Pet Drug Reports

Pyrantel Pamoate (Nemex, Nemex-2): adverse event reports that FDA received

Active ingredient

Also sold as: Nemex, Nemex-2, RFD Liquid Wormer, Dog Wormer, Adams, D-Worm, and 6 more brand names.

The openFDA records give the value "MSK" for the brand name and for the manufacturer name of each drug. FDA says that MSK means "masked". So the site cannot count a report for a brand.

Read this first. FDA says this about the data:

An API dataset query result cannot be used to estimate the risk associated with the product or compare one drug or device product with another. When looking at the results, be aware that there is no certainty that the reported drug or device caused the adverse event. This dataset should not be the sole source of information for clinical decision-making or other assumptions about the safety or effectiveness of a product. The adverse event may have been related to an underlying disease, other drugs used at the same time or other non-drug related sources.

FDA Center for Veterinary Medicine publishes these words. Source: Adverse Event Reports for Animal Drugs and Devices, read on . The data have the reports that FDA received through .

This page is not veterinary advice. For an animal that is ill, speak to a veterinarian.

Contacting a veterinarianHow to report to FDA

From August 1987 to June 2026, FDA received 5,918 adverse event reports that name a drug with pyrantel pamoate as its active ingredient. Of the 5,918 reports, 4,771 (80.6%) are about dogs. 559 reports are about cats (9.4%).

In January to March 2026, FDA received 64 reports that name this drug. The signs that appear in the largest number of the 5,918 reports are "Vomiting", "Diarrhoea" and "Death". A report is not proof that a drug caused a sign.

Reports that name this drug rose by 27.1% in the 12 months to June 2026, compared with the 12 months before. Reports for all animal drugs fell by 4.6% in the same periods. The newest months can get more reports in a later update. Reports about dogs are 80.6% of the reports that name this drug, and 72.6% of all reports.

Since the last update of the FDA data

The site recorded an update of the FDA data on . FDA changed these counts for January to March 2026:

  • All species: from 53 to 64.
  • Dog: from 45 to 56.

January to March 2026 is the latest closed quarter in the data. In that quarter FDA received 64 reports that name pyrantel pamoate: 56 dog, 7 cat, 0 horse, 1 other or not given.

All updatesFeed of updates (RSS)

Signs that the reports list

A sign is a coded term from the report. The words in brackets are a plain gloss of the term. The percentage is the share of the 5,918 reports that list the sign. One report can list more than one sign.

The sign that is in the largest number of the reports comes first.

  1. Vomiting22.3%1,317 reports
  2. Diarrhoea[diarrhea]12.9%761 reports
  3. Death11.4%674 reports
  4. Lethargy[unusually tired or inactive]11.3%671 reports
  5. Anorexia[not eating]8.6%507 reports
  6. Depression[dull, quiet or withdrawn]7.4%437 reports
  7. Lack of efficacy (endoparasite) - hookworm[the product did not have the expected effect: hookworms]7.4%436 reports
  8. No sign[no clinical sign was reported]4.7%280 reports
  9. Accidental exposure[exposure that was not intended]4%236 reports
  10. Emesis[vomiting]3.9%229 reports
  11. Ataxia[unsteady, uncoordinated movement]3.5%207 reports
  12. Facial swelling3.2%191 reports
  13. Ineffective, ascarids NOS[legacy FDA term: the product did not have the expected effect (ascarids nos)]3.1%183 reports
  14. Anaphylaxis[sudden severe allergic-type reaction]2.7%159 reports
Show the next 16 signs
  1. Fever2.7%158 reports
  2. Seizure NOS[seizure, type not specified]2.7%158 reports
  3. Lack of efficacy (endoparasite) - roundworm NOS[the product did not have the expected effect: roundworms]2.6%154 reports
  4. Death by euthanasia[the animal was euthanized]2.6%152 reports
  5. Pale mucous membrane[pale gums]2.6%152 reports
  6. Other abnormal test result NOS[abnormal laboratory result, type not specified]2.5%148 reports
  7. Bloody diarrhoea[diarrhea with blood]2.5%147 reports
  8. Cough2.1%127 reports
  9. Not eating2.1%124 reports
  10. Vocalisation[crying out or unusual noise]2.1%123 reports
  11. Weight loss2.1%123 reports
  12. Ineffective, worms NOS[legacy FDA term: the product did not have the expected effect (worms nos)]2%117 reports
  13. Behavioural disorder NOS[behaviour change, type not specified]2%116 reports
  14. Ineffective, hooks[legacy FDA term: the product did not have the expected effect (hooks)]1.9%112 reports
  15. Weakness1.9%111 reports
  16. Lack of efficacy - NOS[the product did not have the expected effect]1.8%108 reports

The list shows 30 of 1,274 coded signs. A report is not proof that a drug caused a sign. Download all signs (CSV)

Reports by species

  • Dog80.6%4,771
  • Cat9.4%559
  • Horse3.5%209
  • Human exposure1.5%86
  • Other0.4%23
  • Goatunder 0.1%2

The share is of all 5,918 reports that name pyrantel pamoate. The other reports give a different species or no species.

Reports for each month, Jul 2021 to Jun 2026

Dog845 reports. Largest count in one month: 35 (Aug 2025)
Cat151 reports. Largest count in one month: 8 (Nov 2025)
Horse13 reports

No chart: no month has 5 or more reports.

Other or not given16 reports

No chart: no month has 5 or more reports.

The month is the month in which FDA received the report. Each chart has its own scale. FDA says that a report can take 3 to 6 months to reach the public data. The newest months can get more reports in a later update.

Reports by year

  • Dog
  • Cat
  • Horse
  • Other or not given
Reports that name pyrantel pamoate, by the year in which FDA received them and by species
YearDogCatHorseOther or not givenAll species
2026881412105
20251874555242
20241663210199
20231632825198
20221522733185
20212081214225
20202452456280
20192262043253
20182181724241
20172352037265
20162752435307
20152472777288
201424720317287
201328935719350
201228619520330
20111877716217
20102496438297
200912414926173
200810781026151
2007115151331174
200611161314144
200512971313162
20049619104129
2003387272092
20024086761
2001803479130
20005019111595
1999591321488
1998381362380
19973383751
19964499668
1995920314
1994901010
199360006
199230003
1991703010
199030104
198900101
198720103

2026 has the reports that FDA received through Jun 2026. Download the years (CSV)

What the reports record

Outcome at the time of the report

  • Recovered/Normal17.2%1,016
  • Recovered with Sequela[recovered, with a lasting effect]0.6%34
  • Ongoing16.4%972
  • Died13.1%777
  • Euthanized1.8%105
  • Outcome Unknown20.8%1,229

An outcome in a report is not proof that the drug caused it. The person who sends the report gives the outcome. Each share is of the 5,918 reports that name pyrantel pamoate.

A report about more than one animal can have more than one outcome.

Kind of report

  • Safety issue80.6%4,770
  • Lack of expected effectiveness10%593
  • Both safety and lack of expected effectiveness4.3%256
  • Manufacturing or product defect5%295
  • Other0.1%4

3,352 reports say if the event was serious. 42.6% of them have the serious flag. The person who sends the report sets the flag.

Show age, weight, breed and route

Age of the animal

  • Under 1 year51.1%3,022
  • 1 to 3 years16.9%999
  • 4 to 7 years9%535
  • 8 to 11 years5.1%302
  • 12 years and over3.5%207
  • Age not given14.4%853

Weight of the animal

  • Under 5 kg (11 lb)33.5%1,981
  • 5 to 9.9 kg (11 to 22 lb)15.6%926
  • 10 to 24.9 kg (22 to 55 lb)16.6%985
  • 25 to 44.9 kg (55 to 99 lb)10.3%612
  • 45 kg and over (99 lb and over)3.4%200
  • Weight not given20.5%1,214

Breed, where the report gives one breed

A breed with many animals has many reports.

Route in the report

  • Oral73.9%4,375
  • Subcutaneous0.5%28
  • Topical0.1%8
  • Intramuscular0.1%7
  • Ophthalmic0.1%5
  • Nasalunder 0.1%2

Each bar is on a scale of 0 to 100%.

Approved animal drugs with this active ingredient (FDA Green Book)

This section is reference data. It has no report count.

The openFDA records give the value "MSK" for the brand name and for the manufacturer name of each drug. FDA says that MSK means "masked". So the site cannot count a report for a brand.

Brand names

  • Nemex
  • Nemex-2
  • RFD Liquid Wormer
  • Dog Wormer
  • Adams
  • D-Worm
  • Liqui-Vict 2X
  • Primex
  • Strongid
  • Banminth-P
  • Anthelban V
  • Exodus

What the Green Book records give

Applications with an approval in force
14
Approved species
Dogs, Equids, Horses
Dose forms
Liquid (Suspension), Paste, Tablet (Chewable), Tablet
Routes
Oral, Nasogastric
Sale
OTC (over the counter), RX/OTC (prescription or over the counter), RX (prescription)
Earliest approval date in the records

The species, dose forms and routes are the words of the Green Book records for all the applications together. One product can have fewer. The label of a product gives its approved use.

Applications in the Green Book of 2 Nov 2026, pioneer applications (NADA) first
Brand nameActive ingredientsSponsorApproved speciesApplication
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 withdrawnPyrantel PamoatePegasus Laboratories, Inc.DogsANADA 200-028
WormXapproval withdrawnPyrantel PamoateSergeant’s Pet Care Products Inc.DogsANADA 200-600

Other pages with this ingredient

A report names a drug by its set of active ingredients. Each set has its own page. The list is in order of name.

Next in the A to Z list

All drugs by active ingredient. Brand names A to Z

FDA pages for this drug

The site checked these addresses on . The links open in a new tab.

Cite this page

Pet Drug Reports. Pyrantel Pamoate: adverse event reports that FDA received. https://petdrugreports.com/drug/pyrantel-pamoate/ Source: FDA Center for Veterinary Medicine, openFDA Animal and Veterinary adverse event reports, export of . Reports received through .

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Where the data come from

The counts come from the openFDA Animal and Veterinary adverse event files, export of 30 Oct 2026. The files have the reports that the FDA Center for Veterinary Medicine received through 26 Jun 2026. The files mask brand and manufacturer names. The site counts a drug by the active ingredients that each record gives, and gives no count to a brand, an application or a company. Ingredient names and the lists of approved products follow the FDA Green Book of 2 Nov 2026. The site does not use the application number that a record has.

The site does not publish report text, lot numbers or details of a reporter. FDA's record is the authority. See how the site counts reports, the data sources and the corrections page.

Questions about these reports

Which brand are these reports about?

The openFDA records give the value "MSK" for the brand name and for the manufacturer name of each drug. FDA says that MSK means "masked". So the site cannot count a report for a brand. The Green Book section of this page lists the brand names with this active ingredient.

Do the reports show that the drug caused the signs?

No. FDA states this about the data.

When looking at the results, be aware that there is no certainty that the reported drug or device caused the adverse event.

The adverse event may have been related to an underlying disease, other drugs used at the same time or other non-drug related sources.

FDA Center for Veterinary Medicine. Source: Adverse Event Reports for Animal Drugs and Devices

How many reports did FDA receive in the latest 12 months?

FDA received 253 reports in the 12 months to June 2026. It received 199 reports in the 12 months before. FDA says that a report can take 3 to 6 months to reach the public data. The newest months can get more reports in a later update.

What kinds of report are in the count?

Of the 5,918 reports received from August 1987 to June 2026, 80.6% are about a safety issue only. 14.3% are about a lack of expected effectiveness, alone or with a safety issue. 5% are about a defect of the product or its package.