Swelling after Ivermectin (Heartgard) in horses

The FDA has received 93 reports of swelling in horses after Ivermectin. That is 13% of all reports for this medicine, compared with 19% across reports for all horse medicines.

93Reports
8.6%Marked serious
8.6%Recovered
15%Died or euthanised
1 daysTypical onset
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How soon it started

Same day
9 43%
1–2 days
6 29%
3–7 days
3 14%
1–4 weeks
2 9.5%
Over a month
1 4.8%

How the animals did

Recovered
8 8.6%
Still unwell when reported
6 6.5%
Died
13 14%
Euthanised
1 1.1%
Not known
65 70%

Problems reported at the same time

14 15%
13 14%
12 13%
Injection site reaction
9 9.7%
Lameness
8 8.6%
7 7.5%

Age of the animals

Under 1 year
6
1–3 years
4
4–7 years
16
8–11 years
13
12+ years
22

About this medicine

Ivermectin prevents heartworm disease (monthly).

Products with this ingredient include Heartgard. 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 Ivermectin cause swelling in horses?
93 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 1 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).

Swelling with similar medicines

All reported side effects of Ivermectin in horses · Medicines most reported with swelling