DEXAMETHASONE

87/100 · Critical

Manufactured by Allergan, Inc.

High Safety Concerns with Dexamethasone Use

480,485 FDA adverse event reports analyzed

Last updated: 2026-05-12

About DEXAMETHASONE

DEXAMETHASONE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Allergan, Inc.. Based on analysis of 480,485 FDA adverse event reports, DEXAMETHASONE has a safety score of 87 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 DEXAMETHASONE include OFF LABEL USE, FATIGUE, DIARRHOEA, PLASMA CELL MYELOMA, NAUSEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for DEXAMETHASONE.

AI Safety Analysis

Dexamethasone has a safety concern score of 87 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 480,485 adverse event reports for this medication, which is primarily manufactured by Allergan, Inc..

The most commonly reported adverse events include Off Label Use, Fatigue, Diarrhoea. Of classified reports, 84.2% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Serious adverse events, including death and severe infections, are common.

Neutropenia and thrombocytopenia are frequent hematological side effects. Drug interactions and intolerances are reported, necessitating careful monitoring.

Patients taking Dexamethasone should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Dexamethasone can cause significant drug interactions and intolerances, requiring careful monitoring and dose adjustment. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 87/100

Dexamethasone received a safety concern score of 87/100 (high concern). This is based on a 84.2% serious event ratio across 285,837 classified reports. The score accounts for 480,485 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

OFF LABEL USE21,603 reports
FATIGUE16,525 reports
DIARRHOEA16,520 reports
PLASMA CELL MYELOMA13,768 reports
NAUSEA13,499 reports
PNEUMONIA13,292 reports
DEATH13,014 reports
DRUG INEFFECTIVE12,531 reports
NEUTROPENIA11,217 reports
PYREXIA10,598 reports
THROMBOCYTOPENIA10,254 reports
DYSPNOEA9,901 reports
ANAEMIA8,771 reports
FEBRILE NEUTROPENIA8,707 reports
ASTHENIA8,526 reports
VOMITING8,508 reports
NEUROPATHY PERIPHERAL8,250 reports
RASH7,965 reports
DISEASE PROGRESSION7,279 reports
CONSTIPATION6,713 reports
SEPSIS5,975 reports
DECREASED APPETITE5,892 reports
PLATELET COUNT DECREASED5,746 reports
HEADACHE5,557 reports
DIZZINESS5,385 reports
PAIN5,380 reports
INFECTION5,139 reports
HYPOTENSION4,796 reports
MALAISE4,705 reports
ACUTE KIDNEY INJURY4,634 reports
WHITE BLOOD CELL COUNT DECREASED4,580 reports
BACK PAIN4,538 reports
WEIGHT DECREASED4,348 reports
PRODUCT USE IN UNAPPROVED INDICATION4,293 reports
FALL4,261 reports
PANCYTOPENIA4,208 reports
COVID 194,143 reports
COUGH4,006 reports
ABDOMINAL PAIN3,811 reports
DEHYDRATION3,793 reports
CONDITION AGGRAVATED3,758 reports
PULMONARY EMBOLISM3,713 reports
PRURITUS3,609 reports
ARTHRALGIA3,586 reports
INSOMNIA3,574 reports
HYPERTENSION3,428 reports
CONFUSIONAL STATE3,402 reports
URINARY TRACT INFECTION3,389 reports
ALOPECIA3,284 reports
MALIGNANT NEOPLASM PROGRESSION3,282 reports
TOXICITY TO VARIOUS AGENTS3,272 reports
RENAL FAILURE3,239 reports
GENERAL PHYSICAL HEALTH DETERIORATION3,230 reports
ATRIAL FIBRILLATION3,189 reports
PERIPHERAL SWELLING3,161 reports
DEEP VEIN THROMBOSIS3,159 reports
HAEMOGLOBIN DECREASED3,146 reports
SEPTIC SHOCK3,100 reports
PAIN IN EXTREMITY3,091 reports
MUSCLE SPASMS3,040 reports
LEUKOPENIA3,007 reports
RESPIRATORY FAILURE2,981 reports
OEDEMA PERIPHERAL2,966 reports
INFUSION RELATED REACTION2,873 reports
INTENTIONAL PRODUCT USE ISSUE2,793 reports
HYPERSENSITIVITY2,704 reports
CHEST PAIN2,659 reports
NEUTROPHIL COUNT DECREASED2,644 reports
HYPOAESTHESIA2,588 reports
ANXIETY2,559 reports
THROMBOSIS2,558 reports
PARAESTHESIA2,552 reports
ERYTHEMA2,478 reports
ABDOMINAL PAIN UPPER2,407 reports
NASOPHARYNGITIS2,396 reports
WEIGHT INCREASED2,354 reports
TREMOR2,281 reports
PRODUCT USE ISSUE2,264 reports
MUCOSAL INFLAMMATION2,260 reports
STOMATITIS2,238 reports
DRUG INTOLERANCE2,209 reports
PLEURAL EFFUSION2,201 reports
CHILLS2,192 reports
DRUG INTERACTION2,175 reports
HYPOKALAEMIA2,158 reports
RENAL IMPAIRMENT2,067 reports
CARDIAC FAILURE2,062 reports
TACHYCARDIA2,047 reports
SOMNOLENCE2,006 reports
MUSCULAR WEAKNESS1,989 reports
THERAPY NON RESPONDER1,940 reports
ALANINE AMINOTRANSFERASE INCREASED1,929 reports
SYNCOPE1,915 reports
UNEVALUABLE EVENT1,882 reports
INFLUENZA1,877 reports
CYTOKINE RELEASE SYNDROME1,856 reports
GAIT DISTURBANCE1,836 reports
ABDOMINAL DISCOMFORT1,799 reports
HYPERGLYCAEMIA1,774 reports
HYPONATRAEMIA1,726 reports

Key Safety Signals

  • High number of serious adverse events (84.2%)
  • Frequent reports of death and pneumonia
  • Common hematological side effects like neutropenia and thrombocytopenia

Patient Demographics

Adverse event reports by sex: Male: 129,648, Female: 122,367, Unknown: 1,724. The most frequently reported age groups are age 68 (5,829 reports), age 69 (5,787 reports), age 70 (5,785 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 285,837 classified reports for DEXAMETHASONE:

  • Serious: 240,812 reports (84.2%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 45,025 reports (15.8%)
Serious 84.2%Non-Serious 15.8%

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

Male129,648 (51.1%)
Female122,367 (48.2%)
Unknown1,724 (0.7%)

Reports by Age

Age 685,829 reports
Age 695,787 reports
Age 705,785 reports
Age 675,764 reports
Age 655,725 reports
Age 665,562 reports
Age 715,530 reports
Age 725,514 reports
Age 645,396 reports
Age 735,205 reports
Age 745,183 reports
Age 625,061 reports
Age 634,960 reports
Age 754,865 reports
Age 604,730 reports
Age 614,554 reports
Age 764,533 reports
Age 594,383 reports
Age 774,098 reports
Age 583,909 reports

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

Drug Interactions & Warnings

Dexamethasone can cause significant drug interactions and intolerances, requiring careful monitoring and dose adjustment.

What You Should Know

If you are taking Dexamethasone, here are important things to know. The most commonly reported side effects include off label use, fatigue, diarrhoea, plasma cell myeloma, nausea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor patients closely for signs of serious infections, particularly in elderly patients. Be aware of potential drug interactions and adjust dosing accordingly. 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

Regulatory oversight is ongoing, with a focus on monitoring and managing serious adverse events and drug interactions.

Frequently Asked Questions

How many adverse event reports has the FDA received for Dexamethasone?

The FDA has received approximately 480,485 adverse event reports associated with Dexamethasone. 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 Dexamethasone?

The most frequently reported adverse events for Dexamethasone include Off Label Use, Fatigue, Diarrhoea, Plasma Cell Myeloma, Nausea. By volume, the top reported reactions are: Off Label Use (21,603 reports), Fatigue (16,525 reports), Diarrhoea (16,520 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Dexamethasone.

What percentage of Dexamethasone adverse event reports are serious?

Out of 285,837 classified reports, 240,812 (84.2%) were classified as serious and 45,025 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 Dexamethasone (by sex)?

Adverse event reports for Dexamethasone break down by patient sex as follows: Male: 129,648, Female: 122,367, Unknown: 1,724. 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 Dexamethasone?

The most frequently reported age groups for Dexamethasone adverse events are: age 68: 5,829 reports, age 69: 5,787 reports, age 70: 5,785 reports, age 67: 5,764 reports, age 65: 5,725 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 Dexamethasone?

The primary manufacturer associated with Dexamethasone adverse event reports is Allergan, 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 Dexamethasone?

Beyond the most common reactions, other reported adverse events for Dexamethasone include: Pneumonia, Death, Drug Ineffective, Neutropenia, Pyrexia. 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 Dexamethasone?

You can report adverse events from Dexamethasone 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 Dexamethasone's safety score and what does it mean?

Dexamethasone has a safety concern score of 87 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. Serious adverse events, including death and severe infections, are common.

What are the key safety signals for Dexamethasone?

Key safety signals identified in Dexamethasone's adverse event data include: High number of serious adverse events (84.2%). Frequent reports of death and pneumonia. Common hematological side effects like neutropenia and thrombocytopenia. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Dexamethasone interact with other drugs?

Dexamethasone can cause significant drug interactions and intolerances, requiring careful monitoring and dose adjustment. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Dexamethasone.

What should patients know before taking Dexamethasone?

Monitor patients closely for signs of serious infections, particularly in elderly patients. Be aware of potential drug interactions and adjust dosing accordingly.

Are Dexamethasone side effects well-documented?

Dexamethasone has 480,485 adverse event reports on file with the FDA. Neutropenia and thrombocytopenia are frequent hematological side effects. The volume of reports for Dexamethasone reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Dexamethasone?

Regulatory oversight is ongoing, with a focus on monitoring and managing serious adverse events and drug interactions. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

AmoxicillinIbuprofenWarfarinMetforminInsulin
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.