ETOPOSIDE

85/100 · Critical

Manufactured by Accord Healthcare Inc.

High Safety Concerns with Etoposide, Particularly for Severe Reactions

126,466 FDA adverse event reports analyzed

Last updated: 2026-05-12

About ETOPOSIDE

ETOPOSIDE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Accord Healthcare Inc.. Based on analysis of 126,466 FDA adverse event reports, ETOPOSIDE 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 ETOPOSIDE include OFF LABEL USE, FEBRILE NEUTROPENIA, NEUTROPENIA, DRUG INEFFECTIVE, DISEASE PROGRESSION. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for ETOPOSIDE.

AI Safety Analysis

Etoposide 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 126,466 adverse event reports for this medication, which is primarily manufactured by Accord Healthcare Inc..

The most commonly reported adverse events include Off Label Use, Febrile Neutropenia, Neutropenia. Of classified reports, 97.3% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Etoposide is associated with a high frequency of serious adverse reactions, including sepsis, pneumonia, and death.

Neutropenia and thrombocytopenia are common, indicating significant hematological toxicity. The drug is frequently reported to cause disease progression and tumor lysis syndrome, highlighting its potential to worsen underlying conditions.

Patients taking Etoposide should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Etoposide can cause severe hematological toxicity, including neutropenia and thrombocytopenia, and may worsen underlying conditions, necessitating close monitoring. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Etoposide received a safety concern score of 85/100 (high concern). This is based on a 97.3% serious event ratio across 69,165 classified reports. The score accounts for 126,466 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 USE7,665 reports
FEBRILE NEUTROPENIA7,293 reports
NEUTROPENIA4,831 reports
DRUG INEFFECTIVE4,493 reports
DISEASE PROGRESSION4,288 reports
THROMBOCYTOPENIA3,884 reports
PYREXIA3,240 reports
ANAEMIA3,175 reports
PRODUCT USE IN UNAPPROVED INDICATION2,893 reports
SEPSIS2,870 reports
DEATH2,711 reports
PANCYTOPENIA2,593 reports
PNEUMONIA2,394 reports
NAUSEA2,334 reports
DIARRHOEA2,197 reports
MUCOSAL INFLAMMATION2,134 reports
VOMITING2,035 reports
INFECTION1,951 reports
MALIGNANT NEOPLASM PROGRESSION1,857 reports
MYELOSUPPRESSION1,741 reports
DYSPNOEA1,478 reports
SEPTIC SHOCK1,462 reports
FATIGUE1,402 reports
ACUTE MYELOID LEUKAEMIA1,376 reports
PLATELET COUNT DECREASED1,370 reports
BONE MARROW FAILURE1,302 reports
LEUKOPENIA1,215 reports
RESPIRATORY FAILURE1,205 reports
ACUTE KIDNEY INJURY1,202 reports
WHITE BLOOD CELL COUNT DECREASED1,200 reports
MYELODYSPLASTIC SYNDROME1,164 reports
NEUTROPHIL COUNT DECREASED1,141 reports
TOXICITY TO VARIOUS AGENTS1,118 reports
ASTHENIA1,084 reports
NEUROPATHY PERIPHERAL1,063 reports
HYPOTENSION1,052 reports
RENAL FAILURE965 reports
CYTOPENIA901 reports
CONDITION AGGRAVATED889 reports
NEOPLASM PROGRESSION878 reports
MULTIPLE ORGAN DYSFUNCTION SYNDROME869 reports
HAEMATOTOXICITY831 reports
DISEASE RECURRENCE811 reports
ABDOMINAL PAIN808 reports
DECREASED APPETITE805 reports
THERAPY PARTIAL RESPONDER792 reports
STOMATITIS786 reports
ATRIAL FIBRILLATION749 reports
HEADACHE725 reports
HYPOKALAEMIA711 reports
TUMOUR LYSIS SYNDROME710 reports
ASPERGILLUS INFECTION697 reports
NEUTROPENIC SEPSIS696 reports
PRODUCT USE ISSUE694 reports
CONSTIPATION685 reports
COUGH682 reports
PLEURAL EFFUSION660 reports
RENAL IMPAIRMENT648 reports
RASH645 reports
BACTERIAL INFECTION640 reports
HAEMOGLOBIN DECREASED623 reports
THERAPY NON RESPONDER621 reports
VENOOCCLUSIVE LIVER DISEASE619 reports
GENERAL PHYSICAL HEALTH DETERIORATION617 reports
COLITIS610 reports
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION609 reports
SECOND PRIMARY MALIGNANCY598 reports
PULMONARY EMBOLISM592 reports
CARDIAC FAILURE590 reports
CLOSTRIDIUM DIFFICILE COLITIS590 reports
DEHYDRATION590 reports
ENCEPHALOPATHY590 reports
PLASMA CELL MYELOMA580 reports
ALANINE AMINOTRANSFERASE INCREASED574 reports
PAIN574 reports
PNEUMONITIS570 reports
HYPONATRAEMIA568 reports
HYPERTENSION567 reports
CYTOKINE RELEASE SYNDROME558 reports
HAEMORRHAGE554 reports
TACHYCARDIA552 reports
FUNGAL INFECTION543 reports
COVID 19538 reports
CYTOMEGALOVIRUS INFECTION529 reports
DIFFUSE LARGE B CELL LYMPHOMA519 reports
DIZZINESS515 reports
BACTERAEMIA503 reports
BRONCHOPULMONARY ASPERGILLOSIS503 reports
NEUROTOXICITY503 reports
WEIGHT DECREASED501 reports
HAEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS498 reports
TREATMENT FAILURE496 reports
DRUG INTERACTION494 reports
CONFUSIONAL STATE493 reports
LYMPHADENOPATHY482 reports
DRUG RESISTANCE480 reports
LYMPHOPENIA471 reports
INTENTIONAL PRODUCT USE ISSUE456 reports
DEEP VEIN THROMBOSIS455 reports
BLOOD LACTATE DEHYDROGENASE INCREASED451 reports

Key Safety Signals

  • Severe reactions such as sepsis, pneumonia, and death are reported in a significant portion of cases.
  • Hematological toxicity, including neutropenia and thrombocytopenia, is a key safety signal.
  • Disease progression and tumor lysis syndrome are frequent, indicating potential exacerbation of underlying conditions.

Patient Demographics

Adverse event reports by sex: Male: 32,181, Female: 22,391, Unknown: 924. The most frequently reported age groups are age 64 (985 reports), age 67 (957 reports), age 66 (941 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 69,165 classified reports for ETOPOSIDE:

  • Serious: 67,318 reports (97.3%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 1,847 reports (2.7%)
Serious 97.3%Non-Serious 2.7%

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

Male32,181 (58.0%)
Female22,391 (40.3%)
Unknown924 (1.7%)

Reports by Age

Age 64985 reports
Age 67957 reports
Age 66941 reports
Age 59936 reports
Age 65935 reports
Age 63930 reports
Age 60917 reports
Age 62917 reports
Age 58892 reports
Age 56865 reports
Age 68863 reports
Age 61845 reports
Age 70844 reports
Age 57840 reports
Age 3835 reports
Age 55818 reports
Age 69805 reports
Age 16802 reports
Age 14756 reports
Age 7741 reports

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

Drug Interactions & Warnings

Etoposide can cause severe hematological toxicity, including neutropenia and thrombocytopenia, and may worsen underlying conditions, necessitating close monitoring.

What You Should Know

If you are taking Etoposide, here are important things to know. The most commonly reported side effects include off label use, febrile neutropenia, neutropenia, drug ineffective, disease progression. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should be closely monitored for signs of severe infections, such as sepsis and pneumonia, and for hematological toxicity. Healthcare providers should be prepared to manage severe adverse reactions and adjust treatment as necessary. 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 etoposide for safety, and healthcare providers should be vigilant about managing severe adverse reactions and monitoring patients closely.

Frequently Asked Questions

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

The FDA has received approximately 126,466 adverse event reports associated with Etoposide. 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 Etoposide?

The most frequently reported adverse events for Etoposide include Off Label Use, Febrile Neutropenia, Neutropenia, Drug Ineffective, Disease Progression. By volume, the top reported reactions are: Off Label Use (7,665 reports), Febrile Neutropenia (7,293 reports), Neutropenia (4,831 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Etoposide.

What percentage of Etoposide adverse event reports are serious?

Out of 69,165 classified reports, 67,318 (97.3%) were classified as serious and 1,847 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 Etoposide (by sex)?

Adverse event reports for Etoposide break down by patient sex as follows: Male: 32,181, Female: 22,391, Unknown: 924. 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 Etoposide?

The most frequently reported age groups for Etoposide adverse events are: age 64: 985 reports, age 67: 957 reports, age 66: 941 reports, age 59: 936 reports, age 65: 935 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 Etoposide?

The primary manufacturer associated with Etoposide adverse event reports is Accord Healthcare 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 Etoposide?

Beyond the most common reactions, other reported adverse events for Etoposide include: Thrombocytopenia, Pyrexia, Anaemia, Product Use In Unapproved Indication, Sepsis. 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 Etoposide?

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

Etoposide 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. Etoposide is associated with a high frequency of serious adverse reactions, including sepsis, pneumonia, and death.

What are the key safety signals for Etoposide?

Key safety signals identified in Etoposide's adverse event data include: Severe reactions such as sepsis, pneumonia, and death are reported in a significant portion of cases.. Hematological toxicity, including neutropenia and thrombocytopenia, is a key safety signal.. Disease progression and tumor lysis syndrome are frequent, indicating potential exacerbation of underlying conditions.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Etoposide interact with other drugs?

Etoposide can cause severe hematological toxicity, including neutropenia and thrombocytopenia, and may worsen underlying conditions, necessitating close monitoring. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Etoposide.

What should patients know before taking Etoposide?

Patients should be closely monitored for signs of severe infections, such as sepsis and pneumonia, and for hematological toxicity. Healthcare providers should be prepared to manage severe adverse reactions and adjust treatment as necessary.

Are Etoposide side effects well-documented?

Etoposide has 126,466 adverse event reports on file with the FDA. Neutropenia and thrombocytopenia are common, indicating significant hematological toxicity. The volume of reports for Etoposide reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Etoposide?

The FDA continues to monitor etoposide for safety, and healthcare providers should be vigilant about managing severe adverse reactions and monitoring patients closely. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

CiprofloxacinVancomycinDexamethasone
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.