 0.6%
Not known
39 25%

Problems reported at the same time

Age of the animals

Under 1 year
13
1–3 years
55
4–7 years
56
8–11 years
21
12+ years
5

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 reddening of the skin in dogs?
156 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).

Reddening of the skin with similar medicines

All reported side effects of Pyrantel + Sarolaner in dogs · Medicines most reported with reddening of the skin