Leucocytosis after Selamectin (Revolution) in dogs

The FDA has received 172 reports of leucocytosis in dogs after Selamectin. That is 0.6% of all reports for this medicine, compared with 1.0% across reports for all dog medicines, so it is reported less often than average with this medicine.

172Reports
17%Marked serious
3.5%Recovered
26%Died or euthanised
2 daysTypical onset
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How soon it started

Same day
15 35%
1–2 days
8 19%
3–7 days
4 9.3%
1–4 weeks
8 19%
Over a month
8 19%

How the animals did

Recovered
6 3.5%
Still unwell when reported
27 16%
Died
37 22%
Euthanised
8 4.7%
Not known
94 55%

Problems reported at the same time

Age of the animals

Under 1 year
24
1–3 years
34
4–7 years
45
8–11 years
38
12+ years
29

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 leucocytosis in dogs?
172 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).

Leucocytosis with similar medicines

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