Pet Drug Reports

Ingredients

Active ingredient · pooled across combinations

Praziquantel: adverse event reports, pooled

23 ingredient sets in reports · 25 FDA-approved applications in the Green Book

83,303reports naming the ingredient, 1987–20266.1% of all reports · about 2,127 a year
7,554reports, 12 months to March 20266,518 in the 12 months before
24.4%classed serious, as reportedall reports: 38.6%
74.3%of reports concern dogscat 14.7%

Praziquantel appears, alone or combined with other ingredients, in 83,303 reports in FDA's animal adverse event database (February 1987 to March 2026). The figures here pool all 23 ingredient sets that include it.

The Green Book lists 25 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.

7,554 reports arrived in the 12 months to March 2026, up 16% from 6,518 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 2,127 reports a year over its reporting history and 6.1% of all reports.

Pooled across every set, the terms listed most often are vomiting (21.3%), lack of efficacy (endoparasite) - heartworm (12%) and lethargy (8.5%). 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, 24.4% were classed as serious (38.6% across the whole database); 3.2% 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 praziquantel

Active ingredients recorded for the drugReportsShare of this page's reportsLatest 12 months
Milbemycin Oxime + Praziquantel33,11639.8%2,477
Ivermectin + Praziquantel + Pyrantel Pamoate8,99910.8%100
Febantel + Praziquantel + Pyrantel Pamoate7,0618.5%415
Lufenuron + Milbemycin Oxime + Praziquantel6,7048%761
Emodepside + Praziquantel6,1097.3%175
Praziquantel + Pyrantel Pamoate5,0376%206
Praziquantel3,9604.8%336
Lufenuron + Praziquantel3,5264.2%1
Ivermectin + Praziquantel3,3824.1%47
Eprinomectin + Esafoxolaner + Praziquantel3,1933.8%1,105
Lotilaner + Moxidectin + Praziquantel + Pyrantel Pamoate2,2612.7%2,231
Eprinomectin + Praziquantel6290.8%12
Moxidectin + Praziquantel5590.7%11
Febantel + Praziquantel220%0
Fenbendazole + Praziquantel + Pyrantel Pamoate130%0
Mebendazole + Praziquantel + Pyrantel Pamoate80%1
Oxibendazole + Praziquantel70%0
Lotilaner + Moxidectin + Praziquantel60%2
Ivermectin + Lufenuron + Praziquantel + Pyrantel Pamoate10%0
Ivermectin + Lufenuron + Praziquantel10%0
Fenbendazole + Ivermectin + Lufenuron + Praziquantel + Pyrantel Pamoate10%0
Eprinomectin + Praziquantel + Selamectin10%0
Esafoxolaner + Praziquantel10%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 praziquantel reports listing the termall reports in the database

  1. Vomiting21.3%17,728
  2. Lack of efficacy (endoparasite) - heartworm[the product did not have the expected effect: heartworm]12%9,981
  3. Lethargy[unusually tired or inactive]8.5%7,095
  4. Diarrhoea[diarrhea]7.7%6,437
  5. Lack of efficacy (endoparasite) - hookworm[the product did not have the expected effect: hookworms]5.7%4,782
  6. Ineffective, hooks[legacy FDA term: the product did not have the expected effect (hooks)]3.8%3,170
  7. Lack of efficacy (endoparasite) - tapeworm[the product did not have the expected effect: tapeworms]3.6%2,970
  8. Hypersalivation[drooling]3%2,461
  9. Ataxia[unsteady, uncoordinated movement]2.9%2,400
  10. Other abnormal test result NOS[abnormal laboratory result, type not specified]2.8%2,315
  11. Anorexia[not eating]2.7%2,240
  12. Behavioural disorder NOS[behaviour change, type not specified]2.7%2,209
  13. Unpalatable[legacy FDA term: the animal would not take it]2.6%2,191
  14. Ineffective, heartworm larvae[legacy FDA term: the product did not have the expected effect (heartworm larvae)]2.6%2,175
  15. Lack of efficacy (endoparasite) - roundworm NOS[the product did not have the expected effect: roundworms]2.5%2,107
  16. Emesis (multiple)[vomiting more than once]2.3%1,895
  17. Not eating2.2%1,835
  18. Emesis[vomiting]2.2%1,817
  19. Seizure NOS[seizure, type not specified]2.1%1,750
  20. Death1.9%1,613
  21. Application site alopecia[hair loss where the product was applied]1.8%1,507
  22. Lack of efficacy - NOS[the product did not have the expected effect]1.7%1,420
  23. Lack of efficacy (roundworm)[the product did not have the expected effect: roundworms]1.6%1,308
  24. Overdose[more than the labelled amount was given]1.4%1,184
  25. Depression[dull, quiet or withdrawn]1.3%1,087
  26. Loose stool1.3%1,084
  27. Weight loss1.3%1,082
  28. Accidental exposure[exposure that was not intended]1.2%1,010
  29. Shaking1.2%989

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

Dog22,989 · peak 565
Apr 2021: 531May 2021: 502Jun 2021: 434Jul 2021: 509Aug 2021: 450Sep 2021: 414Oct 2021: 361Nov 2021: 316Dec 2021: 278Jan 2022: 356Feb 2022: 324Mar 2022: 431Apr 2022: 343May 2022: 429Jun 2022: 375Jul 2022: 362Aug 2022: 438Sep 2022: 336Oct 2022: 332Nov 2022: 319Dec 2022: 235Jan 2023: 339Feb 2023: 322Mar 2023: 309Apr 2023: 332May 2023: 447Jun 2023: 397Jul 2023: 339Aug 2023: 392Sep 2023: 312Oct 2023: 362Nov 2023: 326Dec 2023: 259Jan 2024: 351Feb 2024: 310Mar 2024: 349Apr 2024: 392May 2024: 405Jun 2024: 447Jul 2024: 337Aug 2024: 451Sep 2024: 477Oct 2024: 364Nov 2024: 293Dec 2024: 264Jan 2025: 289Feb 2025: 276Mar 2025: 283Apr 2025: 390May 2025: 494Jun 2025: 557Jul 2025: 565Aug 2025: 545Sep 2025: 484Oct 2025: 512Nov 2025: 393Dec 2025: 419Jan 2026: 380Feb 2026: 372Mar 2026: 3792022202320242025
Cat5,244 · peak 188
Apr 2021: 60May 2021: 31Jun 2021: 39Jul 2021: 62Aug 2021: 34Sep 2021: 44Oct 2021: 47Nov 2021: 45Dec 2021: 51Jan 2022: 48Feb 2022: 53Mar 2022: 33Apr 2022: 32May 2022: 45Jun 2022: 36Jul 2022: 36Aug 2022: 61Sep 2022: 34Oct 2022: 34Nov 2022: 40Dec 2022: 38Jan 2023: 57Feb 2023: 41Mar 2023: 50Apr 2023: 35May 2023: 29Jun 2023: 84Jul 2023: 101Aug 2023: 144Sep 2023: 140Oct 2023: 165Nov 2023: 119Dec 2023: 93Jan 2024: 116Feb 2024: 125Mar 2024: 118Apr 2024: 122May 2024: 145Jun 2024: 137Jul 2024: 175Aug 2024: 188Sep 2024: 133Oct 2024: 151Nov 2024: 122Dec 2024: 109Jan 2025: 111Feb 2025: 80Mar 2025: 82Apr 2025: 107May 2025: 117Jun 2025: 126Jul 2025: 153Aug 2025: 122Sep 2025: 122Oct 2025: 154Nov 2025: 133Dec 2025: 86Jan 2026: 117Feb 2026: 88Mar 2026: 442022202320242025
Horse294 · peak 14
Apr 2021: 8May 2021: 4Jun 2021: 5Jul 2021: 6Aug 2021: 14Sep 2021: 6Oct 2021: 7Nov 2021: 10Dec 2021: 8Jan 2022: 4Feb 2022: 2Mar 2022: 2Apr 2022: 7May 2022: 3Jul 2022: 6Aug 2022: 2Sep 2022: 9Oct 2022: 5Nov 2022: 3Dec 2022: 4Jan 2023: 1Feb 2023: 4Mar 2023: 1Apr 2023: 1May 2023: 11Jun 2023: 2Jul 2023: 9Aug 2023: 5Sep 2023: 7Oct 2023: 10Nov 2023: 7Dec 2023: 9Jan 2024: 4Feb 2024: 2Mar 2024: 5Apr 2024: 4May 2024: 5Jun 2024: 5Jul 2024: 5Sep 2024: 4Oct 2024: 9Nov 2024: 6Dec 2024: 8Jan 2025: 4Feb 2025: 2Mar 2025: 6Apr 2025: 6May 2025: 3Jun 2025: 1Jul 2025: 4Aug 2025: 4Sep 2025: 2Oct 2025: 12Nov 2025: 5Dec 2025: 2Jan 2026: 1Mar 2026: 32022202320242025
Other2,370 · peak 81
Apr 2021: 34May 2021: 35Jun 2021: 30Jul 2021: 37Aug 2021: 33Sep 2021: 25Oct 2021: 26Nov 2021: 14Dec 2021: 13Jan 2022: 16Feb 2022: 18Mar 2022: 30Apr 2022: 21May 2022: 18Jun 2022: 19Jul 2022: 22Aug 2022: 34Sep 2022: 29Oct 2022: 18Nov 2022: 21Dec 2022: 30Jan 2023: 34Feb 2023: 28Mar 2023: 35Apr 2023: 32May 2023: 33Jun 2023: 37Jul 2023: 32Aug 2023: 53Sep 2023: 40Oct 2023: 37Nov 2023: 43Dec 2023: 41Jan 2024: 40Feb 2024: 28Mar 2024: 55Apr 2024: 51May 2024: 53Jun 2024: 54Jul 2024: 59Aug 2024: 58Sep 2024: 70Oct 2024: 53Nov 2024: 50Dec 2024: 49Jan 2025: 58Feb 2025: 36Mar 2025: 36Apr 2025: 37May 2025: 55Jun 2025: 70Jul 2025: 56Aug 2025: 63Sep 2025: 81Oct 2025: 52Nov 2025: 52Dec 2025: 58Jan 2026: 36Feb 2026: 49Mar 2026: 432022202320242025

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.

03,7537,5061987: 319871988: 71989: 31990: 51991: 519911992: 101993: 191994: 181995: 2619951996: 561997: 541998: 631999: 5219992000: 442001: 592002: 882003: 25620032004: 3502005: 3212006: 3522007: 70220072008: 1,0332009: 1,2532010: 1,5732011: 1,64620112012: 2,0512013: 2,9002014: 3,4442015: 3,32420152016: 3,9062017: 5,7182018: 6,6792019: 7,50620192020: 7,2212021: 6,1822022: 5,0932023: 5,70620232024: 6,7582025: 7,3052026: 1,512

Outcomes, report types and ages

Outcome recorded in the report

Recovered/Normal27.1%22,548
Recovered with Sequela0.3%252
Ongoing11.1%9,216
Died2.2%1,853
Euthanized1%852
Outcome Unknown44.5%37,072

What kind of report it was

Safety issue57.3%47,706
Lack of expected effectiveness26.9%22,403
Both safety and lack of expected effectiveness7.5%6,231
Manufacturing or product defect8.3%6,887
Other0.1%76

Species

Dog74.3%61,904
Cat14.7%12,259
Horse3.6%3,005
Human exposure0.4%315
Donkey0%26
Other0%8

Age of the animal

Under 1 year16.8%13,966
1 to 3 years30%25,025
4 to 7 years19.9%16,612
8 to 11 years12.3%10,261
12 years and over7.1%5,943
Age not given13.8%11,496

Coloured bar: reports naming praziquantel. 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

MeasurePraziquantelAll reports
Reports83,3031,357,245
Latest 12 months against the 12 before+16%-5%
Classed serious, of reports stating it24.4%38.6%
Death or euthanasia recorded, per 1,000 reports32.463.8
Filed as lack of expected effectiveness (wholly or partly)34.4%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 praziquantel (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
Droncit 5.68% Injectible SolutionPraziquantelElanco US Inc.Dogs, CatsNADA 111-607
Droncit Canine Cestocide Tablets; Droncit Feline Cestocide Tablets; Praziquantel 34 (Rx); Tapeworm Dewormer for Cats (OTC); Tapeworm Dewormer for Dogs (OTC)PraziquantelElanco US Inc.Dogs, CatsNADA 111-798
Vercom Paste AnthelminticFebantel, PraziquantelElanco US Inc.Dogs, CatsNADA 133-953
Drontal Plus; Drontal Plus Taste Tabs; Quad DewormerFebantel, Praziquantel, Pyrantel PamoateElanco US Inc.DogsNADA 141-007
Drontal TabletsPraziquantel, Pyrantel PamoateElanco US Inc.CatsNADA 141-008
Zimecterin Gold PasteIvermectin, PraziquantelBoehringer Ingelheim Animal Health USA, Inc.HorsesNADA 141-214
EquimaxIvermectin, PraziquantelVirbac AH, Inc.HorsesNADA 141-215
Quest Plus GelMoxidectin, PraziquantelZoetis Inc.HorsesNADA 141-216
Iverhart MAXIvermectin, Praziquantel, Pyrantel PamoateVirbac AH, Inc.DogsNADA 141-257
Virbantel; Worm X PlusPraziquantel, Pyrantel PamoateVirbac AH, Inc.DogsNADA 141-261
ProfenderEmodepside, PraziquantelElanco US Inc.CatsNADA 141-275
Panacur PlusFenbendazole, Ivermectin, PraziquantelIntervet, Inc.DogsNADA 141-286
Sentinel SpectrumLufenuron, Milbemycin Oxime, PraziquantelIntervet, Inc.DogsNADA 141-333
Interceptor PlusMilbemycin Oxime, PraziquantelElanco US Inc.DogsNADA 141-338
Iverhart MAX ChewIvermectin, Praziquantel, Pyrantel PamoateVirbac AH, Inc.DogsNADA 141-441
CentragardEprinomectin, PraziquantelBoehringer Ingelheim Animal Health USA, Inc.CatsNADA 141-492
NexGard ComboEprinomectin, Esafoxolaner, PraziquantelBoehringer Ingelheim Animal Health USA, Inc.CatsNADA 141-570
Credelio QuattroLotilaner, Moxidectin, Praziquantel, Pyrantel PamoateElanco US Inc.DogsNADA 141-581
Credelio Quattro-CA1Lotilaner, Moxidectin, Praziquantel, Pyrantel PamoateElanco US Inc.DogsNADA 141-619
PrazitechPraziquantelBimeda Animal Health Ltd.Dogs, CatsANADA 200-176
Prazi-C Tablets (OTC); Praziquantel Tablets (Rx)PraziquantelCronus Pharma Specialities India Private Ltd.DogsANADA 200-265
Praziquantel InjectionPraziquantelBimeda Animal Health Ltd.Dogs, CatsANADA 200-501
Praziquantel TabletsPraziquantelFelix Pharmaceuticals Pvt. Ltd.DogsANADA 200-734
Praziquantel TabletsPraziquantelFelix Pharmaceuticals Pvt. Ltd.CatsANADA 200-834
Duocareapproval voluntarily withdrawnIvermectin, PraziquantelBoehringer Ingelheim Animal Health USA Inc.HorsesNADA 141-421

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 praziquantel reports

How many FDA adverse event reports mention praziquantel?

83,303 reports through March 2026, 7,554 of them in the latest 12 months, counting praziquantel 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 praziquantel without any counts.

In which combinations is praziquantel reported?

Milbemycin Oxime + Praziquantel (39.8% of these reports), Ivermectin + Praziquantel + Pyrantel Pamoate (10.8% of these reports), Febantel + Praziquantel + Pyrantel Pamoate (8.5% of these reports), Lufenuron + Milbemycin Oxime + Praziquantel (8% of these reports) and Emodepside + Praziquantel (7.3% of these reports).

What reactions are reported for praziquantel?

vomiting (21.3%), lack of efficacy (endoparasite) - heartworm (12%), lethargy (8.5%), diarrhoea (7.7%) and lack of efficacy (endoparasite) - hookworm (5.7%). Shares are of reports naming the ingredient; one report can list several terms.

Which animals are these reports about?

dog (74.3%), cat (14.7%) and horse (3.6%).

Does a high count mean praziquantel 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.