CONJUGATED ESTROGENS

85/100 · Critical

Manufactured by Wyeth Pharmaceuticals LLC, a subsidiary of Pfizer Inc.

High Safety Concerns with Conjugated Estrogens, Particularly for Breast Cancer and Cardiovascular Events

100,524 FDA adverse event reports analyzed

Last updated: 2026-05-12

About CONJUGATED ESTROGENS

CONJUGATED ESTROGENS is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Wyeth Pharmaceuticals LLC, a subsidiary of Pfizer Inc.. Based on analysis of 100,524 FDA adverse event reports, CONJUGATED ESTROGENS has a safety score of 85 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for CONJUGATED ESTROGENS include BREAST CANCER, BREAST CANCER FEMALE, DRUG INEFFECTIVE, NAUSEA, HEADACHE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for CONJUGATED ESTROGENS.

AI Safety Analysis

Conjugated Estrogens has a safety concern score of 85 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 100,524 adverse event reports for this medication, which is primarily manufactured by Wyeth Pharmaceuticals Llc, A Subsidiary Of Pfizer Inc..

The most commonly reported adverse events include Breast Cancer, Breast Cancer Female, Drug Ineffective. Of classified reports, 71.5% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. The most reported serious adverse event is breast cancer, with 41,265 reports out of 57,676 serious outcomes.

Cardiovascular events, including myocardial infarction and deep vein thrombosis, are also frequently reported. The majority of reports are from female patients, with 99.7% of the total reports.

Patients taking Conjugated Estrogens should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Conjugated estrogens are contraindicated in patients with a history of breast cancer, thromboembolic disorders, and other serious conditions. Close monitoring is required for patients on these medications. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Conjugated Estrogens received a safety concern score of 85/100 (high concern). This is based on a 71.5% serious event ratio across 57,676 classified reports. The score accounts for 100,524 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

BREAST CANCER9,620 reports
BREAST CANCER FEMALE8,864 reports
DRUG INEFFECTIVE3,279 reports
NAUSEA2,360 reports
HEADACHE2,291 reports
PAIN2,248 reports
FATIGUE2,196 reports
OFF LABEL USE2,168 reports
BREAST CANCER METASTATIC1,680 reports
DIZZINESS1,630 reports
DYSPNOEA1,614 reports
MALAISE1,577 reports
DIARRHOEA1,521 reports
ARTHRALGIA1,439 reports
ANXIETY1,418 reports
DEPRESSION1,401 reports
INSOMNIA1,284 reports
FALL1,267 reports
PAIN IN EXTREMITY1,261 reports
HYPERTENSION1,226 reports
ASTHENIA1,216 reports
CEREBROVASCULAR ACCIDENT1,195 reports
FEELING ABNORMAL1,188 reports
VOMITING1,127 reports
HOT FLUSH1,112 reports
PRURITUS1,023 reports
CHEST PAIN1,016 reports
URINARY TRACT INFECTION1,012 reports
BACK PAIN1,000 reports
WEIGHT INCREASED1,000 reports
WEIGHT DECREASED952 reports
RASH924 reports
CONDITION AGGRAVATED921 reports
MYOCARDIAL INFARCTION900 reports
ALOPECIA867 reports
COUGH834 reports
PNEUMONIA799 reports
MUSCLE SPASMS770 reports
DRUG HYPERSENSITIVITY759 reports
BLOOD PRESSURE INCREASED726 reports
ABDOMINAL PAIN712 reports
OESTROGEN RECEPTOR ASSAY POSITIVE693 reports
GAIT DISTURBANCE682 reports
HYPERSENSITIVITY682 reports
CONSTIPATION651 reports
PYREXIA648 reports
HYPERHIDROSIS642 reports
MEMORY IMPAIRMENT636 reports
OEDEMA PERIPHERAL627 reports
ABDOMINAL PAIN UPPER616 reports
PRODUCT USE ISSUE615 reports
SINUSITIS614 reports
OVARIAN CANCER611 reports
PROGESTERONE RECEPTOR ASSAY POSITIVE598 reports
THROMBOSIS591 reports
GASTROOESOPHAGEAL REFLUX DISEASE590 reports
MIGRAINE573 reports
NASOPHARYNGITIS564 reports
ARTHRITIS554 reports
TREMOR549 reports
JOINT SWELLING547 reports
INTENTIONAL PRODUCT MISUSE544 reports
PALPITATIONS539 reports
MYALGIA534 reports
OSTEOARTHRITIS533 reports
DEEP VEIN THROMBOSIS527 reports
CHRONIC KIDNEY DISEASE518 reports
PULMONARY EMBOLISM515 reports
SOMNOLENCE514 reports
PARAESTHESIA509 reports
HYPOAESTHESIA503 reports
BRONCHITIS496 reports
BREAST CANCER IN SITU492 reports
RENAL FAILURE486 reports
ANAEMIA478 reports
DIABETES MELLITUS468 reports
PRODUCT QUALITY ISSUE463 reports
CONFUSIONAL STATE461 reports
URTICARIA456 reports
VISION BLURRED456 reports
BLOOD CHOLESTEROL INCREASED451 reports
DECREASED APPETITE441 reports
VULVOVAGINAL BURNING SENSATION441 reports
ASTHMA440 reports
DRUG INTERACTION437 reports
ABDOMINAL DISTENSION435 reports
OSTEOPOROSIS428 reports
ABDOMINAL DISCOMFORT419 reports
CONTUSION418 reports
DYSPEPSIA417 reports
CATARACT416 reports
CARDIAC DISORDER414 reports
DEHYDRATION414 reports
RHEUMATOID ARTHRITIS410 reports
BURNING SENSATION403 reports
ERYTHEMA401 reports
INJECTION SITE PAIN398 reports
CARDIAC FAILURE CONGESTIVE393 reports
DEATH390 reports
PRODUCT USE IN UNAPPROVED INDICATION386 reports

Key Safety Signals

  • Breast cancer is the leading serious adverse event, with a high count of 41,265 reports.
  • Cardiovascular events, such as myocardial infarction and deep vein thrombosis, are also significant safety signals.
  • Reports of drug ineffectiveness and off-label use are common, indicating potential misuse or inefficacy issues.

Patient Demographics

Adverse event reports by sex: Female: 55,238, Male: 187, Unknown: 101. The most frequently reported age groups are age 59 (1,114 reports), age 57 (1,109 reports), age 62 (1,082 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 57,676 classified reports for CONJUGATED ESTROGENS:

  • Serious: 41,265 reports (71.5%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 16,411 reports (28.5%)
Serious 71.5%Non-Serious 28.5%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female55,238 (99.5%)
Male187 (0.3%)
Unknown101 (0.2%)

Reports by Age

Age 591,114 reports
Age 571,109 reports
Age 621,082 reports
Age 611,044 reports
Age 581,032 reports
Age 641,030 reports
Age 601,019 reports
Age 631,009 reports
Age 561,000 reports
Age 65954 reports
Age 55915 reports
Age 66844 reports
Age 54842 reports
Age 68840 reports
Age 67831 reports
Age 53800 reports
Age 69794 reports
Age 52737 reports
Age 70732 reports
Age 72712 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Conjugated estrogens are contraindicated in patients with a history of breast cancer, thromboembolic disorders, and other serious conditions. Close monitoring is required for patients on these medications.

What You Should Know

If you are taking Conjugated Estrogens, here are important things to know. The most commonly reported side effects include breast cancer, breast cancer female, drug ineffective, nausea, headache. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Women taking conjugated estrogens should be aware of the increased risk of breast cancer and cardiovascular events and report any unusual symptoms to their healthcare provider. Patients should not use the medication off-label without consulting their healthcare provider. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor the safety of conjugated estrogens and has issued warnings regarding the increased risk of breast cancer and cardiovascular events. Healthcare providers should weigh the benefits against the risks before prescribing.

Frequently Asked Questions

How many adverse event reports has the FDA received for Conjugated Estrogens?

The FDA has received approximately 100,524 adverse event reports associated with Conjugated Estrogens. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Conjugated Estrogens?

The most frequently reported adverse events for Conjugated Estrogens include Breast Cancer, Breast Cancer Female, Drug Ineffective, Nausea, Headache. By volume, the top reported reactions are: Breast Cancer (9,620 reports), Breast Cancer Female (8,864 reports), Drug Ineffective (3,279 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Conjugated Estrogens.

What percentage of Conjugated Estrogens adverse event reports are serious?

Out of 57,676 classified reports, 41,265 (71.5%) were classified as serious and 16,411 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Conjugated Estrogens (by sex)?

Adverse event reports for Conjugated Estrogens break down by patient sex as follows: Female: 55,238, Male: 187, Unknown: 101. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Conjugated Estrogens?

The most frequently reported age groups for Conjugated Estrogens adverse events are: age 59: 1,114 reports, age 57: 1,109 reports, age 62: 1,082 reports, age 61: 1,044 reports, age 58: 1,032 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Conjugated Estrogens?

The primary manufacturer associated with Conjugated Estrogens adverse event reports is Wyeth Pharmaceuticals Llc, A Subsidiary Of Pfizer Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Conjugated Estrogens?

Beyond the most common reactions, other reported adverse events for Conjugated Estrogens include: Pain, Fatigue, Off Label Use, Breast Cancer Metastatic, Dizziness. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Conjugated Estrogens?

You can report adverse events from Conjugated Estrogens to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Conjugated Estrogens's safety score and what does it mean?

Conjugated Estrogens has a safety concern score of 85 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. The most reported serious adverse event is breast cancer, with 41,265 reports out of 57,676 serious outcomes.

What are the key safety signals for Conjugated Estrogens?

Key safety signals identified in Conjugated Estrogens's adverse event data include: Breast cancer is the leading serious adverse event, with a high count of 41,265 reports.. Cardiovascular events, such as myocardial infarction and deep vein thrombosis, are also significant safety signals.. Reports of drug ineffectiveness and off-label use are common, indicating potential misuse or inefficacy issues.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Conjugated Estrogens interact with other drugs?

Conjugated estrogens are contraindicated in patients with a history of breast cancer, thromboembolic disorders, and other serious conditions. Close monitoring is required for patients on these medications. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Conjugated Estrogens.

What should patients know before taking Conjugated Estrogens?

Women taking conjugated estrogens should be aware of the increased risk of breast cancer and cardiovascular events and report any unusual symptoms to their healthcare provider. Patients should not use the medication off-label without consulting their healthcare provider.

Are Conjugated Estrogens side effects well-documented?

Conjugated Estrogens has 100,524 adverse event reports on file with the FDA. Cardiovascular events, including myocardial infarction and deep vein thrombosis, are also frequently reported. The volume of reports for Conjugated Estrogens reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Conjugated Estrogens?

The FDA continues to monitor the safety of conjugated estrogens and has issued warnings regarding the increased risk of breast cancer and cardiovascular events. Healthcare providers should weigh the benefits against the risks before prescribing. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to CONJUGATED ESTROGENS based on therapeutic use, drug class, or shared indications:

RaloxifeneTamoxifenWarfarin
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.