Pet Drug Reports

Drugs by active ingredient

Drug · single active ingredient

Ivermectin: adverse event reports

All products with this active ingredient · 37 FDA-approved applications in the Green Book

20,072reports naming this ingredient, 1987–20261.5% of all reports · about 511 a year
286reports, 12 months to March 2026340 in the 12 months before
37.9%classed serious, as reportedof 10,977 reports stating it
10.5%record death or euthanasia, as reported2,111 reports
64.4%of reports concern dogs1.3% of all dog reports

Between January 1987 and March 2026 FDA received 20,072 adverse event reports listing a drug with ivermectin as the recorded active ingredient. The Green Book lists 37 FDA-approved applications with this single active ingredient.

openFDA masks the brand and manufacturer in every report, so these figures describe the ingredient across all products and cannot be attributed to a brand.

In the 12 months to March 2026, 286 reports named it, down 16% from 340 in the 12 months before. Recent months are provisional: fDA posts reports quarterly with a delay of three to six months, so the newest months are incomplete and usually grow in later releases. Over its whole reporting history that is about 511 reports a year and 1.5% of all 1,357,245 reports (1.3% of all dog reports). How many animals received it is not published, so a count says nothing about how often a problem occurs per dose.

The signs named most often are vomiting (10.5%), ataxia (9.2%) and lack of efficacy (endoparasite) - heartworm (9.2%). A report can list several signs, so shares add to more than 100%; 1,783 different terms appear across these reports. Vomiting appears in 10.5% of these reports, about the same share as in the pooled reports for every drug containing ivermectin (11.9%).

64.4% of reports concern dogs. Not every report describes illness: 21.5% were filed wholly or partly as lack of expected effectiveness and 10.9% as product or packaging defects. Of reports that state seriousness, 37.9% were classed as serious, and 10.5% of all reports record a death or euthanasia as an outcome, as reported. FDA has not necessarily determined whether any drug played a part.

Monthly reports by species, five years

Dog1,587 · peak 70
Apr 2021: 56May 2021: 40Jun 2021: 43Jul 2021: 41Aug 2021: 38Sep 2021: 38Oct 2021: 31Nov 2021: 27Dec 2021: 21Jan 2022: 33Feb 2022: 70Mar 2022: 47Apr 2022: 25May 2022: 19Jun 2022: 26Jul 2022: 34Aug 2022: 27Sep 2022: 28Oct 2022: 29Nov 2022: 19Dec 2022: 23Jan 2023: 27Feb 2023: 9Mar 2023: 22Apr 2023: 25May 2023: 18Jun 2023: 22Jul 2023: 21Aug 2023: 23Sep 2023: 28Oct 2023: 32Nov 2023: 17Dec 2023: 19Jan 2024: 26Feb 2024: 32Mar 2024: 19Apr 2024: 30May 2024: 25Jun 2024: 19Jul 2024: 22Aug 2024: 28Sep 2024: 39Oct 2024: 32Nov 2024: 17Dec 2024: 14Jan 2025: 19Feb 2025: 33Mar 2025: 20Apr 2025: 21May 2025: 23Jun 2025: 28Jul 2025: 15Aug 2025: 21Sep 2025: 23Oct 2025: 20Nov 2025: 18Dec 2025: 22Jan 2026: 19Feb 2026: 13Mar 2026: 112022202320242025
Cat42 · peak 3
Apr 2021: 3Jun 2021: 1Jul 2021: 2Aug 2021: 3Sep 2021: 2Oct 2021: 2Nov 2021: 1Jan 2022: 2Feb 2022: 1Mar 2022: 1May 2022: 2Jul 2022: 2Aug 2022: 1Nov 2022: 2Dec 2022: 1Apr 2023: 2May 2023: 2Jun 2023: 3Oct 2023: 1Nov 2023: 2Mar 2024: 2Oct 2024: 1Mar 2025: 2Jan 2026: 12022202320242025
Horse33 · peak 3
Apr 2021: 1May 2021: 1Jun 2021: 2Aug 2021: 2Sep 2021: 1Apr 2022: 1Jun 2022: 1Jul 2022: 1Aug 2022: 1Sep 2022: 1Oct 2022: 1Jan 2023: 1May 2023: 1Jun 2023: 1Sep 2023: 1Jan 2024: 3Feb 2024: 3Mar 2024: 2May 2024: 1Mar 2025: 1Jun 2025: 1Jul 2025: 1Oct 2025: 2Nov 2025: 1Dec 2025: 12022202320242025
Other305 · peak 20
Apr 2021: 9May 2021: 5Jun 2021: 7Jul 2021: 6Aug 2021: 20Sep 2021: 10Oct 2021: 11Nov 2021: 5Dec 2021: 4Jan 2022: 2Feb 2022: 2Mar 2022: 3Apr 2022: 7May 2022: 5Jun 2022: 4Jul 2022: 5Aug 2022: 5Sep 2022: 7Oct 2022: 5Nov 2022: 3Dec 2022: 7Jan 2023: 3Feb 2023: 9Mar 2023: 8Apr 2023: 5May 2023: 8Jun 2023: 9Jul 2023: 3Aug 2023: 6Sep 2023: 5Oct 2023: 4Nov 2023: 8Dec 2023: 7Jan 2024: 5Feb 2024: 5Mar 2024: 6Apr 2024: 4Jun 2024: 5Jul 2024: 1Aug 2024: 2Sep 2024: 7Oct 2024: 4Nov 2024: 3Dec 2024: 5Jan 2025: 1Feb 2025: 1Mar 2025: 4Apr 2025: 4May 2025: 9Jun 2025: 2Jul 2025: 3Aug 2025: 2Sep 2025: 1Oct 2025: 7Nov 2025: 6Dec 2025: 1Jan 2026: 6Feb 2026: 2Mar 2026: 22022202320242025

Reports by the month FDA received them. Each panel has its own scale; the peak month is printed at the top right. The newest months are incomplete because FDA posts reports with a delay of three to six months.

Reports by year received

09821,9641987: 40619871988: 3961989: 4121990: 1771991: 9219911992: 401993: 331994: 531995: 8019951996: 1181997: 1971998: 861999: 17819992000: 1162001: 2052002: 3552003: 50820032004: 4692005: 5322006: 4572007: 52620072008: 6692009: 7332010: 4842011: 71420112012: 1,9642013: 1,7202014: 9392015: 1,02420152016: 9982017: 9982018: 8272019: 75020192020: 6992021: 5832022: 4532023: 35220232024: 3622025: 3132026: 54

2026 covers reports received through March 2026 only.

Signs listed in reports

share of ivermectin reports listing the termall drugs containing ivermectinall dog reports

  1. Vomiting10.5%2,114
  2. Ataxia[unsteady, uncoordinated movement]9.2%1,856
  3. Lack of efficacy (endoparasite) - heartworm[the product did not have the expected effect: heartworm]9.2%1,842
  4. Death7.8%1,566
  5. Emesis[vomiting]7.3%1,474
  6. Ineffective, heartworm larvae[legacy FDA term: the product did not have the expected effect (heartworm larvae)]7.1%1,419
  7. Lethargy[unusually tired or inactive]5.7%1,146
  8. Depression[dull, quiet or withdrawn]5.5%1,106
  9. Diarrhoea[diarrhea]4.8%966
  10. Accidental exposure[exposure that was not intended]4.6%926
  11. Anorexia[not eating]4.5%894
  12. Mydriasis[dilated pupils]4.1%813
  13. Trembling3.2%651
  14. Lack of efficacy - NOS[the product did not have the expected effect]3.1%627
  15. Lack of efficacy (ectoparasite) - lice[the product did not have the expected effect: lice]2.8%564
  16. Hypersalivation[drooling]2.6%526
  17. Blindness2.5%499
  18. Pruritus[itching]2.5%499
  19. Seizure NOS[seizure, type not specified]2.4%482
  20. Recumbency[lying down and unable or unwilling to rise]2.3%464
  21. Lack of efficacy (ectoparasite) - flea[the product did not have the expected effect: fleas]2.1%429
  22. Death by euthanasia[the animal was euthanized]2.1%424
  23. Unclassifiable adverse event[event that fits no dictionary term]1.9%380
  24. Behavioural disorder NOS[behaviour change, type not specified]1.9%378
  25. Other abnormal test result NOS[abnormal laboratory result, type not specified]1.9%376
  26. Fever1.9%373
  27. Convulsion[seizure]1.7%344
  28. Tablets, Abnormal[a product quality report, not a sign in an animal]1.6%320
  29. Weakness1.4%286

Top 30 of 1,783 coded terms (VeDDRA, the veterinary reporting dictionary; plain-language gloss in brackets). One report can list several terms. The ticks show how often the same term appears in a wider pool of reports; they describe the reports, and FDA cautions that such figures cannot be used to estimate risk or to compare one product with another. openFDA masks brand and manufacturer names in adverse event records, so the reports counted here cannot be attributed to a particular brand.

Outcomes and report types

Outcome recorded in the report

Recovered/Normal18.5%3,712
Recovered with Sequela2.7%542
Ongoing13.1%2,632
Died9.5%1,900
Euthanized1.1%227
Outcome Unknown19.1%3,832

What kind of report it was

Safety issue67.6%13,570
Lack of expected effectiveness17.9%3,584
Both safety and lack of expected effectiveness3.6%724
Manufacturing or product defect10.9%2,190
Other0%4

Coloured bar: reports naming ivermectin. Grey bar: all 1,357,245 reports in the database. Outcomes are the status at the time of the last report, as stated by the reporter; a report covering several animals can carry more than one outcome. FDA has not necessarily determined whether any drug played a part in any outcome.

Species and breeds in the reports

Species

Dog64.4%12,936
Cattle10.8%2,166
Cat5%996
Horse4.3%854
Human exposure2.7%549
Sheep1.2%241

Single-breed animals

Domestic2.1%421
Chihuahua1.6%312
Boxer1.4%277

Breed shares follow how common each breed is. Crossbred animals and reports with no breed stay in the species figure only.

Age, weight and route

Age of the animal

Under 1 year12.3%2,474
1 to 3 years27.1%5,435
4 to 7 years18.2%3,662
8 to 11 years11%2,201
12 years and over6.5%1,313
Age not given24.8%4,987

Weight of the animal

Under 5 kg (11 lb)10.5%2,105
5 to 9.9 kg (11–22 lb)12.3%2,461
10 to 24.9 kg (22–55 lb)19.7%3,948
25 to 44.9 kg (55–99 lb)20.6%4,130
45 kg and over (99 lb+)12.7%2,544
Weight not given24.3%4,884

Route of administration stated in reports: oral (11,242), topical (1,415), subcutaneous (1,197), other (171), auricular (otic) (116), intramuscular (113).

In context

MeasureIvermectinAll drugs containing ivermectinAll dog reportsAll reports
Reports20,072194,442985,6751,357,245
Share of that pool's reports naming this drug—10.3%1.3%1.5%
Classed serious, of reports stating it37.9%45.8%38.3%38.6%
Death or euthanasia recorded, per 1,000 reports105.2285563.8
Filed as lack of expected effectiveness (wholly or partly)21.5%——23%
Top term, share of reportsVomiting 10.5%11.9%19.7%—

The ivermectin pool is every report naming ivermectin alone or in any combination; this single-ingredient set accounts for 10.3% of it. Shares are of reports, not of animals treated. The number of doses sold is not public, so none of these figures is a rate of occurrence, and differences between columns reflect which animals receive a drug and who reports as much as anything else.

Other ingredient sets sharing an ingredient

Active ingredientsReportsLatest 12 months
Ivermectin + Pyrantel Pamoate161,6434,876
Ivermectin + Praziquantel + Pyrantel Pamoate8,999100
Ivermectin + Praziquantel3,38247
Clorsulon + Ivermectin93419

Listed for navigation, ordered by report count. FDA states that these data "cannot be used to estimate the risk associated with the product or compare one drug or device product with another": drugs differ in formulation, in the animals they are given to, in sales volume and in years on the market. A report's ingredient field can be incomplete, so reports about one product may sit under more than one set.

FDA-approved products containing ivermectin (Green Book)

Reference information, not report statistics. openFDA masks brand and manufacturer names in adverse event records, so the reports counted here cannot be attributed to a particular brand. The list below is the FDA Green Book as of 1 Oct 2026; nothing on this page says which of these products, if any, a report concerned.

Trade nameActive ingredientsSponsorApproved forApplication
Ivomec .27% Injection Grower And Feeder Pigs; Ivomec 1% Injection; Ivomec 1% Injection for Cattle And Swine; Ivomec Injection for CattleIvermectinBoehringer Ingelheim Animal Health USA, Inc.Dogs, Cattle, SwineNADA 128-409
Ivomec LiquidIvermectinBoehringer Ingelheim Animal Health USA, Inc.SheepNADA 131-392
ZimecterinIvermectinBoehringer Ingelheim Animal Health USA, Inc.HorsesNADA 134-314
Ivomec Cattle Paste 0.153%IvermectinBoehringer Ingelheim Animal Health USA, Inc.CattleNADA 137-006
Heartgard 30; Heartgard TabletsIvermectinBoehringer Ingelheim Animal Health USA, Inc.DogsNADA 138-412
Ivomec Pour-OnIvermectinBoehringer Ingelheim Animal Health USA, Inc.CattleNADA 140-841
Heartgard Chewables For DogsIvermectinBoehringer Ingelheim Animal Health USA, Inc.DogsNADA 140-886
Ivomec Premix for SwineIvermectinBoehringer Ingelheim Animal Health USA, Inc.SwineNADA 140-974
Ivomec Sustained-Release Bolus for CattleIvermectinBoehringer Ingelheim Animal Health USA, Inc.CattleNADA 140-988
Heartgard for CatsIvermectinBoehringer Ingelheim Animal Health USA, Inc.CatsNADA 141-078
AcarexxIvermectinBoehringer Ingelheim Animal Health USA, Inc.CatsNADA 141-174
Zimecterin-EZIvermectinFarnam Companies, Inc.HorsesNADA 141-241
PhoenectinIvermectinElanco US Inc.HorsesANADA 200-202
Ivermectin Pour-On for Cattle; Phoenectin; Phoenectin Pour-On for CattleIvermectinHuvepharma EOODCattleANADA 200-219
PhoenectinIvermectinHuvepharma EOODCattle, SwineANADA 200-228
Iverhart TabletsIvermectinVirbac AH, Inc.DogsANADA 200-270
Noromectin Pour-On for CattleIvermectinNorbrook Laboratories, Ltd.CattleANADA 200-272
Phoenectin Paste 1.87%IvermectinFarnam Companies, Inc.HorsesANADA 200-286
Ivermectin Chewable TabletsIvermectinCronus Pharma Specialities India Private Ltd.DogsANADA 200-297
Bimectin Pour-OnIvermectinBimeda Animal Health Ltd.CattleANADA 200-318
EquellIvermectinVirbac AH, Inc.HorsesANADA 200-320
Primectin Equine Oral LiquidIvermectinFirst Priority, Inc.HorsesANADA 200-321
BimectinIvermectinBimeda Animal Health Ltd.HorsesANADA 200-326
Privermectin Drench for SheepIvermectinFirst Priority, Inc.SheepANADA 200-327
PrivermectinIvermectinFirst Priority, Inc.CattleANADA 200-340
SparMectin-EIvermectinSparhawk Laboratories, Inc.HorsesANADA 200-341
EcomectinIvermectinHuvepharma EOODCattleANADA 200-348
Ivermectin Paste 1.87 %IvermectinBimeda Animal Health Ltd.HorsesANADA 200-390
Ivermectin InjectionIvermectinSparhawk Laboratories, Inc.Cattle, SwineANADA 200-429
NoromectinIvermectinNorbrook Laboratories, Ltd.Cattle, SwineANADA 200-437
Bimectin Injection for Cattle and SwineIvermectinBimeda Animal Health Ltd.Cattle, SwineANADA 200-447
Animec PlusIvermectinChanelle Pharmaceuticals Manufacturing Ltd.CattleANADA 200-506
Eqvalan Injectionapproval voluntarily withdrawnIvermectinBoehringer Ingelheim Animal Health USA Inc.HorsesNADA 127-443
Eqvalan Oral Liquid For Horsesapproval voluntarily withdrawnIvermectinBoehringer Ingelheim Animal Health USA Inc.HorsesNADA 140-439
Iversol Liquid for Horsesapproval voluntarily withdrawnIvermectinMed-Pharmex, Inc.HorsesANADA 200-292
Iver-Onapproval voluntarily withdrawnIvermectinMed-Pharmex, Inc.—ANADA 200-299
Ivermectin Paste 1.87%approval voluntarily withdrawnIvermectinBoehringer Ingelheim Animal Health USA Inc.HorsesANADA 200-564

Species are the major species the Green Book search lists for the application ("—" where it lists another species or none). Approval dates are not part of the Green Book listing files and are not shown. Pioneer applications (NADA) come first, then generics (ANADA).

Questions about ivermectin reports

How many adverse event reports has FDA received for ivermectin?

20,072 reports record a drug with ivermectin as its active ingredient in the openFDA release of 28 Sep 2026, covering reports received through March 2026. 286 of them arrived in the latest 12 months.

Which brand do these reports concern?

That cannot be known from the public data. openFDA masks brand and manufacturer names in adverse event records, so the reports counted here cannot be attributed to a particular brand. The Green Book lists 37 approved applications with this ingredient alone; the reference list on this page names them without any counts.

What signs are reported most often?

vomiting (10.5%), ataxia (9.2%), lack of efficacy (endoparasite) - heartworm (9.2%), death (7.8%) and emesis (7.3%). These are the coded terms listed in reports; several can appear in one report, and a term's presence is not a finding that the drug was responsible.

Which species and breeds appear in these reports?

dog (64.4%), cattle (10.8%) and cat (5%). Among single-breed animals the most frequent labels are Labrador Retriever, German Shepherd Dog, Domestic and Yorkshire Terrier; popular breeds appear often in any drug's reports because there are more of them.

Are reports rising?

286 reports in the 12 months to March 2026, down 16% from 340 in the 12 months before. FDA posts reports quarterly with a delay of three to six months, so the newest months are incomplete and usually grow in later releases. Counts also move with sales, publicity and time on the market.

Do these reports show that ivermectin harms pets?

Report counts cannot show that. FDA states that "there is no certainty that the reported drug or device caused the adverse event" and that the event "may have been related to an underlying disease, other drugs used at the same time or other non-drug related sources." FDA also notes that commonly used products may have more reports simply because more animals receive them.

Are these the side effects of ivermectin?

They are signs listed in reports, not an established list of side effects. The adverse reactions observed in studies are printed on each product's FDA-approved label, which a veterinarian can go through with you. This page is a record of what was reported to FDA.

How do I report a problem with an animal drug?

FDA asks owners and veterinarians to call the drug company first (the number is on the label); companies must pass reports to FDA. Reports can also go directly to FDA on Form FDA 1932a. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Animal & Veterinary adverse event bulk files released 28 Sep 2026, which hold reports FDA's Center for Veterinary Medicine received through 31 Mar 2026. openFDA masks brand and manufacturer names in these files, so drugs are counted by the active ingredients each record discloses and no figure is attributed to a brand, application or company. Ingredient names, and the separate reference lists of approved products, follow the FDA Green Book as of 1 Oct 2026. Drug entries are grouped by the active ingredients their unmasked ingredient field discloses; the application number that records also carry is not used. No report text, lot numbers or reporter details are published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.