Companies that make topical flea and tick products must immediately improve the labeling on their packages to ensure pet safety and prevent misuse of the treatments, according to changes announced Wednesday by the Environmental Protection Agency (EPA). The agency, however, said it is not banning or pulling any topical or spot on flea and tick products off the market at least not yet.
The action comes in response to the EPAs nearly year-long intensive evaluation of spot on flea and tick products. The EPA launched its probe last April amid reports of a significant increase in adverse reactions linked to the treatments, including burns, neurological problems, and even deaths.
The agency confirmed that in 2008 it received more than 44,000 reports of adverse reactions associated with these products, which are applied by squeezing the contents of a vial or tube to the skin between the animals shoulder blades or along the back. That figure represents an increase of about 53% from 2007, the EPA said.
During its 11-month evaluation, the EPA said it discovered the warning labels on many topical flea and tick products are inadequate and do not give pet owners clear information about dosages or even if the treatments should be used on dogs or cats.
We concluded that the existing warning labels are not working and do not provide adequate protection, said Steve Owens, assistant administrator for the EPAs Office of Prevention, Pesticides and Toxic Substances. We found a number of current labels have insufficient warning labels on themthe warnings were buried in the text of the label and not noticeable. They were easily overlooked.
Clearer labeling
To address these labeling flaws, the EPA said it will immediately require companies that make topical flea and tick products to take the following action:
• Make the instructions on the labels clearer to prevent possible misuse. For example, if a product is intended for a dog, the labels will now be required to say something like do not use on a cat, Owens said;
• Have more precise instructions on the labels to ensure the proper amount is applied according to the pets weight. A dogs weight clearly makes a big difference and the doses for small dogs is different than the doses for large dogs, Owens said. We found that smaller pets, cats and dogs, are more susceptible to adverse reactions (to these products). Its not an exclusive thing; we are seeing larger dogs affected, too. But there is a correlation between pets weights and the dose, and all pet owners need to be careful;
• Require clearer markings on packages to ensure consumers can tell the difference between products for dogs and cats. We found that (flea and tick) products for dogs and cats are labeled similarly, Owens said. People have applied the wrong spot on products to the wrong animal. We have to make sure the label warnings make it clear that a dog product should not be used on a cat.
• Prohibit similar brand names for dog and cat flea and tick products. Those similar names have led to product misuse, the EPA said;
• Require labels to clearly state that pet owners should not permit interaction between dogs and cats after the products are applied. Cats are sensitive to these products, Owens said. It is critical for pet owners to keep their cats and dogs apart after these products are used.
Owens said he also wants the new labels to include symptoms of possible adverse reactions to these topical flea and tick products. Asked when pet owners will see new labels on these products, Owens said, "by the end of the years."
Requiring these label changes, however, isnt the only action the EPA said its taking to ensure the safety of dogs and cats the use topical flea and tick products.
Other actions
The agency also announced it will:
• Only grant conditional, time-limited registrations when new products are registered with the EPA. The agency said this will allow for post-marketing product surveillance. If we see a problem, we can take appropriate action, Owens said, adding that action can include pulling a worrisome product off the market;
• Restrict the use of certain inert ingredients that may contribute to adverse reactions. Owens did not specify which inert ingredients if any are on the EPAs radar. If we believe an inert ingredient is causing adverse reactions, we will take action to limit or prevent its use, he said;
• Launch a consumer information campaign to raise public awareness about the new labels. We want to help consumers not make error in cases in which the labels are unclear or hard to read, Owens said.
• Require more standardized post-market surveillance reporting on adverse effects linked to these products;
• Require companies to submit more sales information to the EPA to ensure the agency does a better job of evaluating incident rates;
• Update the scientific data requirements on pre- and post-market testing to make sure they are more in line with the Food and Drug Administrations (FDA) requirements.
First steps
The EPA emphasized these are only the first steps the agency is taking to address growing concerns about topical flea and tick products.
Were going to continue to monitor this situation closely, Owens said. We want to make it clear that were going to continue to gather data and if the label requirements are not working, we will take more significant action.
We will remove products from the market if we have to, he added. Were not banning any products or removing any today, but that is certainly something that we will be more than willing to do as we move forward and gather more data.
Earlier today, the EPA met with companies that make topical flea and tick products to discuss these required changes.
They realize this is serious problem they need to address, Owens said. And they understand we are serious about this. Their reaction was very positive. No one in the room said no way.
Companies that make flea and tick products, however, have routinely downplayed reports of adverse reactions and often blamed the problems on pet owners misuse of the treatments.
The EPAs new labeling requirements refute that argument, Owens said.
I dont know how you blame a victim when the label is not clear. There is not specific language on the labels about the dosage and consumers in many cases are left to guess for themselves on the appropriate amount.
The reforms were announcing today address those problems, Owens added. While there are cases of misapplications, we think the far great problem is the labels are not adequate.
Are they safe?
But are these products safe?
I think in most cases, yes, Owens said. But I want to underscore that these are poisons. These are products designed to kill fleas and ticks and they do their job. We urge pet owners and other to exercise caution and be careful when using them. And read the labels carefully.
Given those risks, pet owners whove contacted ConsumerAffairs.com wonder why the EPA still allows these products on the market.
Theyre pet owners who say theyve witnessed horrific reactions from these products in their dogs and cats, including burns and welts on their skin, drooling excessively, shaking uncontrollably, whimpering in agony, losing control of their legs, or even dying.
Theyre pet owners like Sharee F. of Tennessee, who is convinced Sergeant's Gold Flea and Tick treatment attributed to the recent death of her dog.
We applied it as directed and later that Friday night, my dog started foaming at the mouth and whining as though he was in pain, she said. Around 4 a.m. on what was now Saturday morning, my dog began seizing. His legs were flopping, his head twitching uncontrollably, he was whining and crying, and he was breathing unbelievably heavy.
Everyone in the house was asleep, but (we) were awakened by the banging of my dogs body jerking against the wall, she added.
Sharees family gave the dog some cool water and tried to comfort him until the vets office opened a few hours later.
It was not until 8 a.m. that my dog was driven to the nearest Pet Meds, she said. Unfortunately, by the time my mother and brother walked into the vet, my dog went into cardiac arrest and they couldn't revive him. I am completely heart broken. I can't go a day without tearing up, and every time I replay this traumatic moment over in my head I get nauseous.
I want these products pulled off the market.
Another pet owner in Texas told us his dog experienced a horrible reaction to Sergeants Gold Flea and Tick Squeeze On treatment.
Within an hour she was going crazy, whining, barking, jumping up and laying down, rolling over and running and laying down and back up and running, said R.A. of Whitney, Texas.
The dog also started breathing heavily, drooling at the mouth, and throwing up, R.A. said, adding he used the product according to the labels directions. R.A. bathed the dog four times to try and relieve these problems. She is still going off her rocker, he said. This stuff is dangerous.
Dangerous to humans?
The dangers may not be restricted to dogs and cats.
I even got a little on my finger while putting it on her and I washed my hands, he said. Within a few minutes, my lips started tingling and I started having a hard time breathing myself. This stuff is a danger to (humans) health, not to mention your pet.
ConsumerAffairs.com also heard from a Florida pet owner, who said her 14-year-old dog suffered serious neurological problems from Sergeants Gold Flea & Tick treatment.
Twelve hours later she was drooling, shaking, and could hardly walk, Debra O. told us earlier this month. There were no dangerous side effects listed on the box. I called the emergency number on the box and was told (my dog) was having an adverse reaction to the meds.
I had to give her three baths with dish soap, pour water down her throat, and also give her vitamin E oil, Debra added. I am still watching her behavior closelyshe is still suffering right now.
Debra is outraged that a product linked to so many horrible reactions in pets is still on the market.
I had no idea or I would have never bought (it) and risked the life of my 14-year-old buddy, she said. This product hurts and kills animals. Someone needs to do something.
The EPA said its aware of concerns like Debras and will continue to evaluate the safety of these products.
The agency, however, pointed out that most of the reports it received about adverse reactions were minor and included skin issues and gastrointestinal problems. The EPA also confirmed it received some reports of deaths linked to these product, but said they were rare less than 2 percent of the adverse reactions reported during 2007 and 2008.
The agency said pet owners should continue to carefully follow the labels directions when using topical flea and tick products and watch for any adverse reactions in their dogs on cats after applying these treatments.
Pet owners should also talk to their veterinarians about the best methods to protect their dogs and cats from fleas and ticks, the EPA said.
A copy of the EPAs findings on topical flea and ticks products is now available on the agencys Web site.