Ivermectin: adverse event reports in all combinations
Active ingredient, alone and in combinations
Brand names with this ingredient: Ivomec, Heartgard, Advantage DUO, Iverhart, Panacur Plus, Tri-Heart Plus, and 14 more.
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 FDAFDA reports received through . Counts include this ingredient alone and in combinations. Why brand names have no separate count.
From January 1987 to June 2026, FDA received 195,736 adverse event reports that name a drug with ivermectin, alone or in a combination. 5 sets of active ingredients with ivermectin have a drug page.
Of the 195,736 reports, 168,962 (86.3%) are about dogs. 3,511 reports are about horses (1.8%). In January to March 2026, FDA received 1,215 reports that name ivermectin, alone or in a combination. The signs that appear in the largest number of the 195,736 reports are "Ineffective, heartworm larvae" and "Lack of efficacy (endoparasite) - hookworm". A report is not proof that a drug caused a sign.
Reports that name this ingredient fell by 16.5% 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 86.3% of the reports that name this ingredient, and 72.6% of all reports.
Reports in the latest closed quarter
| Species | Jan to Mar 2026 | Oct to Dec 2025 | Jan to Mar 2025 |
|---|---|---|---|
| All species | 1,215 | 1,239 | 1,181 |
| Dog | 1,018 | 1,089 | 1,013 |
| Cat | 2 | 0 | 2 |
| Horse | 6 | 20 | 7 |
| Other or not given | 189 | 130 | 159 |
January to March 2026 is the latest closed quarter in the data.
Drug pages with ivermectin
A report names a drug by its set of active ingredients. Each set with ivermectin that has a drug page is in the table, in order of name. The table has 5 sets.
| Active ingredients | Reports, all years | Reports, latest 12 months |
|---|---|---|
| Clorsulon + Ivermectin | 939 | 21 |
| Ivermectin | 20,136 | 263 |
| Ivermectin + Praziquantel | 3,393 | 47 |
| Ivermectin + Praziquantel + Pyrantel Pamoate | 9,010 | 81 |
| Ivermectin + Pyrantel Pamoate | 162,847 | 4,550 |
A report can name more than one set, so the counts of the sets can add to more than the count of the page.
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.
FDA Center for Veterinary Medicine. Source: Adverse Event Reports for Animal Drugs and Devices
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 195,736 reports that list the sign. One report can list more than one sign and more than one drug.
The sign that is in the largest number of the reports comes first.
- Ineffective, heartworm larvae[legacy FDA term: the product did not have the expected effect (heartworm larvae)]19%37,192 reports
- Lack of efficacy (endoparasite) - hookworm[the product did not have the expected effect: hookworms]13.5%26,344 reports
- Lack of efficacy (endoparasite) - heartworm[the product did not have the expected effect: heartworm]12.7%24,811 reports
- Vomiting11.9%23,258 reports
- Digestive tract disorder NOS[digestive problem, type not specified]8.6%16,795 reports
- Ineffective, ascarids NOS[legacy FDA term: the product did not have the expected effect (ascarids nos)]6.1%11,897 reports
- Diarrhoea[diarrhea]5.2%10,173 reports
- Cardiac disorder NOS[heart problem, type not specified]5.2%10,105 reports
- Lack of efficacy - NOS[the product did not have the expected effect]4.6%8,937 reports
- Tablets, Abnormal[a product quality report, not a sign in an animal]4.2%8,190 reports
- Lethargy[unusually tired or inactive]3.9%7,684 reports
- Ineffective, hooks[legacy FDA term: the product did not have the expected effect (hooks)]3.6%6,959 reports
- Lack of efficacy (endoparasite) - roundworm NOS[the product did not have the expected effect: roundworms]2.6%5,161 reports
- Containers, Damaged[a product quality report, not a sign in an animal]1.8%3,588 reports
Show the next 16 signs
- Death1.8%3,564 reports
- Anorexia[not eating]1.7%3,387 reports
- Ataxia[unsteady, uncoordinated movement]1.7%3,346 reports
- Emesis[vomiting]1.7%3,266 reports
- Depression[dull, quiet or withdrawn]1.6%3,207 reports
- Seizure NOS[seizure, type not specified]1.6%3,118 reports
- Lack of efficacy (protozoa) - Coccidia[the product did not have the expected effect: coccidia]1.3%2,530 reports
- Underfilling, Package[a product quality report, not a sign in an animal]1.1%2,095 reports
- Overdose[more than the labelled amount was given]1%2,025 reports
- Underdose[less than the labelled amount was given]1%1,999 reports
- Behavioural disorder NOS[behaviour change, type not specified]1%1,953 reports
- Other abnormal test result NOS[abnormal laboratory result, type not specified]1%1,923 reports
- Accidental exposure[exposure that was not intended]1%1,880 reports
- Lack of efficacy (endoparasite) - whipworm[the product did not have the expected effect: whipworms]0.9%1,753 reports
- Not eating0.9%1,672 reports
- Hypersalivation[drooling]0.8%1,621 reports
Reports by species
Reports for each month, Jul 2021 to Jun 2026
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
| Year | Dog | Cat | Horse | Other or not given | All species |
|---|---|---|---|---|---|
| 2026 | 1,932 | 3 | 16 | 314 | 2,265 |
| 2025 | 4,829 | 4 | 45 | 644 | 5,522 |
| 2024 | 5,703 | 7 | 51 | 716 | 6,477 |
| 2023 | 6,518 | 11 | 53 | 646 | 7,228 |
| 2022 | 7,234 | 13 | 40 | 768 | 8,055 |
| 2021 | 8,650 | 17 | 60 | 774 | 9,501 |
| 2020 | 9,515 | 17 | 52 | 756 | 10,340 |
| 2019 | 10,944 | 26 | 49 | 911 | 11,930 |
| 2018 | 10,555 | 45 | 61 | 1,050 | 11,711 |
| 2017 | 10,958 | 27 | 91 | 1,310 | 12,386 |
| 2016 | 10,667 | 34 | 162 | 1,156 | 12,019 |
| 2015 | 10,611 | 48 | 232 | 1,244 | 12,135 |
| 2014 | 9,850 | 55 | 151 | 1,140 | 11,196 |
| 2013 | 10,693 | 84 | 190 | 1,067 | 12,034 |
| 2012 | 9,179 | 69 | 147 | 1,028 | 10,423 |
| 2011 | 6,527 | 39 | 174 | 858 | 7,598 |
| 2010 | 6,755 | 58 | 165 | 967 | 7,945 |
| 2009 | 7,195 | 61 | 165 | 965 | 8,386 |
| 2008 | 6,217 | 43 | 221 | 788 | 7,269 |
| 2007 | 4,819 | 37 | 232 | 997 | 6,085 |
| 2006 | 3,102 | 46 | 249 | 981 | 4,378 |
| 2005 | 2,077 | 43 | 232 | 973 | 3,325 |
| 2004 | 1,331 | 61 | 231 | 933 | 2,556 |
| 2003 | 811 | 65 | 121 | 309 | 1,306 |
| 2002 | 520 | 27 | 29 | 126 | 702 |
| 2001 | 176 | 41 | 12 | 51 | 280 |
| 2000 | 115 | 11 | 4 | 39 | 169 |
| 1999 | 147 | 40 | 11 | 43 | 241 |
| 1998 | 92 | 10 | 4 | 41 | 147 |
| 1997 | 67 | 13 | 34 | 116 | 230 |
| 1996 | 85 | 6 | 37 | 31 | 159 |
| 1995 | 51 | 8 | 14 | 35 | 108 |
| 1994 | 36 | 4 | 11 | 18 | 69 |
| 1993 | 16 | 0 | 4 | 15 | 35 |
| 1992 | 19 | 0 | 9 | 13 | 41 |
| 1991 | 64 | 4 | 13 | 13 | 94 |
| 1990 | 93 | 3 | 39 | 42 | 177 |
| 1989 | 279 | 4 | 42 | 87 | 412 |
| 1988 | 231 | 7 | 42 | 116 | 396 |
| 1987 | 299 | 4 | 16 | 87 | 406 |
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/Normal13.9%27,231
- Recovered with Sequela[recovered, with a lasting effect]8.7%17,019
- Ongoing9.1%17,759
- Died2.2%4,230
- Euthanized0.6%1,204
- Outcome Unknown34.5%67,474
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 195,736 reports that name ivermectin.
Kind of report
- Safety issue45.8%89,556
- Lack of expected effectiveness42.1%82,466
- Both safety and lack of expected effectiveness2.3%4,516
- Manufacturing or product defect9.8%19,096
- Other0.1%102
Age of the animal
- Under 1 year7.6%14,906
- 1 to 3 years33.2%64,926
- 4 to 7 years24.4%47,789
- 8 to 11 years13.8%27,075
- 12 years and over5.3%10,336
- Age not given15.7%30,704
Each share of kind and age is of the 195,736 reports that name ivermectin.
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
- Ivomec
- Heartgard
- Advantage DUO
- Iverhart
- Panacur Plus
- Tri-Heart Plus
- Zimecterin
- BMD / Ivomec Premix for Swine
- Acarexx
- Equimax
- Zimecterin-EZ
- Phoenectin
The Green Book has 8 more brand names with this active ingredient. Brand names A to Z
What the Green Book records give
- Applications with an approval in force
- 46
- Approved species
- Cattle, Dogs, Swine, Equids, Bison, Cervidae (Deer And Kin), Reindeer, Cats, Horses, Sheep
- Dose forms
- Liquid (Solution), Paste, Tablet (Chewable), Injectable Solution, Tablet, Chewable Tablets, Drench, Liquid (Suspension), Medicated Feed, Solution, Injection, Solution-Sterile, Sustained Release Bolus, Top Dressing In Feed
- Routes
- Oral, Subcutaneous, Topical, Nasogastric
- Sale
- OTC (over the counter), RX (prescription), RX/OTC (prescription or over the counter)
- 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.
| Brand name | Active ingredients | Sponsor | Approved species | Application |
|---|---|---|---|---|
| Ivomec .27% Injection Grower And Feeder Pigs; Ivomec 1% Injection; Ivomec 1% Injection for Cattle And Swine; Ivomec Injection for Cattle | Ivermectin | Boehringer Ingelheim Animal Health USA, Inc. | Dogs, Cattle, Swine | NADA 128-409 |
| Ivomec Liquid | Ivermectin | Boehringer Ingelheim Animal Health USA, Inc. | Sheep | NADA 131-392 |
| Zimecterin | Ivermectin | Boehringer Ingelheim Animal Health USA, Inc. | Horses | NADA 134-314 |
| Ivomec Cattle Paste 0.153% | Ivermectin | Boehringer Ingelheim Animal Health USA, Inc. | Cattle | NADA 137-006 |
| Heartgard 30; Heartgard Tablets | Ivermectin | Boehringer Ingelheim Animal Health USA, Inc. | Dogs | NADA 138-412 |
| Ivomec Plus | Clorsulon, Ivermectin | Boehringer Ingelheim Animal Health USA, Inc. | Cattle | NADA 140-833 |
| Ivomec Pour-On | Ivermectin | Boehringer Ingelheim Animal Health USA, Inc. | Cattle | NADA 140-841 |
| Heartgard Chewables For Dogs | Ivermectin | Boehringer Ingelheim Animal Health USA, Inc. | Dogs | NADA 140-886 |
| Heartgard Plus | Ivermectin, Pyrantel Pamoate | Boehringer Ingelheim Animal Health USA, Inc. | Dogs | NADA 140-971 |
| Ivomec Premix for Swine | Ivermectin | Boehringer Ingelheim Animal Health USA, Inc. | Swine | NADA 140-974 |
| Ivomec Sustained-Release Bolus for Cattle | Ivermectin | Boehringer Ingelheim Animal Health USA, Inc. | Cattle | NADA 140-988 |
| Heartgard for Cats | Ivermectin | Boehringer Ingelheim Animal Health USA, Inc. | Cats | NADA 141-078 |
| BMD / Ivomec Premix for Swine | Bacitracin methylenedisalicylate, Ivermectin | Boehringer Ingelheim Animal Health USA, Inc. | Swine | NADA 141-097 |
| Acarexx | Ivermectin | Boehringer Ingelheim Animal Health USA, Inc. | Cats | NADA 141-174 |
| Advantage DUO | Imidacloprid, Ivermectin | Elanco US Inc. | Dogs | NADA 141-208 |
| Zimecterin Gold Paste | Ivermectin, Praziquantel | Boehringer Ingelheim Animal Health USA, Inc. | Horses | NADA 141-214 |
| Equimax | Ivermectin, Praziquantel | Virbac AH, Inc. | Horses | NADA 141-215 |
| Zimecterin-EZ | Ivermectin | Farnam Companies, Inc. | Horses | NADA 141-241 |
| Iverhart MAX | Ivermectin, Praziquantel, Pyrantel Pamoate | Virbac AH, Inc. | Dogs | NADA 141-257 |
| Panacur Plus | Fenbendazole, Ivermectin, Praziquantel | Intervet, Inc. | Dogs | NADA 141-286 |
| Iverhart MAX Chew | Ivermectin, Praziquantel, Pyrantel Pamoate | Virbac AH, Inc. | Dogs | NADA 141-441 |
| Phoenectin | Ivermectin | Elanco US Inc. | Horses | ANADA 200-202 |
| Ivermectin Pour-On for Cattle; Phoenectin; Phoenectin Pour-On for Cattle | Ivermectin | Huvepharma EOOD | Cattle | ANADA 200-219 |
| Phoenectin | Ivermectin | Huvepharma EOOD | Cattle, Swine | ANADA 200-228 |
| Iverhart Tablets | Ivermectin | Virbac AH, Inc. | Dogs | ANADA 200-270 |
| Noromectin Pour-On for Cattle | Ivermectin | Norbrook Laboratories, Ltd. | Cattle | ANADA 200-272 |
| Phoenectin Paste 1.87% | Ivermectin | Farnam Companies, Inc. | Horses | ANADA 200-286 |
| Ivermectin Chewable Tablets | Ivermectin | Cronus Pharma Specialities India Private Ltd. | Dogs | ANADA 200-297 |
| Iverhart Plus Flavored Chewables | Ivermectin, Pyrantel Pamoate | Virbac AH, Inc. | Dogs | ANADA 200-302 |
| Bimectin Pour-On | Ivermectin | Bimeda Animal Health Ltd. | Cattle | ANADA 200-318 |
| Equell | Ivermectin | Virbac AH, Inc. | Horses | ANADA 200-320 |
| Primectin Equine Oral Liquid | Ivermectin | First Priority, Inc. | Horses | ANADA 200-321 |
| Bimectin | Ivermectin | Bimeda Animal Health Ltd. | Horses | ANADA 200-326 |
| Privermectin Drench for Sheep | Ivermectin | First Priority, Inc. | Sheep | ANADA 200-327 |
| Tri-Heart Plus Chewable Tablets | Ivermectin, Pyrantel Pamoate | Diamond Animal Health, Inc. | Dogs | ANADA 200-338 |
| Privermectin | Ivermectin | First Priority, Inc. | Cattle | ANADA 200-340 |
| SparMectin-E | Ivermectin | Sparhawk Laboratories, Inc. | Horses | ANADA 200-341 |
| Ecomectin | Ivermectin | Huvepharma EOOD | Cattle | ANADA 200-348 |
| Ivermectin Paste 1.87 % | Ivermectin | Bimeda Animal Health Ltd. | Horses | ANADA 200-390 |
| Ivermectin Injection | Ivermectin | Sparhawk Laboratories, Inc. | Cattle, Swine | ANADA 200-429 |
| Noromectin Plus | Clorsulon, Ivermectin | Norbrook Laboratories, Ltd. | Cattle | ANADA 200-436 |
| Noromectin | Ivermectin | Norbrook Laboratories, Ltd. | Cattle, Swine | ANADA 200-437 |
| Bimectin Injection for Cattle and Swine | Ivermectin | Bimeda Animal Health Ltd. | Cattle, Swine | ANADA 200-447 |
| Bimectin Plus | Clorsulon, Ivermectin | Bimeda Animal Health Ltd. | Cattle | ANADA 200-450 |
| SparMectin Plus Clorsulon | Clorsulon, Ivermectin | Sparhawk Laboratories, Inc. | Cattle | ANADA 200-466 |
| Animec Plus | Ivermectin | Chanelle Pharmaceuticals Manufacturing Ltd. | Cattle | ANADA 200-506 |
| Eqvalan Injectionapproval withdrawn | Ivermectin | Boehringer Ingelheim Animal Health USA Inc. | Horses | NADA 127-443 |
| Eqvalan Oral Liquid For Horsesapproval withdrawn | Ivermectin | Boehringer Ingelheim Animal Health USA Inc. | Horses | NADA 140-439 |
| Ivomec plus Lincomixapproval withdrawn | Ivermectin, Lincomycin | Boehringer Ingelheim Animal Health USA Inc. | Swine | NADA 141-054 |
| Duocareapproval withdrawn | Ivermectin, Praziquantel | Boehringer Ingelheim Animal Health USA Inc. | Horses | NADA 141-421 |
| Iversol Liquid for Horsesapproval withdrawn | Ivermectin | Med-Pharmex, Inc. | Horses | ANADA 200-292 |
| Iver-Onapproval withdrawn | Ivermectin | Med-Pharmex, Inc. | Not in the list of major species | ANADA 200-299 |
| Ivermectin Paste 1.87%approval withdrawn | Ivermectin | Boehringer Ingelheim Animal Health USA Inc. | Horses | ANADA 200-564 |
FDA pages for this ingredient
- How to Report Animal Drug and Device Side Effects and Product ProblemsThe FDA page that tells an owner or a veterinarian how to send a report.
- Green Book record of NADA 128-409The FDA record of the application for Ivomec .27% Injection Grower And Feeder Pigs, Ivomec 1% Injection, Ivomec 1% Injection for Cattle And Swine, Ivomec Injection for Cattle.
- Green Book record of NADA 138-412The FDA record of the application for Heartgard 30, Heartgard Tablets.
- Green Book record of NADA 140-886The FDA record of the application for Heartgard Chewables For Dogs.
- Green Book record of NADA 140-971The FDA record of the application for Heartgard Plus.
- Green Book record of NADA 141-208The FDA record of the application for Advantage DUO.
- Green Book record of NADA 141-257The FDA record of the application for Iverhart MAX.
- Animal Drugs @ FDAThe search page of the Green Book, the FDA list of approved animal drugs.
The site checked these addresses on . The links open in a new tab.
Cite this page
Pet Drug Reports. Ivermectin, all combinations: adverse event reports that FDA received. https://petdrugreports.com/ingredient/ivermectin/ Source: FDA Center for Veterinary Medicine, openFDA Animal and Veterinary adverse event reports, export of . Reports received through .
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. Ingredient names follow the Green Book, with salts and forms as FDA lists them.
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 brand names with this active ingredient.
- Do the reports show that the ingredient caused the signs?
No. A report can name more than one drug, and a drug can have more than one active ingredient. 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 4,953 reports in the 12 months to June 2026. It received 5,932 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 195,736 reports received from January 1987 to June 2026, 45.8% are about a safety issue only. 44.4% are about a lack of expected effectiveness, alone or with a safety issue. 9.8% are about a defect of the product or its package.