FULVESTRANT

85/100 · Critical

Manufactured by AstraZeneca Pharmaceuticals LP

Fulvestrant Adverse Events Show High Seriousness and Diverse Reactions

86,552 FDA adverse event reports analyzed

Last updated: 2026-05-12

About FULVESTRANT

FULVESTRANT is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by AstraZeneca Pharmaceuticals LP. Based on analysis of 86,552 FDA adverse event reports, FULVESTRANT 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 FULVESTRANT include FATIGUE, MALIGNANT NEOPLASM PROGRESSION, NAUSEA, DEATH, DIARRHOEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for FULVESTRANT.

AI Safety Analysis

Fulvestrant 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 86,552 adverse event reports for this medication, which is primarily manufactured by Astrazeneca Pharmaceuticals Lp.

The most commonly reported adverse events include Fatigue, Malignant Neoplasm Progression, Nausea. Of classified reports, 80.3% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Fulvestrant reports a high percentage of serious adverse events (80.3%).

The most common reactions include fatigue, nausea, and disease progression. Neutropenia and other hematological issues are frequently reported.

Patients taking Fulvestrant should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Fulvestrant can cause severe hematological issues and disease progression, and patients should be monitored closely for these adverse events. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Fulvestrant received a safety concern score of 85/100 (high concern). This is based on a 80.3% serious event ratio across 31,602 classified reports. The score accounts for 86,552 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

FATIGUE4,023 reports
MALIGNANT NEOPLASM PROGRESSION3,984 reports
NAUSEA2,886 reports
DEATH2,662 reports
DIARRHOEA2,455 reports
NEUTROPENIA2,402 reports
NEOPLASM PROGRESSION2,129 reports
WHITE BLOOD CELL COUNT DECREASED2,126 reports
METASTASES TO BONE2,050 reports
ASTHENIA1,688 reports
PAIN1,676 reports
METASTASES TO LIVER1,657 reports
DYSPNOEA1,573 reports
BREAST CANCER METASTATIC1,538 reports
VOMITING1,501 reports
DECREASED APPETITE1,382 reports
ARTHRALGIA1,370 reports
ALOPECIA1,330 reports
DISEASE PROGRESSION1,274 reports
ANAEMIA1,266 reports
OFF LABEL USE1,251 reports
RASH1,196 reports
MALAISE1,140 reports
DRUG INEFFECTIVE1,111 reports
HEADACHE1,083 reports
COUGH1,082 reports
BACK PAIN1,060 reports
DIZZINESS1,044 reports
PYREXIA1,011 reports
WEIGHT DECREASED1,007 reports
BREAST CANCER920 reports
PAIN IN EXTREMITY911 reports
CONSTIPATION884 reports
THROMBOCYTOPENIA814 reports
PLATELET COUNT DECREASED803 reports
NEUTROPHIL COUNT DECREASED797 reports
PRURITUS758 reports
METASTASES TO LUNG746 reports
PLEURAL EFFUSION736 reports
HAEMOGLOBIN DECREASED717 reports
LEUKOPENIA713 reports
GENERAL PHYSICAL HEALTH DETERIORATION685 reports
OSTEONECROSIS OF JAW667 reports
BONE PAIN665 reports
TUMOUR MARKER INCREASED652 reports
STOMATITIS624 reports
NEUROPATHY PERIPHERAL595 reports
ABDOMINAL PAIN577 reports
GAIT DISTURBANCE571 reports
HYPERGLYCAEMIA568 reports
PNEUMONIA560 reports
ANXIETY520 reports
HOT FLUSH519 reports
HYPERTENSION519 reports
FALL510 reports
INSOMNIA507 reports
RED BLOOD CELL COUNT DECREASED507 reports
ABDOMINAL PAIN UPPER505 reports
COVID 19479 reports
INJECTION SITE PAIN479 reports
URINARY TRACT INFECTION479 reports
DRY SKIN466 reports
DEHYDRATION463 reports
ABDOMINAL DISCOMFORT462 reports
FEELING ABNORMAL461 reports
DRUG INTOLERANCE458 reports
HYPOAESTHESIA443 reports
METASTASES TO LYMPH NODES438 reports
WEIGHT INCREASED411 reports
PERIPHERAL SWELLING400 reports
DEPRESSION398 reports
MYALGIA398 reports
ASCITES397 reports
BLOOD GLUCOSE INCREASED393 reports
CHEST PAIN388 reports
ERYTHEMA383 reports
BLOOD CREATININE INCREASED379 reports
DECREASED IMMUNE RESPONSIVENESS379 reports
CONDITION AGGRAVATED375 reports
MUSCLE SPASMS372 reports
OEDEMA PERIPHERAL371 reports
PULMONARY EMBOLISM368 reports
HYPERSENSITIVITY359 reports
NASOPHARYNGITIS359 reports
PARAESTHESIA356 reports
PRODUCT USE ISSUE354 reports
ASPARTATE AMINOTRANSFERASE INCREASED352 reports
METASTASES TO CENTRAL NERVOUS SYSTEM352 reports
CHILLS351 reports
MYELOSUPPRESSION347 reports
INFECTION344 reports
METASTASIS330 reports
ALANINE AMINOTRANSFERASE INCREASED324 reports
FULL BLOOD COUNT DECREASED323 reports
DYSPEPSIA322 reports
MEMORY IMPAIRMENT318 reports
EPISTAXIS313 reports
SOMNOLENCE302 reports
LYMPHADENOPATHY301 reports
DYSPHAGIA298 reports

Key Safety Signals

  • High rate of serious adverse events (25,376 out of 31,602, 80.3%).
  • Multiple hematological issues like neutropenia and anemia are common.
  • Disease progression and metastases are frequently reported.

Patient Demographics

Adverse event reports by sex: Female: 29,273, Male: 331, Unknown: 41. The most frequently reported age groups are age 70 (731 reports), age 66 (708 reports), age 60 (694 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 31,602 classified reports for FULVESTRANT:

  • Serious: 25,376 reports (80.3%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 6,226 reports (19.7%)
Serious 80.3%Non-Serious 19.7%

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

Female29,273 (98.7%)
Male331 (1.1%)
Unknown41 (0.1%)

Reports by Age

Age 70731 reports
Age 66708 reports
Age 60694 reports
Age 63678 reports
Age 65643 reports
Age 69643 reports
Age 62630 reports
Age 68610 reports
Age 67606 reports
Age 72557 reports
Age 57556 reports
Age 64556 reports
Age 58544 reports
Age 59536 reports
Age 61535 reports
Age 73535 reports
Age 75532 reports
Age 71502 reports
Age 76491 reports
Age 74485 reports

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

Drug Interactions & Warnings

Fulvestrant can cause severe hematological issues and disease progression, and patients should be monitored closely for these adverse events.

What You Should Know

If you are taking Fulvestrant, here are important things to know. The most commonly reported side effects include fatigue, malignant neoplasm progression, nausea, death, diarrhoea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should report any new or worsening symptoms to their healthcare provider immediately. Regular blood tests are recommended to monitor for hematological issues. 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 Fulvestrant for safety, and updates will be provided as necessary based on ongoing reviews.

Frequently Asked Questions

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

The FDA has received approximately 86,552 adverse event reports associated with Fulvestrant. 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 Fulvestrant?

The most frequently reported adverse events for Fulvestrant include Fatigue, Malignant Neoplasm Progression, Nausea, Death, Diarrhoea. By volume, the top reported reactions are: Fatigue (4,023 reports), Malignant Neoplasm Progression (3,984 reports), Nausea (2,886 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Fulvestrant.

What percentage of Fulvestrant adverse event reports are serious?

Out of 31,602 classified reports, 25,376 (80.3%) were classified as serious and 6,226 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 Fulvestrant (by sex)?

Adverse event reports for Fulvestrant break down by patient sex as follows: Female: 29,273, Male: 331, Unknown: 41. 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 Fulvestrant?

The most frequently reported age groups for Fulvestrant adverse events are: age 70: 731 reports, age 66: 708 reports, age 60: 694 reports, age 63: 678 reports, age 65: 643 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 Fulvestrant?

The primary manufacturer associated with Fulvestrant adverse event reports is Astrazeneca Pharmaceuticals Lp. 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 Fulvestrant?

Beyond the most common reactions, other reported adverse events for Fulvestrant include: Neutropenia, Neoplasm Progression, White Blood Cell Count Decreased, Metastases To Bone, Asthenia. 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 Fulvestrant?

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

Fulvestrant 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. Fulvestrant reports a high percentage of serious adverse events (80.3%).

What are the key safety signals for Fulvestrant?

Key safety signals identified in Fulvestrant's adverse event data include: High rate of serious adverse events (25,376 out of 31,602, 80.3%).. Multiple hematological issues like neutropenia and anemia are common.. Disease progression and metastases are frequently reported.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Fulvestrant interact with other drugs?

Fulvestrant can cause severe hematological issues and disease progression, and patients should be monitored closely for these adverse events. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Fulvestrant.

What should patients know before taking Fulvestrant?

Patients should report any new or worsening symptoms to their healthcare provider immediately. Regular blood tests are recommended to monitor for hematological issues.

Are Fulvestrant side effects well-documented?

Fulvestrant has 86,552 adverse event reports on file with the FDA. The most common reactions include fatigue, nausea, and disease progression. The volume of reports for Fulvestrant reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Fulvestrant?

The FDA continues to monitor Fulvestrant for safety, and updates will be provided as necessary based on ongoing reviews. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

AstraZeneca Pharmaceuticals LPNovartis PharmaceuticalsMerck & Co.PfizerSanofi
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.