Ivermectin + Praziquantel side effects in horses

2,648 reports sent to the FDA between 2003 and 2026 involve Ivermectin + Praziquantel in horses. The most reported problems were swelling, drooling, application site reaction. 22% were marked serious.

2,648Reports
22%Marked serious
99%Only medicine involved
19%Recovered
3.4%Died or euthanised
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About this medicine

Ivermectin prevents heartworm disease (monthly). Praziquantel treats tapeworms.

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

Most reported side effects

Share = percentage of this medicine's reports that mention the problem. One report can list several problems.

Reports that it didn't work

Some reports are about the medicine not working (for example a horse still getting fleas or heartworm), not about a side effect.

How soon problems started

Same day
583 74%
1–2 days
76 9.7%
3–7 days
15 1.9%
1–4 weeks
11 1.4%
Over a month
101 13%

Time from the first dose to the first sign, where both dates were reported (786 reports).

How the animals did

Recovered
502 19%
Recovered with lasting effects
2 0.1%
Still unwell when reported
82 3.1%
Died
78 2.9%
Euthanised
11 0.4%
Not known
1,973 75%

Breeds named most often

Popular breeds appear more often because there are more of them.

Other macrocyclic lactone (heartworm and parasite prevention)s for horses