Pet Drug Reports

Drugs by active ingredient

Drug · single active ingredient

Pyrantel Pamoate: adverse event reports

All products with this active ingredient · 16 FDA-approved applications in the Green Book

5,867reports naming this ingredient, 1987–20260.4% of all reports · about 152 a year
250reports, 12 months to March 2026202 in the 12 months before
42.4%classed serious, as reportedof 3,303 reports stating it
14.9%record death or euthanasia, as reported876 reports
80.6%of reports concern dogs0.5% of all dog reports

Between August 1987 and March 2026 FDA received 5,867 adverse event reports listing a drug with pyrantel pamoate as the recorded active ingredient. The Green Book lists 16 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, 250 reports named it, up 24% from 202 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. Over its whole reporting history that is about 152 reports a year and 0.4% of all 1,357,245 reports (0.5% 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 (22.2%), diarrhoea (12.9%) and death (11.5%). A report can list several signs, so shares add to more than 100%; 1,261 different terms appear across these reports. Vomiting appears in 22.2% of these reports, a larger share than in the pooled reports for every drug containing pyrantel pamoate (15.1%).

80.6% of reports concern dogs. Not every report describes illness: 14.1% were filed wholly or partly as lack of expected effectiveness. Of reports that state seriousness, 42.4% were classed as serious, and 14.9% 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

Dog858 · peak 35
Apr 2021: 18May 2021: 22Jun 2021: 15Jul 2021: 21Aug 2021: 15Sep 2021: 17Oct 2021: 11Nov 2021: 18Dec 2021: 7Jan 2022: 20Feb 2022: 22Mar 2022: 15Apr 2022: 12May 2022: 2Jun 2022: 12Jul 2022: 9Aug 2022: 12Sep 2022: 10Oct 2022: 10Nov 2022: 9Dec 2022: 19Jan 2023: 18Feb 2023: 7Mar 2023: 11Apr 2023: 20May 2023: 11Jun 2023: 9Jul 2023: 15Aug 2023: 18Sep 2023: 13Oct 2023: 19Nov 2023: 10Dec 2023: 12Jan 2024: 13Feb 2024: 12Mar 2024: 15Apr 2024: 13May 2024: 17Jun 2024: 17Jul 2024: 13Aug 2024: 15Sep 2024: 17Oct 2024: 12Nov 2024: 13Dec 2024: 9Jan 2025: 11Feb 2025: 16Mar 2025: 7Apr 2025: 9May 2025: 13Jun 2025: 17Jul 2025: 15Aug 2025: 35Sep 2025: 19Oct 2025: 14Nov 2025: 18Dec 2025: 14Jan 2026: 17Feb 2026: 20Mar 2026: 82022202320242025
Cat148 · peak 8
Apr 2021: 1May 2021: 2Jun 2021: 1Jul 2021: 2Sep 2021: 2Oct 2021: 1Feb 2022: 2Apr 2022: 1May 2022: 1Jun 2022: 5Jul 2022: 6Aug 2022: 4Sep 2022: 3Oct 2022: 2Dec 2022: 3Jan 2023: 1Feb 2023: 1Mar 2023: 1Apr 2023: 5Jun 2023: 3Jul 2023: 1Aug 2023: 7Sep 2023: 3Oct 2023: 3Nov 2023: 1Dec 2023: 2Jan 2024: 1Feb 2024: 2Apr 2024: 1Jun 2024: 3Jul 2024: 7Aug 2024: 4Sep 2024: 4Oct 2024: 3Nov 2024: 5Dec 2024: 2Jan 2025: 6Feb 2025: 1Mar 2025: 5Jun 2025: 5Aug 2025: 4Sep 2025: 5Oct 2025: 7Nov 2025: 8Dec 2025: 4Jan 2026: 1Feb 2026: 4Mar 2026: 22022202320242025
Horse12 · peak 4
Sep 2021: 1Feb 2022: 1Mar 2022: 1Aug 2022: 1Mar 2023: 2Nov 2024: 1May 2025: 1Aug 2025: 42022202320242025
Other16 · peak 2
May 2021: 1Nov 2021: 1Apr 2022: 1Jul 2022: 1Aug 2022: 1Feb 2023: 1Aug 2023: 1Oct 2023: 2Dec 2023: 1Apr 2025: 1May 2025: 1Jun 2025: 1Jul 2025: 1Sep 2025: 1Jan 2026: 12022202320242025

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

01753501987: 319871989: 11990: 41991: 101992: 319921993: 61994: 101995: 141996: 6819961997: 511998: 801999: 882000: 9520002001: 1302002: 612003: 922004: 12920042005: 1622006: 1442007: 1742008: 15120082009: 1732010: 2972011: 2172012: 33020122013: 3502014: 2872015: 2882016: 30720162017: 2652018: 2412019: 2532020: 28020202021: 2252022: 1852023: 1982024: 19920242025: 2432026: 53

2026 covers reports received through March 2026 only.

Signs listed in reports

share of pyrantel pamoate reports listing the termall drugs containing pyrantel pamoateall dog reports

  1. Vomiting22.2%1,301
  2. Diarrhoea[diarrhea]12.9%754
  3. Death11.5%673
  4. Lethargy[unusually tired or inactive]11.3%664
  5. Anorexia[not eating]8.6%506
  6. Depression[dull, quiet or withdrawn]7.4%437
  7. Lack of efficacy (endoparasite) - hookworm[the product did not have the expected effect: hookworms]7.3%428
  8. No sign[no clinical sign was reported]4.8%279
  9. Accidental exposure[exposure that was not intended]4%234
  10. Emesis[vomiting]3.9%229
  11. Ataxia[unsteady, uncoordinated movement]3.5%205
  12. Ineffective, ascarids NOS[legacy FDA term: the product did not have the expected effect (ascarids nos)]3.1%183
  13. Anaphylaxis[sudden severe allergic-type reaction]2.7%157
  14. Fever2.7%156
  15. Seizure NOS[seizure, type not specified]2.6%155
  16. Death by euthanasia[the animal was euthanized]2.6%150
  17. Pale mucous membrane[pale gums]2.6%150
  18. Lack of efficacy (endoparasite) - roundworm NOS[the product did not have the expected effect: roundworms]2.5%149
  19. Bloody diarrhoea[diarrhea with blood]2.5%147
  20. Other abnormal test result NOS[abnormal laboratory result, type not specified]2.5%144
  21. Cough2.1%125
  22. Vocalisation[crying out or unusual noise]2.1%123
  23. Ineffective, worms NOS[legacy FDA term: the product did not have the expected effect (worms nos)]2%117
  24. Behavioural disorder NOS[behaviour change, type not specified]1.9%113
  25. Ineffective, hooks[legacy FDA term: the product did not have the expected effect (hooks)]1.9%112
  26. Weakness1.9%111
  27. Lack of efficacy - NOS[the product did not have the expected effect]1.8%103

Top 30 of 1,261 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/Normal17.1%1,004
Recovered with Sequela0.6%34
Ongoing16.2%953
Died13.2%776
Euthanized1.8%103
Outcome Unknown20.7%1,213

What kind of report it was

Safety issue80.8%4,740
Lack of expected effectiveness9.9%580
Both safety and lack of expected effectiveness4.3%250
Manufacturing or product defect5%293
Other0.1%4

Coloured bar: reports naming pyrantel pamoate. 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

Dog80.6%4,729
Cat9.4%552
Horse3.5%208
Human exposure1.5%86
Other0.4%23
Goat0%2

Single-breed animals

Pit Bull3.5%207
Chihuahua3.5%205
Domestic2.9%169
Boxer2.1%125

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 year51.1%3,000
1 to 3 years16.8%987
4 to 7 years9%529
8 to 11 years5.1%301
12 years and over3.4%201
Age not given14.5%849

Weight of the animal

Under 5 kg (11 lb)33.6%1,969
5 to 9.9 kg (11–22 lb)15.6%916
10 to 24.9 kg (22–55 lb)16.6%972
25 to 44.9 kg (55–99 lb)10.3%606
45 kg and over (99 lb+)3.4%198
Weight not given20.6%1,206

Route of administration stated in reports: oral (4,353), subcutaneous (28), topical (8), intramuscular (7), ophthalmic (5), nasal (2).

In context

MeasurePyrantel PamoateAll drugs containing pyrantel pamoateAll dog reportsAll reports
Reports5,867250,618985,6751,357,245
Share of that pool's reports naming this drug—2.3%0.5%0.4%
Classed serious, of reports stating it42.4%46.6%38.3%38.6%
Death or euthanasia recorded, per 1,000 reports149.3225563.8
Filed as lack of expected effectiveness (wholly or partly)14.1%——23%
Top term, share of reportsVomiting 22.2%15.1%19.7%—

The pyrantel pamoate pool is every report naming pyrantel pamoate alone or in any combination; this single-ingredient set accounts for 2.3% 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
Pyrantel Pamoate + Sarolaner52,06610,626
Ivermectin + Praziquantel + Pyrantel Pamoate8,999100
Afoxolaner + Moxidectin + Pyrantel Pamoate8,7694,349
Febantel + Praziquantel + Pyrantel Pamoate7,061415
Praziquantel + Pyrantel Pamoate5,037206
Lotilaner + Moxidectin + Praziquantel + Pyrantel Pamoate2,2612,231
Moxidectin + Pyrantel Pamoate + Sarolaner1,090344

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 pyrantel pamoate (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
Strongid TPyrantel PamoateZoetis Inc.HorsesNADA 091-739
Nemex; Nemex-2; RFD Liquid WormerPyrantel PamoateZoetis Inc.DogsNADA 100-237
Dog Wormer TabletsPyrantel PamoateFarnam Companies, Inc.DogsNADA 101-331
Banminth-P Paste; Strongid PastePyrantel PamoateZoetis Inc.HorsesNADA 129-831
Adams; D-Worm; Dog Wormer Chewable TabletsPyrantel PamoateFarnam Companies, Inc.DogsNADA 139-191
Liqui-Vict 2XPyrantel PamoateHappy Jack, Inc.DogsANADA 200-007
Anthelban VPyrantel PamoateElanco US Inc.HorsesANADA 200-246
Pyrantel Pamoate Suspension; Pyrantel Pamoate Suspension-2.27mg; Pyrantel Pamoate Suspension-4.54mgPyrantel PamoateCronus Pharma Specialities India Private Ltd.DogsANADA 200-248
Pyrantel Pamoate Chewable TabletsPyrantel PamoateVirbac AH, Inc.DogsANADA 200-281
Pyrantel Pamoate PastePyrantel PamoateFarnam Companies, Inc.HorsesANADA 200-342
Exodus Paste; Exodus Multi DosePyrantel PamoateBimeda Animal Health Ltd.HorsesANADA 200-350
Primex 2-X; Primex CaninePyrantel PamoateFirst Priority, Inc.DogsANADA 200-352
Primex EquinePyrantel PamoateFirst Priority, Inc.HorsesANADA 200-353
PrimexPyrantel PamoateFirst Priority, Inc.HorsesANADA 200-445
Evictapproval voluntarily withdrawnPyrantel PamoatePegasus Laboratories, Inc.DogsANADA 200-028
WormXapproval voluntarily withdrawnPyrantel PamoateSergeant’s Pet Care Products Inc.DogsANADA 200-600

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 pyrantel pamoate reports

How many adverse event reports has FDA received for pyrantel pamoate?

5,867 reports record a drug with pyrantel pamoate as its active ingredient in the openFDA release of 28 Sep 2026, covering reports received through March 2026. 250 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 16 approved applications with this ingredient alone; the reference list on this page names them without any counts.

What signs are reported most often?

vomiting (22.2%), diarrhoea (12.9%), death (11.5%), lethargy (11.3%) and anorexia (8.6%). 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 (80.6%), cat (9.4%) and horse (3.5%). Among single-breed animals the most frequent labels are Labrador Retriever, Domestic Shorthair, Pit Bull and Chihuahua; popular breeds appear often in any drug's reports because there are more of them.

Are reports rising?

250 reports in the 12 months to March 2026, up 24% from 202 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 pyrantel pamoate 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 pyrantel pamoate?

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.