Pet Drug Reports

Ingredients

Active ingredient · pooled across combinations

Ivermectin: adverse event reports, pooled

14 ingredient sets in reports · 53 FDA-approved applications in the Green Book

194,442reports naming the ingredient, 1987–202614.3% of all reports · about 4,955 a year
5,317reports, 12 months to March 20266,111 in the 12 months before
45.8%classed serious, as reportedall reports: 38.6%
86.3%of reports concern dogshorse 1.8%

Ivermectin appears, alone or combined with other ingredients, in 194,442 reports in FDA's animal adverse event database (January 1987 to March 2026). The figures here pool all 14 ingredient sets that include it.

The Green Book lists 53 FDA-approved applications containing it. openFDA masks brand and manufacturer names in adverse event records, so the reports counted here cannot be attributed to a particular brand.

5,317 reports arrived in the 12 months to March 2026, down 13% from 6,111 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. That is about 4,955 reports a year over its reporting history and 14.3% of all reports.

Pooled across every set, the terms listed most often are ineffective, heartworm larvae (19.1%), lack of efficacy (endoparasite) - hookworm (13.4%) and lack of efficacy (endoparasite) - heartworm (12.5%). Many drugs combine several ingredients, and many reports list several drugs, so a term on this page may relate to any of them or to none.

Of reports that state seriousness, 45.8% were classed as serious (38.6% across the whole database); 2.8% record a death or euthanasia (6.4% overall). Ingredients used in older or sicker animals, or in anaesthesia and cancer care, carry higher shares for that reason alone.

Ingredient sets that include ivermectin

Active ingredients recorded for the drugReportsShare of this page's reportsLatest 12 months
Ivermectin + Pyrantel Pamoate161,64383.1%4,876
Ivermectin20,07210.3%286
Ivermectin + Praziquantel + Pyrantel Pamoate8,9994.6%100
Ivermectin + Praziquantel3,3821.7%47
Clorsulon + Ivermectin9340.5%19
Ivermectin + Mebendazole + Pyrantel Pamoate40%0
Ivermectin + Lufenuron + Praziquantel + Pyrantel Pamoate10%0
Ivermectin + Lufenuron10%0
Imidacloprid + Ivermectin10%0
Ivermectin + Lincomycin10%0
Ivermectin + Lufenuron + Praziquantel10%0
Fenbendazole + Ivermectin + Lufenuron + Praziquantel + Pyrantel Pamoate10%0
Afoxolaner + Ivermectin10%1
Dexamethasone + Ivermectin + Neomycin Sulfate + Thiabendazole10%1

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"; counts follow sales volume and years on the market. A report can list more than one set, so shares can add to more than 100%.

Signs listed in reports, pooled

share of ivermectin reports listing the termall reports in the database

  1. Ineffective, heartworm larvae[legacy FDA term: the product did not have the expected effect (heartworm larvae)]19.1%37,191
  2. Lack of efficacy (endoparasite) - hookworm[the product did not have the expected effect: hookworms]13.4%26,113
  3. Lack of efficacy (endoparasite) - heartworm[the product did not have the expected effect: heartworm]12.5%24,394
  4. Vomiting11.9%23,145
  5. Digestive tract disorder NOS[digestive problem, type not specified]8.6%16,792
  6. Ineffective, ascarids NOS[legacy FDA term: the product did not have the expected effect (ascarids nos)]6.1%11,897
  7. Diarrhoea[diarrhea]5.2%10,122
  8. Cardiac disorder NOS[heart problem, type not specified]5.2%10,105
  9. Lack of efficacy - NOS[the product did not have the expected effect]4.6%8,927
  10. Tablets, Abnormal[a product quality report, not a sign in an animal]4.1%8,038
  11. Lethargy[unusually tired or inactive]3.9%7,637
  12. Ineffective, hooks[legacy FDA term: the product did not have the expected effect (hooks)]3.6%6,959
  13. Lack of efficacy (endoparasite) - roundworm NOS[the product did not have the expected effect: roundworms]2.6%5,094
  14. Death1.8%3,546
  15. Containers, Damaged[a product quality report, not a sign in an animal]1.8%3,544
  16. Anorexia[not eating]1.7%3,379
  17. Ataxia[unsteady, uncoordinated movement]1.7%3,338
  18. Emesis[vomiting]1.7%3,264
  19. Depression[dull, quiet or withdrawn]1.6%3,205
  20. Seizure NOS[seizure, type not specified]1.6%3,096
  21. Lack of efficacy (protozoa) - Coccidia[the product did not have the expected effect: coccidia]1.3%2,522
  22. Underfilling, Package[a product quality report, not a sign in an animal]1.1%2,086
  23. Overdose[more than the labelled amount was given]1%2,026
  24. Underdose[less than the labelled amount was given]1%2,001
  25. Behavioural disorder NOS[behaviour change, type not specified]1%1,936
  26. Other abnormal test result NOS[abnormal laboratory result, type not specified]1%1,915
  27. Accidental exposure[exposure that was not intended]1%1,869
  28. Lack of efficacy (endoparasite) - whipworm[the product did not have the expected effect: whipworms]0.9%1,747
  29. Not eating0.9%1,655
  30. Hypersalivation[drooling]0.8%1,618

Pooled across every ingredient set and every report that names the ingredient. One report can list several terms and several drugs; a term here may relate to any of them or to none.

Monthly reports by species, five years

Dog31,627 · peak 850
Apr 2021: 804May 2021: 807Jun 2021: 763Jul 2021: 850Aug 2021: 722Sep 2021: 731Oct 2021: 702Nov 2021: 574Dec 2021: 525Jan 2022: 527Feb 2022: 607Mar 2022: 740Apr 2022: 621May 2022: 709Jun 2022: 493Jul 2022: 621Aug 2022: 677Sep 2022: 590Oct 2022: 629Nov 2022: 582Dec 2022: 438Jan 2023: 575Feb 2023: 471Mar 2023: 504Apr 2023: 586May 2023: 623Jun 2023: 632Jul 2023: 510Aug 2023: 662Sep 2023: 483Oct 2023: 605Nov 2023: 517Dec 2023: 350Jan 2024: 437Feb 2024: 440Mar 2024: 473Apr 2024: 559May 2024: 545Jun 2024: 520Jul 2024: 478Aug 2024: 553Sep 2024: 608Oct 2024: 456Nov 2024: 348Dec 2024: 284Jan 2025: 387Feb 2025: 350Mar 2025: 273Apr 2025: 448May 2025: 489Jun 2025: 500Jul 2025: 432Aug 2025: 442Sep 2025: 418Oct 2025: 427Nov 2025: 343Dec 2025: 317Jan 2026: 321Feb 2026: 317Mar 2026: 2322022202320242025
Cat50 · peak 3
Apr 2021: 3Jun 2021: 1Jul 2021: 2Aug 2021: 3Sep 2021: 2Oct 2021: 2Nov 2021: 1Jan 2022: 2Feb 2022: 1Mar 2022: 1May 2022: 3Jul 2022: 2Aug 2022: 1Nov 2022: 2Dec 2022: 1Feb 2023: 1Apr 2023: 2May 2023: 2Jun 2023: 3Oct 2023: 1Nov 2023: 2Jan 2024: 1Mar 2024: 3Sep 2024: 1Oct 2024: 2Mar 2025: 2Jul 2025: 2Jan 2026: 12022202320242025
Horse242 · peak 13
Apr 2021: 4May 2021: 3Jun 2021: 5Jul 2021: 5Aug 2021: 11Sep 2021: 5Oct 2021: 5Nov 2021: 8Dec 2021: 3Jan 2022: 4Feb 2022: 2Mar 2022: 2Apr 2022: 7May 2022: 3Jun 2022: 1Jul 2022: 6Aug 2022: 1Sep 2022: 5Oct 2022: 4Nov 2022: 2Dec 2022: 3Jan 2023: 1Feb 2023: 4Mar 2023: 1Apr 2023: 1May 2023: 9Jun 2023: 2Jul 2023: 9Aug 2023: 3Sep 2023: 5Oct 2023: 7Nov 2023: 6Dec 2023: 5Jan 2024: 4Feb 2024: 5Mar 2024: 4Apr 2024: 3May 2024: 5Jun 2024: 3Jul 2024: 5Sep 2024: 4Oct 2024: 7Nov 2024: 6Dec 2024: 5Jan 2025: 1Feb 2025: 2Mar 2025: 4Apr 2025: 6May 2025: 2Jun 2025: 2Jul 2025: 5Aug 2025: 2Sep 2025: 1Oct 2025: 13Nov 2025: 5Dec 2025: 2Jan 2026: 1Mar 2026: 32022202320242025
Other3,458 · peak 82
Apr 2021: 69May 2021: 76Jun 2021: 66Jul 2021: 60Aug 2021: 73Sep 2021: 64Oct 2021: 65Nov 2021: 53Dec 2021: 57Jan 2022: 49Feb 2022: 45Mar 2022: 73Apr 2022: 82May 2022: 57Jun 2022: 72Jul 2022: 72Aug 2022: 76Sep 2022: 77Oct 2022: 55Nov 2022: 64Dec 2022: 46Jan 2023: 56Feb 2023: 59Mar 2023: 79Apr 2023: 52May 2023: 71Jun 2023: 66Jul 2023: 56Aug 2023: 39Sep 2023: 45Oct 2023: 43Nov 2023: 37Dec 2023: 43Jan 2024: 53Feb 2024: 64Mar 2024: 58Apr 2024: 76May 2024: 54Jun 2024: 70Jul 2024: 45Aug 2024: 52Sep 2024: 66Oct 2024: 70Nov 2024: 63Dec 2024: 45Jan 2025: 62Feb 2025: 44Mar 2025: 53Apr 2025: 71May 2025: 73Jun 2025: 61Jul 2025: 58Aug 2025: 44Sep 2025: 48Oct 2025: 56Nov 2025: 45Dec 2025: 29Jan 2026: 63Feb 2026: 34Mar 2026: 42022202320242025

By month of receipt; each panel has its own scale. The newest months are incomplete because FDA posts reports with a delay of three to six months.

06,19312,3861987: 40619871988: 3961989: 4121990: 1771991: 9419911992: 411993: 351994: 691995: 10819951996: 1591997: 2301998: 1471999: 24119992000: 1692001: 2802002: 7022003: 1,30620032004: 2,5562005: 3,3252006: 4,3782007: 6,08520072008: 7,2692009: 8,3862010: 7,9452011: 7,59820112012: 10,4232013: 12,0342014: 11,1962015: 12,13520152016: 12,0192017: 12,3862018: 11,7112019: 11,93020192020: 10,3402021: 9,5012022: 8,0552023: 7,22820232024: 6,4752025: 5,5192026: 976

Outcomes, report types and ages

Outcome recorded in the report

Recovered/Normal13.9%27,081
Recovered with Sequela8.8%17,019
Ongoing8.9%17,366
Died2.2%4,214
Euthanized0.6%1,197
Outcome Unknown34.4%66,954

What kind of report it was

Safety issue45.9%89,259
Lack of expected effectiveness42.1%81,776
Both safety and lack of expected effectiveness2.3%4,428
Manufacturing or product defect9.7%18,878
Other0.1%101

Species

Dog86.3%167,895
Horse1.8%3,499
Cattle1.3%2,458
Cat0.6%1,093
Human exposure0.4%739
Sheep0.1%250

Age of the animal

Under 1 year7.6%14,870
1 to 3 years33.2%64,613
4 to 7 years24.4%47,428
8 to 11 years13.8%26,843
12 years and over5.3%10,246
Age not given15.7%30,442

Coloured bar: reports naming ivermectin. Grey bar: all 1,357,245 reports. Outcomes are as stated by the reporter; FDA has not necessarily determined whether any product played a part.

In context

MeasureIvermectinAll reports
Reports194,4421,357,245
Latest 12 months against the 12 before-13%-5%
Classed serious, of reports stating it45.8%38.6%
Death or euthanasia recorded, per 1,000 reports27.763.8
Filed as lack of expected effectiveness (wholly or partly)44.3%23%

Shares of reports, not of animals treated: how many animals receive the ingredient is not public. Ingredients used in anaesthesia, cancer care or in old animals carry more serious outcomes in their reports for that reason alone.

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 30 Sep 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 PlusClorsulon, IvermectinBoehringer Ingelheim Animal Health USA, Inc.CattleNADA 140-833
Ivomec Pour-OnIvermectinBoehringer Ingelheim Animal Health USA, Inc.CattleNADA 140-841
Heartgard Chewables For DogsIvermectinBoehringer Ingelheim Animal Health USA, Inc.DogsNADA 140-886
Heartgard PlusIvermectin, Pyrantel PamoateBoehringer Ingelheim Animal Health USA, Inc.DogsNADA 140-971
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
BMD / Ivomec Premix for SwineBacitracin methylenedisalicylate, IvermectinBoehringer Ingelheim Animal Health USA, Inc.SwineNADA 141-097
AcarexxIvermectinBoehringer Ingelheim Animal Health USA, Inc.CatsNADA 141-174
Advantage DUOImidacloprid, IvermectinElanco US Inc.DogsNADA 141-208
Zimecterin Gold PasteIvermectin, PraziquantelBoehringer Ingelheim Animal Health USA, Inc.HorsesNADA 141-214
EquimaxIvermectin, PraziquantelVirbac AH, Inc.HorsesNADA 141-215
Zimecterin-EZIvermectinFarnam Companies, Inc.HorsesNADA 141-241
Iverhart MAXIvermectin, Praziquantel, Pyrantel PamoateVirbac AH, Inc.DogsNADA 141-257
Panacur PlusFenbendazole, Ivermectin, PraziquantelIntervet, Inc.DogsNADA 141-286
Iverhart MAX ChewIvermectin, Praziquantel, Pyrantel PamoateVirbac AH, Inc.DogsNADA 141-441
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
Iverhart Plus Flavored ChewablesIvermectin, Pyrantel PamoateVirbac AH, Inc.DogsANADA 200-302
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
Tri-Heart Plus Chewable TabletsIvermectin, Pyrantel PamoateDiamond Animal Health, Inc.DogsANADA 200-338
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
Noromectin PlusClorsulon, IvermectinNorbrook Laboratories, Ltd.CattleANADA 200-436
NoromectinIvermectinNorbrook Laboratories, Ltd.Cattle, SwineANADA 200-437
Bimectin Injection for Cattle and SwineIvermectinBimeda Animal Health Ltd.Cattle, SwineANADA 200-447
Bimectin PlusClorsulon, IvermectinBimeda Animal Health Ltd.CattleANADA 200-450
SparMectin Plus ClorsulonClorsulon, IvermectinSparhawk Laboratories, Inc.CattleANADA 200-466
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
Ivomec plus Lincomixapproval voluntarily withdrawnIvermectin, LincomycinBoehringer Ingelheim Animal Health USA Inc.SwineNADA 141-054
Duocareapproval voluntarily withdrawnIvermectin, PraziquantelBoehringer Ingelheim Animal Health USA Inc.HorsesNADA 141-421
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 FDA adverse event reports mention ivermectin?

194,442 reports through March 2026, 5,317 of them in the latest 12 months, counting ivermectin alone and in combinations.

Which brands 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 reference list on this page names approved products containing ivermectin without any counts.

In which combinations is ivermectin reported?

Ivermectin + Pyrantel Pamoate (83.1% of these reports), Ivermectin (10.3% of these reports), Ivermectin + Praziquantel + Pyrantel Pamoate (4.6% of these reports), Ivermectin + Praziquantel (1.7% of these reports) and Clorsulon + Ivermectin (0.5% of these reports).

What reactions are reported for ivermectin?

ineffective, heartworm larvae (19.1%), lack of efficacy (endoparasite) - hookworm (13.4%), lack of efficacy (endoparasite) - heartworm (12.5%), vomiting (11.9%) and digestive tract disorder NOS (8.6%). Shares are of reports naming the ingredient; one report can list several terms.

Which animals are these reports about?

dog (86.3%), horse (1.8%) and cattle (1.3%).

Does a high count mean ivermectin is a problem ingredient?

A count 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." Widely used ingredients collect more reports because more animals receive them.

How do I report a problem?

Call the drug company using the number on the label, or send Form FDA 1932a to FDA. 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 30 Sep 2026. Ingredient names follow the Green Book; salts and forms are kept as FDA lists them. Drug entries are matched by the active ingredients their unmasked ingredient field discloses. 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.