LEVOTHYROXINE SODIUM ANHYDROUS

55/100 · Moderate

Manufactured by ENDO USA, Inc.

Levothyroxine Sodium Anhydrous Adverse Events: Common Mild Reactions with Some Serious Concerns

215,491 FDA adverse event reports analyzed

Last updated: 2026-05-12

About LEVOTHYROXINE SODIUM ANHYDROUS

LEVOTHYROXINE SODIUM ANHYDROUS is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by ENDO USA, Inc.. Based on analysis of 215,491 FDA adverse event reports, LEVOTHYROXINE SODIUM ANHYDROUS has a safety score of 55 out of 100. This moderate score indicates a notable volume of adverse event reports that patients and providers should be aware of. The most commonly reported adverse reactions for LEVOTHYROXINE SODIUM ANHYDROUS include FATIGUE, NAUSEA, DIARRHOEA, HEADACHE, DYSPNOEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for LEVOTHYROXINE SODIUM ANHYDROUS.

AI Safety Analysis

Levothyroxine Sodium Anhydrous has a safety concern score of 55 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 215,491 adverse event reports for this medication, which is primarily manufactured by Endo Usa, Inc..

The most commonly reported adverse events include Fatigue, Nausea, Diarrhoea. Of classified reports, 70.0% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Most common reactions include fatigue, nausea, and diarrhea, which are generally mild.

Serious adverse events such as pneumonia, heart failure, and death are reported but less frequently. Drug interactions and off-label use are significant safety signals. Age distribution shows a higher number of reports in older adults, with serious events more prevalent in this group.

Patients taking Levothyroxine Sodium Anhydrous should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Levothyroxine can interact with other medications and should not be used off-label without medical supervision. Patients should inform their healthcare provider of all medications they are taking. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 55/100

Levothyroxine Sodium Anhydrous received a safety concern score of 55/100 (elevated concern). This is based on a 70.0% serious event ratio across 95,247 classified reports. The score accounts for 215,491 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

FATIGUE7,716 reports
NAUSEA6,793 reports
DIARRHOEA6,107 reports
HEADACHE5,856 reports
DYSPNOEA5,847 reports
DRUG INEFFECTIVE5,026 reports
PAIN4,943 reports
DIZZINESS4,735 reports
VOMITING4,290 reports
ASTHENIA4,099 reports
FALL3,927 reports
MALAISE3,832 reports
OFF LABEL USE3,724 reports
ARTHRALGIA3,660 reports
RASH3,189 reports
PYREXIA3,182 reports
PRURITUS3,108 reports
PNEUMONIA2,745 reports
COUGH2,716 reports
PAIN IN EXTREMITY2,686 reports
WEIGHT DECREASED2,678 reports
HYPERTENSION2,661 reports
ANXIETY2,653 reports
CONSTIPATION2,636 reports
CONDITION AGGRAVATED2,604 reports
INSOMNIA2,509 reports
HYPOTENSION2,504 reports
DECREASED APPETITE2,485 reports
ABDOMINAL PAIN UPPER2,394 reports
DEATH2,387 reports
CHEST PAIN2,223 reports
GENERAL PHYSICAL HEALTH DETERIORATION2,205 reports
DRUG INTERACTION2,153 reports
BACK PAIN2,115 reports
CONFUSIONAL STATE2,099 reports
ANAEMIA2,094 reports
WEIGHT INCREASED2,085 reports
OEDEMA PERIPHERAL2,043 reports
ALOPECIA2,037 reports
ABDOMINAL PAIN1,973 reports
ABDOMINAL DISCOMFORT1,967 reports
FEELING ABNORMAL1,956 reports
DEPRESSION1,822 reports
URINARY TRACT INFECTION1,807 reports
DEHYDRATION1,782 reports
PALPITATIONS1,735 reports
SOMNOLENCE1,713 reports
NASOPHARYNGITIS1,684 reports
MUSCLE SPASMS1,670 reports
ASTHMA1,660 reports
PRODUCT DOSE OMISSION ISSUE1,647 reports
HYPOTHYROIDISM1,634 reports
PERIPHERAL SWELLING1,616 reports
MUSCULAR WEAKNESS1,599 reports
GAIT DISTURBANCE1,590 reports
BLOOD PRESSURE INCREASED1,577 reports
COVID 191,571 reports
DRUG HYPERSENSITIVITY1,552 reports
SINUSITIS1,539 reports
MYALGIA1,495 reports
TREMOR1,462 reports
MOBILITY DECREASED1,459 reports
PARAESTHESIA1,457 reports
HYPOAESTHESIA1,455 reports
HYPERSENSITIVITY1,392 reports
MEMORY IMPAIRMENT1,353 reports
BALANCE DISORDER1,310 reports
BLOOD GLUCOSE INCREASED1,307 reports
HYPERHIDROSIS1,307 reports
TACHYCARDIA1,278 reports
JOINT SWELLING1,267 reports
WHEEZING1,256 reports
COGNITIVE DISORDER1,228 reports
ATRIAL FIBRILLATION1,225 reports
PRODUCT USE IN UNAPPROVED INDICATION1,208 reports
RHEUMATOID ARTHRITIS1,204 reports
ERYTHEMA1,201 reports
INFECTION1,200 reports
GASTROOESOPHAGEAL REFLUX DISEASE1,199 reports
URTICARIA1,170 reports
CONTUSION1,167 reports
MIGRAINE1,133 reports
FLUSHING1,115 reports
RENAL FAILURE1,108 reports
SYNCOPE1,103 reports
DRY MOUTH1,095 reports
PRODUCT USE ISSUE1,088 reports
CEREBROVASCULAR ACCIDENT1,074 reports
HYPONATRAEMIA1,063 reports
GASTROINTESTINAL DISORDER1,053 reports
MYOCARDIAL INFARCTION1,052 reports
ACUTE KIDNEY INJURY1,047 reports
HAEMOGLOBIN DECREASED1,041 reports
MUSCULOSKELETAL STIFFNESS1,033 reports
VISUAL IMPAIRMENT1,030 reports
HEART RATE INCREASED1,025 reports
AMNESIA1,019 reports
DRUG INTOLERANCE1,001 reports
LOSS OF CONSCIOUSNESS999 reports
DYSPEPSIA972 reports

Key Safety Signals

  • Pneumonia and heart failure are key serious safety signals.
  • Drug interactions and off-label use are critical safety signals.
  • A significant number of reports involve serious adverse events, particularly in older adults.

Patient Demographics

Adverse event reports by sex: Female: 67,505, Male: 21,426, Unknown: 88. The most frequently reported age groups are age 77 (1,879 reports), age 65 (1,762 reports), age 76 (1,580 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 95,247 classified reports for LEVOTHYROXINE SODIUM ANHYDROUS:

  • Serious: 66,670 reports (70.0%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 28,577 reports (30.0%)
Serious 70.0%Non-Serious 30.0%

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

Female67,505 (75.8%)
Male21,426 (24.1%)
Unknown88 (0.1%)

Reports by Age

Age 771,879 reports
Age 651,762 reports
Age 761,580 reports
Age 741,568 reports
Age 781,567 reports
Age 691,566 reports
Age 721,539 reports
Age 661,534 reports
Age 701,521 reports
Age 751,515 reports
Age 731,494 reports
Age 711,493 reports
Age 681,462 reports
Age 671,456 reports
Age 641,431 reports
Age 611,386 reports
Age 621,379 reports
Age 601,330 reports
Age 591,311 reports
Age 631,301 reports

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

Drug Interactions & Warnings

Levothyroxine can interact with other medications and should not be used off-label without medical supervision. Patients should inform their healthcare provider of all medications they are taking.

What You Should Know

If you are taking Levothyroxine Sodium Anhydrous, here are important things to know. The most commonly reported side effects include fatigue, nausea, diarrhoea, headache, dyspnoea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Always inform your healthcare provider about all medications you are taking to avoid potential drug interactions. Do not use Levothyroxine for conditions for which it is not prescribed. 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 Levothyroxine Sodium Anhydrous for safety, particularly in older adults and those with pre-existing heart conditions.

Frequently Asked Questions

How many adverse event reports has the FDA received for Levothyroxine Sodium Anhydrous?

The FDA has received approximately 215,491 adverse event reports associated with Levothyroxine Sodium Anhydrous. 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 Levothyroxine Sodium Anhydrous?

The most frequently reported adverse events for Levothyroxine Sodium Anhydrous include Fatigue, Nausea, Diarrhoea, Headache, Dyspnoea. By volume, the top reported reactions are: Fatigue (7,716 reports), Nausea (6,793 reports), Diarrhoea (6,107 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Levothyroxine Sodium Anhydrous.

What percentage of Levothyroxine Sodium Anhydrous adverse event reports are serious?

Out of 95,247 classified reports, 66,670 (70.0%) were classified as serious and 28,577 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 Levothyroxine Sodium Anhydrous (by sex)?

Adverse event reports for Levothyroxine Sodium Anhydrous break down by patient sex as follows: Female: 67,505, Male: 21,426, Unknown: 88. 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 Levothyroxine Sodium Anhydrous?

The most frequently reported age groups for Levothyroxine Sodium Anhydrous adverse events are: age 77: 1,879 reports, age 65: 1,762 reports, age 76: 1,580 reports, age 74: 1,568 reports, age 78: 1,567 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 Levothyroxine Sodium Anhydrous?

The primary manufacturer associated with Levothyroxine Sodium Anhydrous adverse event reports is Endo Usa, 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 Levothyroxine Sodium Anhydrous?

Beyond the most common reactions, other reported adverse events for Levothyroxine Sodium Anhydrous include: Drug Ineffective, Pain, Dizziness, Vomiting, 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 Levothyroxine Sodium Anhydrous?

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

Levothyroxine Sodium Anhydrous has a safety concern score of 55 out of 100 (elevated 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. Most common reactions include fatigue, nausea, and diarrhea, which are generally mild.

What are the key safety signals for Levothyroxine Sodium Anhydrous?

Key safety signals identified in Levothyroxine Sodium Anhydrous's adverse event data include: Pneumonia and heart failure are key serious safety signals.. Drug interactions and off-label use are critical safety signals.. A significant number of reports involve serious adverse events, particularly in older adults.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Levothyroxine Sodium Anhydrous interact with other drugs?

Levothyroxine can interact with other medications and should not be used off-label without medical supervision. Patients should inform their healthcare provider of all medications they are taking. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Levothyroxine Sodium Anhydrous.

What should patients know before taking Levothyroxine Sodium Anhydrous?

Always inform your healthcare provider about all medications you are taking to avoid potential drug interactions. Do not use Levothyroxine for conditions for which it is not prescribed.

Are Levothyroxine Sodium Anhydrous side effects well-documented?

Levothyroxine Sodium Anhydrous has 215,491 adverse event reports on file with the FDA. Serious adverse events such as pneumonia, heart failure, and death are reported but less frequently. The volume of reports for Levothyroxine Sodium Anhydrous reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Levothyroxine Sodium Anhydrous?

The FDA continues to monitor Levothyroxine Sodium Anhydrous for safety, particularly in older adults and those with pre-existing heart conditions. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to LEVOTHYROXINE SODIUM ANHYDROUS based on therapeutic use, drug class, or shared indications:

AmiodaroneWarfarinDigoxinLithiumIbuprofen
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.