Hyperglycaemia after Selamectin (Revolution) in dogs

The FDA has received 58 reports of hyperglycaemia in dogs after Selamectin. That is 0.2% of all reports for this medicine, compared with 0.5% across reports for all dog medicines, so it is reported less often than average with this medicine.

58Reports
26%Marked serious
3.4%Recovered
24%Died or euthanised
2 daysTypical onset
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How soon it started

Same day
10 40%
1–2 days
3 12%
3–7 days
3 12%
1–4 weeks
3 12%
Over a month
6 24%

How the animals did

Recovered
2 3.4%
Still unwell when reported
22 38%
Died
12 21%
Euthanised
2 3.4%
Not known
20 34%

Problems reported at the same time

Age of the animals

Under 1 year
14
1–3 years
11
4–7 years
10
8–11 years
13
12+ years
8

About this medicine

Selamectin prevents heartworm and treats fleas, ear mites and some worms (spot-on).

Products with this ingredient include Revolution. The FDA hides brand names in its public data, so these reports cover every product with the same active ingredients.

Some herding breeds (for example Collies) carry the MDR1 gene variant and can be more sensitive to this drug class at high doses.

Questions owners ask

Can Selamectin cause hyperglycaemia in dogs?
58 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 2 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).

Hyperglycaemia with similar medicines

All reported side effects of Selamectin in dogs · Medicines most reported with hyperglycaemia