Pyrantel Pamoate: adverse event reports in all combinations
Active ingredient, alone and in combinations
Brand names with this ingredient: Nemex, Nemex-2, RFD Liquid Wormer, Dog Wormer, Adams, D-Worm, and 16 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 August 1987 to June 2026, FDA received 257,396 adverse event reports that name a drug with pyrantel pamoate, alone or in a combination. 9 sets of active ingredients with pyrantel pamoate have a drug page.
Of the 257,396 reports, 235,953 (91.7%) are about dogs. In January to March 2026, FDA received 5,161 reports that name pyrantel pamoate, alone or in a combination. The signs that appear in the largest number of the 257,396 reports are "Vomiting" and "Ineffective, heartworm larvae". A report is not proof that a drug caused a sign.
Reports that name this ingredient rose by 6.6% 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 91.7% 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 | 5,161 | 5,195 | 4,284 |
| Dog | 4,774 | 4,856 | 3,942 |
| Cat | 25 | 37 | 26 |
| Horse | 0 | 0 | 0 |
| Other or not given | 362 | 302 | 316 |
January to March 2026 is the latest closed quarter in the data.
Drug pages with pyrantel pamoate
A report names a drug by its set of active ingredients. Each set with pyrantel pamoate that has a drug page is in the table, in order of name. The table has 9 sets.
| Active ingredients | Reports, all years | Reports, latest 12 months |
|---|---|---|
| Afoxolaner + Moxidectin + Pyrantel Pamoate | 10,096 | 4,386 |
| Febantel + Praziquantel + Pyrantel Pamoate | 7,171 | 426 |
| Ivermectin + Praziquantel + Pyrantel Pamoate | 9,010 | 81 |
| Ivermectin + Pyrantel Pamoate | 162,847 | 4,550 |
| Lotilaner + Moxidectin + Praziquantel + Pyrantel Pamoate | 3,399 | 2,951 |
| Moxidectin + Pyrantel Pamoate + Sarolaner | 1,191 | 373 |
| Praziquantel + Pyrantel Pamoate | 5,092 | 206 |
| Pyrantel Pamoate | 5,918 | 253 |
| Pyrantel Pamoate + Sarolaner | 55,025 | 10,254 |
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 257,396 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.
- Vomiting15.1%38,761 reports
- Ineffective, heartworm larvae[legacy FDA term: the product did not have the expected effect (heartworm larvae)]13.9%35,857 reports
- Lack of efficacy (endoparasite) - hookworm[the product did not have the expected effect: hookworms]12.7%32,561 reports
- Lack of efficacy (endoparasite) - heartworm[the product did not have the expected effect: heartworm]11.6%29,773 reports
- Digestive tract disorder NOS[digestive problem, type not specified]6.5%16,832 reports
- Diarrhoea[diarrhea]6.5%16,619 reports
- Lethargy[unusually tired or inactive]5.2%13,441 reports
- Ineffective, ascarids NOS[legacy FDA term: the product did not have the expected effect (ascarids nos)]4.7%11,989 reports
- Cardiac disorder NOS[heart problem, type not specified]3.9%10,075 reports
- Lack of efficacy (endoparasite) - roundworm NOS[the product did not have the expected effect: roundworms]3.7%9,497 reports
- Tablets, Abnormal[a product quality report, not a sign in an animal]3.5%9,007 reports
- Lack of efficacy - NOS[the product did not have the expected effect]3.4%8,875 reports
- Seizure NOS[seizure, type not specified]3.1%7,942 reports
- Lack of efficacy (bacteria) - Borrelia[the product did not have the expected effect: Borrelia (Lyme disease bacteria)]3%7,695 reports
Show the next 16 signs
- Ineffective, hooks[legacy FDA term: the product did not have the expected effect (hooks)]2.8%7,211 reports
- Lack of efficacy (endoparasite) - tapeworm[the product did not have the expected effect: tapeworms]1.7%4,409 reports
- Anorexia[not eating]1.7%4,364 reports
- Lack of efficacy (ectoparasite) - tick NOS[the product did not have the expected effect: ticks]1.5%3,821 reports
- Death1.4%3,484 reports
- Containers, Damaged[a product quality report, not a sign in an animal]1.3%3,456 reports
- Ataxia[unsteady, uncoordinated movement]1.3%3,384 reports
- Emesis[vomiting]1.3%3,370 reports
- Emesis (multiple)[vomiting more than once]1.3%3,357 reports
- Not eating1.3%3,283 reports
- Behavioural disorder NOS[behaviour change, type not specified]1.2%3,028 reports
- Lack of efficacy (endoparasite) - whipworm[the product did not have the expected effect: whipworms]1.1%2,907 reports
- Lack of efficacy (ectoparasite) - flea[the product did not have the expected effect: fleas]1.1%2,781 reports
- Lack of efficacy (protozoa) - Coccidia[the product did not have the expected effect: coccidia]1.1%2,752 reports
- Overdose[more than the labelled amount was given]1.1%2,731 reports
- Depression[dull, quiet or withdrawn]1.1%2,718 reports
Reports by species
- Dog91.7%235,953
- Cat0.8%2,022
- Human exposure0.1%238
- Horse0.1%209
- Otherunder 0.1%38
- Other Canidsunder 0.1%10
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 | 10,458 | 50 | 1 | 724 | 11,233 |
| 2025 | 20,951 | 108 | 5 | 1,452 | 22,516 |
| 2024 | 19,270 | 106 | 1 | 1,395 | 20,772 |
| 2023 | 17,331 | 84 | 2 | 1,064 | 18,481 |
| 2022 | 16,701 | 89 | 3 | 1,038 | 17,831 |
| 2021 | 15,843 | 73 | 1 | 828 | 16,745 |
| 2020 | 11,741 | 85 | 5 | 713 | 12,544 |
| 2019 | 11,286 | 91 | 4 | 793 | 12,174 |
| 2018 | 10,917 | 98 | 2 | 897 | 11,914 |
| 2017 | 11,231 | 127 | 3 | 1,010 | 12,371 |
| 2016 | 10,811 | 132 | 3 | 780 | 11,726 |
| 2015 | 10,721 | 91 | 7 | 958 | 11,777 |
| 2014 | 9,915 | 100 | 3 | 918 | 10,936 |
| 2013 | 10,218 | 130 | 7 | 850 | 11,205 |
| 2012 | 8,395 | 80 | 5 | 804 | 9,284 |
| 2011 | 6,765 | 49 | 7 | 568 | 7,389 |
| 2010 | 7,221 | 60 | 4 | 646 | 7,931 |
| 2009 | 7,152 | 66 | 9 | 580 | 7,807 |
| 2008 | 6,139 | 27 | 10 | 390 | 6,566 |
| 2007 | 4,794 | 48 | 13 | 690 | 5,545 |
| 2006 | 3,028 | 24 | 13 | 714 | 3,779 |
| 2005 | 2,051 | 32 | 13 | 630 | 2,726 |
| 2004 | 1,255 | 37 | 10 | 631 | 1,933 |
| 2003 | 617 | 21 | 27 | 37 | 702 |
| 2002 | 395 | 41 | 6 | 15 | 457 |
| 2001 | 161 | 49 | 7 | 13 | 230 |
| 2000 | 108 | 33 | 11 | 15 | 167 |
| 1999 | 126 | 28 | 2 | 15 | 171 |
| 1998 | 106 | 26 | 6 | 25 | 163 |
| 1997 | 81 | 19 | 3 | 7 | 110 |
| 1996 | 87 | 15 | 9 | 9 | 120 |
| 1995 | 33 | 3 | 0 | 3 | 39 |
| 1994 | 22 | 0 | 1 | 0 | 23 |
| 1993 | 8 | 0 | 0 | 0 | 8 |
| 1992 | 3 | 0 | 0 | 0 | 3 |
| 1991 | 7 | 0 | 3 | 0 | 10 |
| 1990 | 3 | 0 | 1 | 0 | 4 |
| 1989 | 0 | 0 | 1 | 0 | 1 |
| 1987 | 2 | 0 | 1 | 0 | 3 |
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/Normal16.5%42,571
- Recovered with Sequela[recovered, with a lasting effect]6.4%16,601
- Ongoing19.9%51,105
- Died1.5%3,965
- Euthanized0.7%1,696
- Outcome Unknown32.8%84,428
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 257,396 reports that name pyrantel pamoate.
Kind of report
- Safety issue45.9%118,045
- Lack of expected effectiveness43.8%112,701
- Both safety and lack of expected effectiveness2.5%6,535
- Manufacturing or product defect7.7%19,938
- Other0.1%177
Age of the animal
- Under 1 year11.7%30,014
- 1 to 3 years34.1%87,791
- 4 to 7 years23.5%60,432
- 8 to 11 years13.1%33,652
- 12 years and over4.7%12,115
- Age not given13%33,392
Each share of kind and age is of the 257,396 reports that name pyrantel pamoate.
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
- Heartgard Plus
- Drontal
- Quad Dewormer
- Iverhart
- Virbantel
- Worm X Plus
The Green Book has 10 more brand names with this active ingredient. Brand names A to Z
What the Green Book records give
- Applications with an approval in force
- 26
- Approved species
- Dogs, Equids, Horses, Cats
- Dose forms
- Liquid (Suspension), Tablet (Chewable), Chewable Tablets, Paste, Tablet
- Routes
- Oral, 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 |
|---|---|---|---|---|
| Strongid T | Pyrantel Pamoate | Zoetis Inc. | Horses | NADA 091-739 |
| Nemex; Nemex-2; RFD Liquid Wormer | Pyrantel Pamoate | Zoetis Inc. | Dogs | NADA 100-237 |
| Dog Wormer Tablets | Pyrantel Pamoate | Farnam Companies, Inc. | Dogs | NADA 101-331 |
| Banminth-P Paste; Strongid Paste | Pyrantel Pamoate | Zoetis Inc. | Horses | NADA 129-831 |
| Adams; D-Worm; Dog Wormer Chewable Tablets | Pyrantel Pamoate | Farnam Companies, Inc. | Dogs | NADA 139-191 |
| Heartgard Plus | Ivermectin, Pyrantel Pamoate | Boehringer Ingelheim Animal Health USA, Inc. | Dogs | NADA 140-971 |
| Drontal Plus; Drontal Plus Taste Tabs; Quad Dewormer | Febantel, Praziquantel, Pyrantel Pamoate | Elanco US Inc. | Dogs | NADA 141-007 |
| Drontal Tablets | Praziquantel, Pyrantel Pamoate | Elanco US Inc. | Cats | NADA 141-008 |
| Iverhart MAX | Ivermectin, Praziquantel, Pyrantel Pamoate | Virbac AH, Inc. | Dogs | NADA 141-257 |
| Virbantel; Worm X Plus | Praziquantel, Pyrantel Pamoate | Virbac AH, Inc. | Dogs | NADA 141-261 |
| Iverhart MAX Chew | Ivermectin, Praziquantel, Pyrantel Pamoate | Virbac AH, Inc. | Dogs | NADA 141-441 |
| Simparica Trio | Moxidectin, Pyrantel Pamoate, Sarolaner | Zoetis Inc. | Dogs | NADA 141-521 |
| NexGard Plus | Afoxolaner, Moxidectin, Pyrantel Pamoate | Boehringer Ingelheim Animal Health USA, Inc. | Dogs | NADA 141-554 |
| Credelio Quattro | Lotilaner, Moxidectin, Praziquantel, Pyrantel Pamoate | Elanco US Inc. | Dogs | NADA 141-581 |
| Credelio Quattro-CA1 | Lotilaner, Moxidectin, Praziquantel, Pyrantel Pamoate | Elanco US Inc. | Dogs | NADA 141-619 |
| Liqui-Vict 2X | Pyrantel Pamoate | Happy Jack, Inc. | Dogs | ANADA 200-007 |
| Anthelban V | Pyrantel Pamoate | Elanco US Inc. | Horses | ANADA 200-246 |
| Pyrantel Pamoate Suspension; Pyrantel Pamoate Suspension-2.27mg; Pyrantel Pamoate Suspension-4.54mg | Pyrantel Pamoate | Cronus Pharma Specialities India Private Ltd. | Dogs | ANADA 200-248 |
| Pyrantel Pamoate Chewable Tablets | Pyrantel Pamoate | Virbac AH, Inc. | Dogs | ANADA 200-281 |
| Iverhart Plus Flavored Chewables | Ivermectin, Pyrantel Pamoate | Virbac AH, Inc. | Dogs | ANADA 200-302 |
| Tri-Heart Plus Chewable Tablets | Ivermectin, Pyrantel Pamoate | Diamond Animal Health, Inc. | Dogs | ANADA 200-338 |
| Pyrantel Pamoate Paste | Pyrantel Pamoate | Farnam Companies, Inc. | Horses | ANADA 200-342 |
| Exodus Paste; Exodus Multi Dose | Pyrantel Pamoate | Bimeda Animal Health Ltd. | Horses | ANADA 200-350 |
| Primex 2-X; Primex Canine | Pyrantel Pamoate | First Priority, Inc. | Dogs | ANADA 200-352 |
| Primex Equine | Pyrantel Pamoate | First Priority, Inc. | Horses | ANADA 200-353 |
| Primex | Pyrantel Pamoate | First Priority, Inc. | Horses | ANADA 200-445 |
| Evictapproval withdrawn | Pyrantel Pamoate | Pegasus Laboratories, Inc. | Dogs | ANADA 200-028 |
| WormXapproval withdrawn | Pyrantel Pamoate | Sergeant’s Pet Care Products Inc. | Dogs | ANADA 200-600 |
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 100-237The FDA record of the application for Nemex, Nemex-2, RFD Liquid Wormer.
- Green Book record of NADA 101-331The FDA record of the application for Dog Wormer Tablets.
- Green Book record of NADA 139-191The FDA record of the application for Adams, D-Worm, Dog Wormer Chewable Tablets.
- Green Book record of NADA 140-971The FDA record of the application for Heartgard Plus.
- Green Book record of NADA 141-007The FDA record of the application for Drontal Plus, Drontal Plus Taste Tabs, Quad Dewormer.
- 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. Pyrantel Pamoate, all combinations: adverse event reports that FDA received. https://petdrugreports.com/ingredient/pyrantel-pamoate/ 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 22,739 reports in the 12 months to June 2026. It received 21,332 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 257,396 reports received from August 1987 to June 2026, 45.9% are about a safety issue only. 46.3% are about a lack of expected effectiveness, alone or with a safety issue. 7.7% are about a defect of the product or its package.