Moxidectin + Praziquantel side effects in horses

372 reports sent to the FDA between 2003 and 2026 involve Moxidectin + Praziquantel in horses. The most reported problems were loss of appetite, colic, lethargy. 23% were marked serious.

372Reports
23%Marked serious
89%Only medicine involved
29%Recovered
13%Died or euthanised
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About this medicine

Moxidectin prevents heartworm disease (monthly topical, or a 6- or 12-month injection for dogs). 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

58 16%
55 15%
37 9.9%
29 7.8%
24 6.5%
21 5.6%
Tremors
13 3.5%
Drooling
13 3.5%
No sign
13 3.5%
Behaviour change
11 3.0%
Tachycardia
10 2.7%

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
67 28%
1–2 days
98 42%
3–7 days
11 4.7%
1–4 weeks
26 11%
Over a month
34 14%

Time from the first dose to the first sign, where both dates were reported (236 reports).

How the animals did

Recovered
104 28%
Recovered with lasting effects
3 0.8%
Still unwell when reported
43 12%
Died
25 6.7%
Euthanised
22 5.9%
Not known
175 47%

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