Lethargy after Moxidectin + Praziquantel in horses

The FDA has received 55 reports of lethargy in horses after Moxidectin + Praziquantel. That is 15% of all reports for this medicine, compared with 7.9% across reports for all horse medicines, so it is reported unusually often with this medicine.

55Reports
31%Marked serious
25%Recovered
13%Died or euthanised
1 daysTypical onset
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How soon it started

Same day
6 23%
1–2 days
18 69%
3–7 days
1 3.8%
1–4 weeks
0 0.0%
Over a month
1 3.8%

How the animals did

Recovered
14 25%
Still unwell when reported
6 11%
Died
4 7.3%
Euthanised
3 5.5%
Not known
28 51%

Problems reported at the same time

12 22%
8 15%
6 11%
5 9.1%
Weakness
5 9.1%

Age of the animals

Under 1 year
4
1–3 years
3
4–7 years
13
8–11 years
6
12+ years
20

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.

Questions owners ask

Can Moxidectin + Praziquantel cause lethargy in horses?
55 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).

Lethargy with similar medicines

All reported side effects of Moxidectin + Praziquantel in horses · Medicines most reported with lethargy