Unsteady gait after Pyrantel + Sarolaner (Simparica Trio) in dogs

89 reports to the FDA describe unsteady gait in dogs given Pyrantel + Sarolaner. That is 0.2% of all reports for this medicine, compared with 0.1% across reports for all dog medicines.

89Reports
55%Marked serious
29%Recovered
2.2%Died or euthanised
1 daysTypical onset
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How soon it started

Same day
42 49%
1–2 days
23 27%
3–7 days
7 8.1%
1–4 weeks
7 8.1%
Over a month
7 8.1%

How the animals did

Recovered
26 29%
Still unwell when reported
38 43%
Died
1 1.1%
Euthanised
1 1.1%
Not known
23 26%

Problems reported at the same time

Age of the animals

Under 1 year
25
1–3 years
21
4–7 years
15
8–11 years
15
12+ years
10

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 unsteady gait in dogs?
89 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).

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