Active ingredient · pooled across combinations
Ivermectin: adverse event reports, pooled
14 ingredient sets in reports · 53 FDA-approved applications in the Green Book
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 drug | Reports | Share of this page's reports | Latest 12 months |
|---|---|---|---|
| Ivermectin + Pyrantel Pamoate | 161,643 | 83.1% | 4,876 |
| Ivermectin | 20,072 | 10.3% | 286 |
| Ivermectin + Praziquantel + Pyrantel Pamoate | 8,999 | 4.6% | 100 |
| Ivermectin + Praziquantel | 3,382 | 1.7% | 47 |
| Clorsulon + Ivermectin | 934 | 0.5% | 19 |
| Ivermectin + Mebendazole + Pyrantel Pamoate | 4 | 0% | 0 |
| Ivermectin + Lufenuron + Praziquantel + Pyrantel Pamoate | 1 | 0% | 0 |
| Ivermectin + Lufenuron | 1 | 0% | 0 |
| Imidacloprid + Ivermectin | 1 | 0% | 0 |
| Ivermectin + Lincomycin | 1 | 0% | 0 |
| Ivermectin + Lufenuron + Praziquantel | 1 | 0% | 0 |
| Fenbendazole + Ivermectin + Lufenuron + Praziquantel + Pyrantel Pamoate | 1 | 0% | 0 |
| Afoxolaner + Ivermectin | 1 | 0% | 1 |
| Dexamethasone + Ivermectin + Neomycin Sulfate + Thiabendazole | 1 | 0% | 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
- Ineffective, heartworm larvae[legacy FDA term: the product did not have the expected effect (heartworm larvae)]19.1%37,191
- Lack of efficacy (endoparasite) - hookworm[the product did not have the expected effect: hookworms]13.4%26,113
- Lack of efficacy (endoparasite) - heartworm[the product did not have the expected effect: heartworm]12.5%24,394
- Vomiting11.9%23,145
- Digestive tract disorder NOS[digestive problem, type not specified]8.6%16,792
- Ineffective, ascarids NOS[legacy FDA term: the product did not have the expected effect (ascarids nos)]6.1%11,897
- Diarrhoea[diarrhea]5.2%10,122
- Cardiac disorder NOS[heart problem, type not specified]5.2%10,105
- Lack of efficacy - NOS[the product did not have the expected effect]4.6%8,927
- Tablets, Abnormal[a product quality report, not a sign in an animal]4.1%8,038
- Lethargy[unusually tired or inactive]3.9%7,637
- Ineffective, hooks[legacy FDA term: the product did not have the expected effect (hooks)]3.6%6,959
- Lack of efficacy (endoparasite) - roundworm NOS[the product did not have the expected effect: roundworms]2.6%5,094
- Death1.8%3,546
- Containers, Damaged[a product quality report, not a sign in an animal]1.8%3,544
- Anorexia[not eating]1.7%3,379
- Ataxia[unsteady, uncoordinated movement]1.7%3,338
- Emesis[vomiting]1.7%3,264
- Depression[dull, quiet or withdrawn]1.6%3,205
- Seizure NOS[seizure, type not specified]1.6%3,096
- Lack of efficacy (protozoa) - Coccidia[the product did not have the expected effect: coccidia]1.3%2,522
- Underfilling, Package[a product quality report, not a sign in an animal]1.1%2,086
- Overdose[more than the labelled amount was given]1%2,026
- Underdose[less than the labelled amount was given]1%2,001
- Behavioural disorder NOS[behaviour change, type not specified]1%1,936
- Other abnormal test result NOS[abnormal laboratory result, type not specified]1%1,915
- Accidental exposure[exposure that was not intended]1%1,869
- Lack of efficacy (endoparasite) - whipworm[the product did not have the expected effect: whipworms]0.9%1,747
- Not eating0.9%1,655
- 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
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.
Outcomes, report types and ages
Outcome recorded in the report
What kind of report it was
Age of the animal
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
| Measure | Ivermectin | All reports |
|---|---|---|
| Reports | 194,442 | 1,357,245 |
| Latest 12 months against the 12 before | -13% | -5% |
| Classed serious, of reports stating it | 45.8% | 38.6% |
| Death or euthanasia recorded, per 1,000 reports | 27.7 | 63.8 |
| 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 name | Active ingredients | Sponsor | Approved for | 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 voluntarily withdrawn | Ivermectin | Boehringer Ingelheim Animal Health USA Inc. | Horses | NADA 127-443 |
| Eqvalan Oral Liquid For Horsesapproval voluntarily withdrawn | Ivermectin | Boehringer Ingelheim Animal Health USA Inc. | Horses | NADA 140-439 |
| Ivomec plus Lincomixapproval voluntarily withdrawn | Ivermectin, Lincomycin | Boehringer Ingelheim Animal Health USA Inc. | Swine | NADA 141-054 |
| Duocareapproval voluntarily withdrawn | Ivermectin, Praziquantel | Boehringer Ingelheim Animal Health USA Inc. | Horses | NADA 141-421 |
| Iversol Liquid for Horsesapproval voluntarily withdrawn | Ivermectin | Med-Pharmex, Inc. | Horses | ANADA 200-292 |
| Iver-Onapproval voluntarily withdrawn | Ivermectin | Med-Pharmex, Inc. | — | ANADA 200-299 |
| Ivermectin Paste 1.87%approval voluntarily withdrawn | Ivermectin | Boehringer Ingelheim Animal Health USA Inc. | Horses | ANADA 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.