Pet Drug Reports

Elevated alanine aminotransferase (ALT): in adverse event reports for animal drugs

Clinical sign, a VeDDRA term

In plain words: a liver enzyme above the normal range.

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

From January 1987 to June 2026, FDA received 27,296 adverse event reports for animal drugs that list this sign. That is 2% of the 1,378,761 reports that FDA received from January 1987 to June 2026. In the 12 months to June 2026, FDA received 1,264 reports that list this sign.

Of the 27,296 reports, 91.6% are about dogs. A report can list more than one sign and more than one drug. A report is not proof that a drug caused a sign.

By number of reports in all years, this sign is number 18 of 1,149 clinical signs with a page. Reports that list this sign fell by 4.5% 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 91.6% of the reports that list this sign, and 72.6% of all reports.

Drug pages with reports that list this sign

The table has every drug page with 20 or more reports that list this sign, in order of name. No count decides which drug is in the table. The table has 147 drug pages.

Show the 147 drug pages
Drug pages with 20 or more reports that list this sign, in order of name
Active ingredientsReports that list the sign
(S) - methoprene56
Acepromazine Maleate103
Acetylsalicylic Acid21
Afoxolaner699
Afoxolaner + Moxidectin + Pyrantel Pamoate78
Alfaxalone22
Alprazolam24
Amantadine41
Amlodipine39
Amoxicillin379
Amoxicillin + Clavulanate Potassium156
Amoxicillin Trihydrate + Clavulanate Potassium152
Ampicillin Sodium78
Atipamezole Hydrochloride114
Atropine42
Bedinvetmab651
Benazepril37
Bexagliflozin208
Buprenorphine231
Butorphanol Tartrate247
Capromorelin140
Carprofen8,692
Cefovecin sodium505
Cefpodoxime proxetil260
Cephalexin122
Cetirizine21
Ciprofloxacin32
Clindamycin82
Clomipramine Hydrochloride204
Cyclosporine661
Deracoxib1,316
Desoxycorticosterone Pivalate88
Dexamethasone251
Dexamethasone + Neomycin Sulfate + Thiabendazole70
Dexamethasone + Thiabendazole23
Dexamethasone Sodium Phosphate76
Dexmedetomidine86
Dexmedetomidine hydrochloride127
Dextrose56
Diazepam65
Diethylcarbamazine Citrate20
Diphenhydramine275
Dirlotapide180
Doxycycline296
Emodepside + Praziquantel36
Enalapril Maleate99
Enrofloxacin289
Eprinomectin + Esafoxolaner + Praziquantel39
Estriol60
Etodolac189
Famotidine357
Febantel + Praziquantel + Pyrantel Pamoate39
Fenbendazole38
Fentanyl47
Firocoxib723
Florfenicol + Mometasone furoate + Terbinafine59
Fluconazole22
Fluoxetine hydrochloride89
Fluralaner942
Fluralaner + Moxidectin24
Frunevetmab103
Furosemide101
Gabapentin717
Grapiprant522
Hydromorphone82
Hydroxyzine46
Ilunocitinib126
Imidacloprid56
Imidacloprid + Moxidectin111
Insulin250
Isoflurane160
Itraconazole64
Ivermectin250
Ivermectin + Praziquantel + Pyrantel Pamoate79
Ivermectin + Pyrantel Pamoate778
Ketamine Hydrochloride98
Ketoconazole68
Levetiracetam38
Levothyroxine sodium176
Lidocaine31
Lotilaner112
Lotilaner + Moxidectin + Praziquantel + Pyrantel Pamoate40
Lufenuron41
Lufenuron + Milbemycin Oxime230
Lufenuron + Milbemycin Oxime + Praziquantel53
Marbofloxacin84
Maropitant1,298
Medetomidine81
Melarsomine Dihydrochloride942
Melatonin21
Meloxicam642
Methadone30
Methimazole44
Methocarbamol52
Methylprednisolone Acetate115
Metoclopramide78
Metronidazole366
Midazolam96
Milbemycin Oxime266
Milbemycin Oxime + Praziquantel220
Milbemycin Oxime + Spinosad1,184
Mirtazapine117
Moxidectin1,091
Moxidectin + Pyrantel Pamoate + Sarolaner37
Neomycin Sulfate + Nystatin + Thiostrepton + Triamcinolone Acetonide24
Nitenpyram64
Oclacitinib1,208
Omeprazole113
Ondansetron140
Orbifloxacin23
Ormetoprim + Sulfadimethoxine84
Oxibendazole251
Phenobarbital63
Phenylpropanolamine hydrochloride29
Pimobendan186
Polysulfated Glycosaminoglycan243
Praziquantel + Pyrantel Pamoate25
Prednisolone126
Prednisolone + Trimeprazine Tartrate107
Prednisone563
Propofol132
Pyrantel Pamoate62
Pyrantel Pamoate + Sarolaner352
Rabacfosadine50
Robenacoxib103
Sarolaner192
Sarolaner + Selamectin40
Selamectin458
Selegiline Hydrochloride161
Sevoflurane27
Sodium Chloride31
Spinosad553
Sucralfate171
Sulfadimethoxine27
Telmisartan22
Tepoxalin39
Tigilanol tiglate45
Tiletamine Hydrochloride + Zolazepam Hydrochloride28
Toceranib Phosphate74
Tramadol356
Trazodone95
Triamcinolone Acetonide30
Trilostane1,399
Ursodiol141
Velagliflozin213
Verdinexor65
Vitamin E253

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. A report can name more than one drug.

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.

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

Ingredients, all combinations

The list has every active ingredient with 20 or more reports that list this sign, in order of name. It has 144 ingredients.

Show the 144 ingredients

Reports by species

The share is of the 27,296 reports that list this sign. The sign is in 2.5% of all reports about the species dog. The sign is in 1.5% of all reports about the species cat.

Reports by month and by year

Reports for each month, Jul 2021 to Jun 2026. The month is the month in which FDA received the report.

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 that list Elevated alanine aminotransferase (ALT), by the year in which FDA received them
YearReports
2026595
20251,371
20241,228
2023788
2022731
2021752
2020794
2019851
2018986
20171,070
20161,086
20151,136
20141,106
2013986
20121,002
2011990
2010884
2009953
20081,008
2007984
20061,018
2005965
20041,071
2003619
2002530
2001490
2000964
1999860
1998927
1997217
199611
199517
199412
199313
199215
199115
199017
198946
198873
1987115

What these reports record

Outcome at the time of the report

  • Reports with this sign
  • All reports
  • Recovered/Normal5.8%1,590, All reports: 20.7%
  • Recovered with Sequela[recovered, with a lasting effect]1.8%502, All reports: 2.3%
  • Ongoing22.4%6,125, All reports: 17.4%
  • Died12.6%3,446, All reports: 4.9%
  • Euthanized5.9%1,623, All reports: 1.5%
  • Outcome Unknown14.2%3,872, All reports: 22.7%

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 27,296 reports that list this sign.

Age of the animal

  • Reports with this sign
  • All reports
  • Under 1 year4%1,085, All reports: 9.5%
  • 1 to 3 years13.2%3,613, All reports: 23.9%
  • 4 to 7 years24.1%6,569, All reports: 20.2%
  • 8 to 11 years34%9,273, All reports: 15.4%
  • 12 years and over23.3%6,364, All reports: 10.7%
  • Age not given1.4%392, All reports: 20.3%

The outcome is for the full report, not for this sign only.

Next in the A to Z list of signs

All clinical signs

Cite this page

Pet Drug Reports. Elevated alanine aminotransferase (ALT): adverse event reports for animal drugs. https://petdrugreports.com/reaction/elevated-alanine-aminotransferase-alt/ 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. The site counts the different spellings of one VeDDRA term together.

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 this sign

What does this term mean in a report?

In plain words: a liver enzyme above the normal range. It is a term from VeDDRA, the list of terms that FDA and drug companies use to code a report. The person who coded the report selected the term.

How does the count of the latest 12 months compare with the 12 months before?

FDA received 1,264 reports in the 12 months to June 2026. It received 1,324 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.

How many of these reports have a serious flag?

Of the 14,217 reports that say if the event was serious, 64.4% have the serious flag. The person who sends a report sets the flag.

Does a drug in the table cause this sign?

The reports do not show that. A report can name more than one drug. 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