FLUOROURACIL

85/100 · Critical

Manufactured by Bausch Health US, LLC

Fluorouracil Adverse Events: High Seriousness and Diverse Reactions

124,552 FDA adverse event reports analyzed

Last updated: 2026-05-12

About FLUOROURACIL

FLUOROURACIL is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Bausch Health US, LLC. Based on analysis of 124,552 FDA adverse event reports, FLUOROURACIL 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 FLUOROURACIL include DIARRHOEA, NEUTROPENIA, NAUSEA, VOMITING, OFF LABEL USE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for FLUOROURACIL.

AI Safety Analysis

Fluorouracil 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 124,552 adverse event reports for this medication, which is primarily manufactured by Bausch Health Us, Llc.

The most commonly reported adverse events include Diarrhoea, Neutropenia, Nausea. Of classified reports, 94.6% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Fluorouracil is associated with a high number of serious adverse events, including death and severe infections.

The drug has a wide range of reactions, indicating potential for diverse side effects. Neutropenia and thrombocytopenia are among the most common reactions, highlighting blood-related risks.

Patients taking Fluorouracil should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Fluorouracil can interact with other drugs, such as those affecting hematopoiesis, and may exacerbate existing conditions. Warnings include monitoring for hematological and respiratory complications. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Fluorouracil received a safety concern score of 85/100 (high concern). This is based on a 94.6% serious event ratio across 73,484 classified reports. The score accounts for 124,552 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

DIARRHOEA6,692 reports
NEUTROPENIA4,988 reports
NAUSEA4,750 reports
VOMITING3,822 reports
OFF LABEL USE3,344 reports
DISEASE PROGRESSION3,152 reports
NEUROPATHY PERIPHERAL3,118 reports
FATIGUE2,967 reports
PYREXIA2,961 reports
THROMBOCYTOPENIA2,856 reports
FEBRILE NEUTROPENIA2,792 reports
ASTHENIA2,493 reports
ANAEMIA2,435 reports
DRUG INEFFECTIVE2,124 reports
MALIGNANT NEOPLASM PROGRESSION2,036 reports
DYSPNOEA1,966 reports
DEATH1,962 reports
DECREASED APPETITE1,958 reports
ABDOMINAL PAIN1,852 reports
MUCOSAL INFLAMMATION1,765 reports
DEHYDRATION1,676 reports
LEUKOPENIA1,563 reports
STOMATITIS1,499 reports
RASH1,482 reports
GENERAL PHYSICAL HEALTH DETERIORATION1,389 reports
PULMONARY EMBOLISM1,368 reports
SEPSIS1,353 reports
PNEUMONIA1,231 reports
HYPERTENSION1,184 reports
MYELOSUPPRESSION1,175 reports
MALAISE1,173 reports
HYPOTENSION1,159 reports
INTERSTITIAL LUNG DISEASE1,124 reports
ACUTE KIDNEY INJURY1,119 reports
PAIN1,113 reports
NEUTROPHIL COUNT DECREASED1,091 reports
WHITE BLOOD CELL COUNT DECREASED1,085 reports
HYPOKALAEMIA1,021 reports
WEIGHT DECREASED1,015 reports
PARAESTHESIA1,009 reports
NEOPLASM PROGRESSION980 reports
ALOPECIA974 reports
CONSTIPATION945 reports
PALMAR PLANTAR ERYTHRODYSAESTHESIA SYNDROME941 reports
DIZZINESS926 reports
CHEST PAIN921 reports
ERYTHEMA921 reports
PRODUCT USE IN UNAPPROVED INDICATION901 reports
NEUROTOXICITY898 reports
METASTASES TO LIVER896 reports
CHILLS893 reports
PLATELET COUNT DECREASED886 reports
TOXICITY TO VARIOUS AGENTS874 reports
CONDITION AGGRAVATED843 reports
RENAL FAILURE762 reports
PANCYTOPENIA757 reports
DEEP VEIN THROMBOSIS754 reports
HYPERSENSITIVITY750 reports
HEADACHE747 reports
HAEMOGLOBIN DECREASED743 reports
SKIN TOXICITY728 reports
SEPTIC SHOCK711 reports
PRURITUS692 reports
INFECTION682 reports
DERMATITIS ACNEIFORM665 reports
COUGH627 reports
RESPIRATORY FAILURE627 reports
DYSPHAGIA625 reports
BONE MARROW FAILURE620 reports
PLEURAL EFFUSION616 reports
THERAPY PARTIAL RESPONDER611 reports
EPISTAXIS608 reports
TACHYCARDIA595 reports
BACK PAIN594 reports
HYPOMAGNESAEMIA594 reports
ATRIAL FIBRILLATION590 reports
POLYNEUROPATHY585 reports
RENAL IMPAIRMENT569 reports
HYPONATRAEMIA568 reports
ABDOMINAL PAIN UPPER550 reports
CARDIAC FAILURE541 reports
BLOOD CREATININE INCREASED538 reports
URINARY TRACT INFECTION538 reports
METASTASES TO LUNG531 reports
ASCITES527 reports
ARTERIOSPASM CORONARY524 reports
FALL520 reports
INTESTINAL OBSTRUCTION515 reports
OEDEMA PERIPHERAL515 reports
COLORECTAL CANCER METASTATIC510 reports
PROTEINURIA493 reports
CARDIOTOXICITY483 reports
COLITIS480 reports
HAEMATOTOXICITY478 reports
INFUSION RELATED REACTION478 reports
SYNCOPE458 reports
ARTHRALGIA456 reports
CONFUSIONAL STATE453 reports
ALANINE AMINOTRANSFERASE INCREASED448 reports
HYPOAESTHESIA435 reports

Key Safety Signals

  • Neutropenia and thrombocytopenia are key safety signals, indicating significant hematological risks.
  • Death and sepsis are serious outcomes reported, reflecting the severity of adverse reactions.
  • A diverse range of reactions, including pulmonary embolism and interstitial lung disease, suggest potential for severe respiratory issues.

Patient Demographics

Adverse event reports by sex: Male: 34,409, Female: 28,451, Unknown: 817. The most frequently reported age groups are age 65 (1,848 reports), age 67 (1,847 reports), age 70 (1,808 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 73,484 classified reports for FLUOROURACIL:

  • Serious: 69,500 reports (94.6%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 3,984 reports (5.4%)
Serious 94.6%Non-Serious 5.4%

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

Male34,409 (54.0%)
Female28,451 (44.7%)
Unknown817 (1.3%)

Reports by Age

Age 651,848 reports
Age 671,847 reports
Age 701,808 reports
Age 681,798 reports
Age 621,757 reports
Age 601,706 reports
Age 661,664 reports
Age 691,658 reports
Age 641,645 reports
Age 721,641 reports
Age 631,565 reports
Age 591,510 reports
Age 731,498 reports
Age 611,496 reports
Age 711,496 reports
Age 581,465 reports
Age 571,364 reports
Age 741,336 reports
Age 751,319 reports
Age 561,270 reports

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

Drug Interactions & Warnings

Fluorouracil can interact with other drugs, such as those affecting hematopoiesis, and may exacerbate existing conditions. Warnings include monitoring for hematological and respiratory complications.

What You Should Know

If you are taking Fluorouracil, here are important things to know. The most commonly reported side effects include diarrhoea, neutropenia, nausea, vomiting, off label use. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor closely for signs of infection, particularly neutropenia and thrombocytopenia, and report any symptoms immediately. Follow prescribed dosing and administration guidelines to minimize the risk of adverse reactions. 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 closely monitors Fluorouracil for safety, and the drug is subject to ongoing review due to its serious adverse event profile.

Frequently Asked Questions

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

The FDA has received approximately 124,552 adverse event reports associated with Fluorouracil. 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 Fluorouracil?

The most frequently reported adverse events for Fluorouracil include Diarrhoea, Neutropenia, Nausea, Vomiting, Off Label Use. By volume, the top reported reactions are: Diarrhoea (6,692 reports), Neutropenia (4,988 reports), Nausea (4,750 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Fluorouracil.

What percentage of Fluorouracil adverse event reports are serious?

Out of 73,484 classified reports, 69,500 (94.6%) were classified as serious and 3,984 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 Fluorouracil (by sex)?

Adverse event reports for Fluorouracil break down by patient sex as follows: Male: 34,409, Female: 28,451, Unknown: 817. 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 Fluorouracil?

The most frequently reported age groups for Fluorouracil adverse events are: age 65: 1,848 reports, age 67: 1,847 reports, age 70: 1,808 reports, age 68: 1,798 reports, age 62: 1,757 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 Fluorouracil?

The primary manufacturer associated with Fluorouracil adverse event reports is Bausch Health Us, Llc. 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 Fluorouracil?

Beyond the most common reactions, other reported adverse events for Fluorouracil include: Disease Progression, Neuropathy Peripheral, Fatigue, Pyrexia, Thrombocytopenia. 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 Fluorouracil?

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

Fluorouracil 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. Fluorouracil is associated with a high number of serious adverse events, including death and severe infections.

What are the key safety signals for Fluorouracil?

Key safety signals identified in Fluorouracil's adverse event data include: Neutropenia and thrombocytopenia are key safety signals, indicating significant hematological risks.. Death and sepsis are serious outcomes reported, reflecting the severity of adverse reactions.. A diverse range of reactions, including pulmonary embolism and interstitial lung disease, suggest potential for severe respiratory issues.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Fluorouracil interact with other drugs?

Fluorouracil can interact with other drugs, such as those affecting hematopoiesis, and may exacerbate existing conditions. Warnings include monitoring for hematological and respiratory complications. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Fluorouracil.

What should patients know before taking Fluorouracil?

Monitor closely for signs of infection, particularly neutropenia and thrombocytopenia, and report any symptoms immediately. Follow prescribed dosing and administration guidelines to minimize the risk of adverse reactions.

Are Fluorouracil side effects well-documented?

Fluorouracil has 124,552 adverse event reports on file with the FDA. The drug has a wide range of reactions, indicating potential for diverse side effects. The volume of reports for Fluorouracil reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Fluorouracil?

The FDA closely monitors Fluorouracil for safety, and the drug is subject to ongoing review due to its serious adverse event profile. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

CisplatinDocetaxelPaclitaxelCyclophosphamideEtoposide
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.