Pet Drug Reports

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 FDA

FDA 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

Reports that name pyrantel pamoate, by the quarter in which FDA received them
SpeciesJan to Mar 2026Oct to Dec 2025Jan to Mar 2025
All species5,1615,1954,284
Dog4,7744,8563,942
Cat253726
Horse000
Other or not given362302316

January to March 2026 is the latest closed quarter in the data.

All updatesFeed of updates (RSS)

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.

Drug pages with pyrantel pamoate, in order of name, with the reports of each page
Active ingredientsReports, all yearsReports, latest 12 months
Afoxolaner + Moxidectin + Pyrantel Pamoate10,0964,386
Febantel + Praziquantel + Pyrantel Pamoate7,171426
Ivermectin + Praziquantel + Pyrantel Pamoate9,01081
Ivermectin + Pyrantel Pamoate162,8474,550
Lotilaner + Moxidectin + Praziquantel + Pyrantel Pamoate3,3992,951
Moxidectin + Pyrantel Pamoate + Sarolaner1,191373
Praziquantel + Pyrantel Pamoate5,092206
Pyrantel Pamoate5,918253
Pyrantel Pamoate + Sarolaner55,02510,254

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.

  1. Vomiting15.1%38,761 reports
  2. Ineffective, heartworm larvae[legacy FDA term: the product did not have the expected effect (heartworm larvae)]13.9%35,857 reports
  3. Lack of efficacy (endoparasite) - hookworm[the product did not have the expected effect: hookworms]12.7%32,561 reports
  4. Lack of efficacy (endoparasite) - heartworm[the product did not have the expected effect: heartworm]11.6%29,773 reports
  5. Digestive tract disorder NOS[digestive problem, type not specified]6.5%16,832 reports
  6. Diarrhoea[diarrhea]6.5%16,619 reports
  7. Lethargy[unusually tired or inactive]5.2%13,441 reports
  8. Ineffective, ascarids NOS[legacy FDA term: the product did not have the expected effect (ascarids nos)]4.7%11,989 reports
  9. Cardiac disorder NOS[heart problem, type not specified]3.9%10,075 reports
  10. Lack of efficacy (endoparasite) - roundworm NOS[the product did not have the expected effect: roundworms]3.7%9,497 reports
  11. Tablets, Abnormal[a product quality report, not a sign in an animal]3.5%9,007 reports
  12. Lack of efficacy - NOS[the product did not have the expected effect]3.4%8,875 reports
  13. Seizure NOS[seizure, type not specified]3.1%7,942 reports
  14. 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
  1. Ineffective, hooks[legacy FDA term: the product did not have the expected effect (hooks)]2.8%7,211 reports
  2. Lack of efficacy (endoparasite) - tapeworm[the product did not have the expected effect: tapeworms]1.7%4,409 reports
  3. Anorexia[not eating]1.7%4,364 reports
  4. Lack of efficacy (ectoparasite) - tick NOS[the product did not have the expected effect: ticks]1.5%3,821 reports
  5. Death1.4%3,484 reports
  6. Containers, Damaged[a product quality report, not a sign in an animal]1.3%3,456 reports
  7. Ataxia[unsteady, uncoordinated movement]1.3%3,384 reports
  8. Emesis[vomiting]1.3%3,370 reports
  9. Emesis (multiple)[vomiting more than once]1.3%3,357 reports
  10. Not eating1.3%3,283 reports
  11. Behavioural disorder NOS[behaviour change, type not specified]1.2%3,028 reports
  12. Lack of efficacy (endoparasite) - whipworm[the product did not have the expected effect: whipworms]1.1%2,907 reports
  13. Lack of efficacy (ectoparasite) - flea[the product did not have the expected effect: fleas]1.1%2,781 reports
  14. Lack of efficacy (protozoa) - Coccidia[the product did not have the expected effect: coccidia]1.1%2,752 reports
  15. Overdose[more than the labelled amount was given]1.1%2,731 reports
  16. Depression[dull, quiet or withdrawn]1.1%2,718 reports

Download all signs (CSV)

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

Dog92,653 reports. Largest count in one month: 2,243 (Apr 2026)
Cat471 reports. Largest count in one month: 17 (Nov 2025)
Horse13 reports

No chart: no month has 5 or more reports.

Other or not given6,076 reports. Largest count in one month: 163 (Jun 2025)

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
Reports that name pyrantel pamoate, by the year in which FDA received them and by species
YearDogCatHorseOther or not givenAll species
202610,45850172411,233
202520,95110851,45222,516
202419,27010611,39520,772
202317,3318421,06418,481
202216,7018931,03817,831
202115,84373182816,745
202011,74185571312,544
201911,28691479312,174
201810,91798289711,914
201711,23112731,01012,371
201610,811132378011,726
201510,72191795811,777
20149,915100391810,936
201310,218130785011,205
20128,3958058049,284
20116,7654975687,389
20107,2216046467,931
20097,1526695807,807
20086,13927103906,566
20074,79448136905,545
20063,02824137143,779
20052,05132136302,726
20041,25537106311,933
2003617212737702
200239541615457
200116149713230
2000108331115167
199912628215171
199810626625163
1997811937110
1996871599120
19953330339
19942201023
199380008
199230003
1991703010
199030104
198900101
198720103

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.

Applications in the Green Book of 2 Nov 2026, pioneer applications (NADA) first
Brand nameActive ingredientsSponsorApproved speciesApplication
Strongid TPyrantel PamoateZoetis Inc.HorsesNADA 091-739
Nemex; Nemex-2; RFD Liquid WormerPyrantel PamoateZoetis Inc.DogsNADA 100-237
Dog Wormer TabletsPyrantel PamoateFarnam Companies, Inc.DogsNADA 101-331
Banminth-P Paste; Strongid PastePyrantel PamoateZoetis Inc.HorsesNADA 129-831
Adams; D-Worm; Dog Wormer Chewable TabletsPyrantel PamoateFarnam Companies, Inc.DogsNADA 139-191
Heartgard PlusIvermectin, Pyrantel PamoateBoehringer Ingelheim Animal Health USA, Inc.DogsNADA 140-971
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
Iverhart MAXIvermectin, Praziquantel, Pyrantel PamoateVirbac AH, Inc.DogsNADA 141-257
Virbantel; Worm X PlusPraziquantel, Pyrantel PamoateVirbac AH, Inc.DogsNADA 141-261
Iverhart MAX ChewIvermectin, Praziquantel, Pyrantel PamoateVirbac AH, Inc.DogsNADA 141-441
Simparica TrioMoxidectin, Pyrantel Pamoate, SarolanerZoetis Inc.DogsNADA 141-521
NexGard PlusAfoxolaner, Moxidectin, Pyrantel PamoateBoehringer Ingelheim Animal Health USA, Inc.DogsNADA 141-554
Credelio QuattroLotilaner, Moxidectin, Praziquantel, Pyrantel PamoateElanco US Inc.DogsNADA 141-581
Credelio Quattro-CA1Lotilaner, Moxidectin, Praziquantel, Pyrantel PamoateElanco US Inc.DogsNADA 141-619
Liqui-Vict 2XPyrantel PamoateHappy Jack, Inc.DogsANADA 200-007
Anthelban VPyrantel PamoateElanco US Inc.HorsesANADA 200-246
Pyrantel Pamoate Suspension; Pyrantel Pamoate Suspension-2.27mg; Pyrantel Pamoate Suspension-4.54mgPyrantel PamoateCronus Pharma Specialities India Private Ltd.DogsANADA 200-248
Pyrantel Pamoate Chewable TabletsPyrantel PamoateVirbac AH, Inc.DogsANADA 200-281
Iverhart Plus Flavored ChewablesIvermectin, Pyrantel PamoateVirbac AH, Inc.DogsANADA 200-302
Tri-Heart Plus Chewable TabletsIvermectin, Pyrantel PamoateDiamond Animal Health, Inc.DogsANADA 200-338
Pyrantel Pamoate PastePyrantel PamoateFarnam Companies, Inc.HorsesANADA 200-342
Exodus Paste; Exodus Multi DosePyrantel PamoateBimeda Animal Health Ltd.HorsesANADA 200-350
Primex 2-X; Primex CaninePyrantel PamoateFirst Priority, Inc.DogsANADA 200-352
Primex EquinePyrantel PamoateFirst Priority, Inc.HorsesANADA 200-353
PrimexPyrantel PamoateFirst Priority, Inc.HorsesANADA 200-445
Evictapproval withdrawnPyrantel PamoatePegasus Laboratories, Inc.DogsANADA 200-028
WormXapproval withdrawnPyrantel PamoateSergeant’s Pet Care Products Inc.DogsANADA 200-600

FDA pages for this ingredient

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 .

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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.