Underdose after Spinosad (Comfortis) in dogs

365 reports to the FDA describe underdose in dogs given Spinosad. 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.

365Reports
7.9%Marked serious
26%Recovered
0.5%Died or euthanised
13 daysTypical onset
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How soon it started

Same day
52 28%
1–2 days
11 5.9%
3–7 days
21 11%
1–4 weeks
52 28%
Over a month
52 28%

How the animals did

Recovered
68 19%
Recovered with lasting effects
28 7.7%
Still unwell when reported
17 4.7%
Died
1 0.3%
Euthanised
1 0.3%
Not known
250 68%

Problems reported at the same time

Age of the animals

Under 1 year
42
1–3 years
93
4–7 years
99
8–11 years
60
12+ years
27

About this medicine

Spinosad kills fleas; monthly chewable.

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

Questions owners ask

Can Spinosad cause underdose in dogs?
365 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 13 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).

Underdose with similar medicines

All reported side effects of Spinosad in dogs · Medicines most reported with underdose