Wobbliness after Pyrantel + Sarolaner (Simparica Trio) in dogs

109 reports to the FDA describe wobbliness 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, so it is reported unusually often with this medicine.

109Reports
53%Marked serious
27%Recovered
5.5%Died or euthanised
Same dayTypical onset
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How soon it started

Same day
56 54%
1–2 days
19 18%
3–7 days
13 13%
1–4 weeks
9 8.7%
Over a month
7 6.7%

How the animals did

Recovered
29 27%
Still unwell when reported
58 53%
Died
2 1.8%
Euthanised
4 3.7%
Not known
16 15%

Problems reported at the same time

Age of the animals

Under 1 year
30
1–3 years
24
4–7 years
13
8–11 years
18
12+ years
19

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 wobbliness in dogs?
109 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 the same 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 wobbliness