Allergic reaction after Ivermectin + Praziquantel in horses

The FDA has received 312 reports of allergic reaction in horses after Ivermectin + Praziquantel. That is 12% of all reports for this medicine, compared with 7.5% across reports for all horse medicines, so it is reported unusually often with this medicine.

312Reports
40%Marked serious
25%Recovered
1.3%Died or euthanised
Same dayTypical onset
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How soon it started

Same day
40 62%
1–2 days
8 12%
3–7 days
1 1.5%
1–4 weeks
0 0.0%
Over a month
16 25%

How the animals did

Recovered
78 25%
Still unwell when reported
17 5.4%
Died
4 1.3%
Not known
213 68%

Problems reported at the same time

Age of the animals

Under 1 year
0
1–3 years
6
4–7 years
36
8–11 years
59
12+ years
121

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.

Questions owners ask

Can Ivermectin + Praziquantel cause allergic reaction in horses?
312 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).

Allergic reaction with similar medicines

All reported side effects of Ivermectin + Praziquantel in horses · Medicines most reported with allergic reaction