Recumbency after Moxidectin + Praziquantel in horses

The FDA has received 21 reports of recumbency in horses after Moxidectin + Praziquantel. That is 5.6% of all reports for this medicine, compared with 3.7% across reports for all horse medicines, so it is reported unusually often with this medicine.

21Reports
29%Marked serious
4.8%Recovered
29%Died or euthanised
–Typical onset
SponsoredWorried about your pet? Ask a veterinarian online, 24/7

How the animals did

Recovered
1 4.8%
Died
1 4.8%
Euthanised
5 24%
Not known
14 67%

Problems reported at the same time

7 33%
Weakness
4 19%
Tremors
4 19%
Hyperhidrosis
3 14%

Age of the animals

Under 1 year
2
1–3 years
0
4–7 years
6
8–11 years
2
12+ years
6

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 recumbency in horses?
21 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.
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).

Recumbency with similar medicines

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