MEGESTROL ACETATE

82/100 · Critical

Manufactured by ANI Pharmaceuticals, Inc.

High Safety Concerns with Megestrol Acetate, Particularly for Serious Reactions

8,546 FDA adverse event reports analyzed

Last updated: 2026-05-12

About MEGESTROL ACETATE

MEGESTROL ACETATE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by ANI Pharmaceuticals, Inc.. Based on analysis of 8,546 FDA adverse event reports, MEGESTROL ACETATE has a safety score of 82 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 MEGESTROL ACETATE include DEATH, FATIGUE, DIARRHOEA, DECREASED APPETITE, ASTHENIA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for MEGESTROL ACETATE.

AI Safety Analysis

Megestrol Acetate has a safety concern score of 82 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 8,546 adverse event reports for this medication, which is primarily manufactured by Ani Pharmaceuticals, Inc..

The most commonly reported adverse events include Death, Fatigue, Diarrhoea. Of classified reports, 79.9% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. A high percentage (79.9%) of reported reactions are serious, indicating significant safety concerns.

The most common reactions include death, pneumonia, and weight decreased, suggesting potential life-threatening risks. Report volume is substantial, with over 8,500 reports, providing a broad safety profile.

Patients taking Megestrol Acetate should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Megestrol Acetate may interact with other drugs, leading to adverse effects such as thrombosis and hematological issues. 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: 82/100

Megestrol Acetate received a safety concern score of 82/100 (high concern). This is based on a 79.9% serious event ratio across 3,746 classified reports. The score accounts for 8,546 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

DEATH396 reports
FATIGUE343 reports
DIARRHOEA339 reports
DECREASED APPETITE271 reports
ASTHENIA267 reports
NAUSEA260 reports
PNEUMONIA242 reports
DYSPNOEA221 reports
WEIGHT DECREASED190 reports
VOMITING180 reports
OFF LABEL USE178 reports
ANAEMIA163 reports
DEHYDRATION155 reports
PAIN147 reports
FALL143 reports
DIZZINESS136 reports
CONSTIPATION132 reports
NEUTROPENIA110 reports
ARTHRALGIA104 reports
DEEP VEIN THROMBOSIS103 reports
HEADACHE102 reports
PYREXIA102 reports
HYPOTENSION101 reports
PULMONARY EMBOLISM99 reports
ANXIETY94 reports
MALIGNANT NEOPLASM PROGRESSION93 reports
ABDOMINAL PAIN92 reports
MALAISE91 reports
DRUG INEFFECTIVE89 reports
OEDEMA PERIPHERAL86 reports
BACK PAIN85 reports
COUGH84 reports
RASH82 reports
SEPSIS79 reports
DISEASE PROGRESSION78 reports
PAIN IN EXTREMITY77 reports
CONFUSIONAL STATE76 reports
SOMNOLENCE75 reports
RENAL FAILURE72 reports
THROMBOCYTOPENIA70 reports
ACUTE KIDNEY INJURY68 reports
PLEURAL EFFUSION68 reports
URINARY TRACT INFECTION68 reports
INSOMNIA67 reports
DEPRESSION66 reports
ADRENAL INSUFFICIENCY65 reports
HAEMOGLOBIN DECREASED65 reports
HYPERTENSION64 reports
HOT FLUSH61 reports
PRURITUS60 reports
ABDOMINAL PAIN UPPER58 reports
FEBRILE NEUTROPENIA58 reports
DYSPHAGIA57 reports
PLATELET COUNT DECREASED56 reports
CHEST PAIN54 reports
WHITE BLOOD CELL COUNT DECREASED53 reports
HYPOKALAEMIA51 reports
HYPONATRAEMIA51 reports
CHRONIC KIDNEY DISEASE48 reports
GASTROINTESTINAL HAEMORRHAGE48 reports
RENAL FAILURE ACUTE48 reports
STOMATITIS47 reports
MUSCLE SPASMS46 reports
RESPIRATORY FAILURE46 reports
ATRIAL FIBRILLATION45 reports
CARDIAC FAILURE CONGESTIVE45 reports
THROMBOSIS45 reports
PRODUCT DOSE OMISSION ISSUE44 reports
WEIGHT INCREASED44 reports
CEREBROVASCULAR ACCIDENT43 reports
MUSCULAR WEAKNESS43 reports
EPISTAXIS42 reports
FEELING ABNORMAL42 reports
GENERAL PHYSICAL HEALTH DETERIORATION42 reports
INFECTION42 reports
GAIT DISTURBANCE41 reports
BLOOD PRESSURE INCREASED40 reports
PANCYTOPENIA40 reports
ABDOMINAL DISCOMFORT39 reports
BLOOD GLUCOSE INCREASED39 reports
PERIPHERAL SWELLING39 reports
DRUG INTERACTION37 reports
GASTROOESOPHAGEAL REFLUX DISEASE37 reports
BONE PAIN36 reports
INCORRECT DOSE ADMINISTERED36 reports
MENTAL STATUS CHANGES36 reports
CHRONIC OBSTRUCTIVE PULMONARY DISEASE35 reports
HYPOAESTHESIA35 reports
MEMORY IMPAIRMENT35 reports
NEUROPATHY PERIPHERAL35 reports
PARAESTHESIA34 reports
PULMONARY OEDEMA34 reports
ALOPECIA33 reports
BALANCE DISORDER33 reports
BLOOD CREATININE INCREASED33 reports
END STAGE RENAL DISEASE33 reports
LETHARGY33 reports
DYSPEPSIA32 reports
ECONOMIC PROBLEM32 reports
EMOTIONAL DISTRESS32 reports

Key Safety Signals

  • Death is the most frequent serious reaction, with 396 reports.
  • Pneumonia and weight decreased are also highly reported, with 242 and 190 reports respectively.
  • There is a notable presence of hematological and respiratory issues, including anemia, neutropenia, and pulmonary embolism.

Patient Demographics

Adverse event reports by sex: Male: 1,885, Female: 1,602, Unknown: 14. The most frequently reported age groups are age 73 (98 reports), age 68 (86 reports), age 71 (84 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 3,746 classified reports for MEGESTROL ACETATE:

  • Serious: 2,993 reports (79.9%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 753 reports (20.1%)
Serious 79.9%Non-Serious 20.1%

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

Male1,885 (53.8%)
Female1,602 (45.8%)
Unknown14 (0.4%)

Reports by Age

Age 7398 reports
Age 6886 reports
Age 7184 reports
Age 6780 reports
Age 6977 reports
Age 7477 reports
Age 7974 reports
Age 6673 reports
Age 6568 reports
Age 7067 reports
Age 7266 reports
Age 7663 reports
Age 6360 reports
Age 7860 reports
Age 6258 reports
Age 7557 reports
Age 7757 reports
Age 5856 reports
Age 8056 reports
Age 5955 reports

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

Drug Interactions & Warnings

Megestrol Acetate may interact with other drugs, leading to adverse effects such as thrombosis and hematological issues. Patients should inform their healthcare provider of all medications they are taking.

What You Should Know

If you are taking Megestrol Acetate, here are important things to know. The most commonly reported side effects include death, fatigue, diarrhoea, decreased appetite, asthenia. 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. Follow prescribed dosing instructions carefully to avoid drug interactions and dose errors. 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 Megestrol Acetate due to its high number of serious adverse events. Healthcare providers should be vigilant and report any adverse reactions promptly.

Frequently Asked Questions

How many adverse event reports has the FDA received for Megestrol Acetate?

The FDA has received approximately 8,546 adverse event reports associated with Megestrol Acetate. 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 Megestrol Acetate?

The most frequently reported adverse events for Megestrol Acetate include Death, Fatigue, Diarrhoea, Decreased Appetite, Asthenia. By volume, the top reported reactions are: Death (396 reports), Fatigue (343 reports), Diarrhoea (339 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Megestrol Acetate.

What percentage of Megestrol Acetate adverse event reports are serious?

Out of 3,746 classified reports, 2,993 (79.9%) were classified as serious and 753 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 Megestrol Acetate (by sex)?

Adverse event reports for Megestrol Acetate break down by patient sex as follows: Male: 1,885, Female: 1,602, Unknown: 14. 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 Megestrol Acetate?

The most frequently reported age groups for Megestrol Acetate adverse events are: age 73: 98 reports, age 68: 86 reports, age 71: 84 reports, age 67: 80 reports, age 69: 77 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 Megestrol Acetate?

The primary manufacturer associated with Megestrol Acetate adverse event reports is Ani Pharmaceuticals, 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 Megestrol Acetate?

Beyond the most common reactions, other reported adverse events for Megestrol Acetate include: Nausea, Pneumonia, Dyspnoea, Weight Decreased, Vomiting. 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 Megestrol Acetate?

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

Megestrol Acetate has a safety concern score of 82 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. A high percentage (79.9%) of reported reactions are serious, indicating significant safety concerns.

What are the key safety signals for Megestrol Acetate?

Key safety signals identified in Megestrol Acetate's adverse event data include: Death is the most frequent serious reaction, with 396 reports.. Pneumonia and weight decreased are also highly reported, with 242 and 190 reports respectively.. There is a notable presence of hematological and respiratory issues, including anemia, neutropenia, and pulmonary embolism.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Megestrol Acetate interact with other drugs?

Megestrol Acetate may interact with other drugs, leading to adverse effects such as thrombosis and hematological issues. 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 Megestrol Acetate.

What should patients know before taking Megestrol Acetate?

Patients should report any new or worsening symptoms to their healthcare provider immediately. Follow prescribed dosing instructions carefully to avoid drug interactions and dose errors.

Are Megestrol Acetate side effects well-documented?

Megestrol Acetate has 8,546 adverse event reports on file with the FDA. The most common reactions include death, pneumonia, and weight decreased, suggesting potential life-threatening risks. The volume of reports for Megestrol Acetate reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Megestrol Acetate?

The FDA closely monitors Megestrol Acetate due to its high number of serious adverse events. Healthcare providers should be vigilant and report any adverse reactions promptly. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

WarfarinAspirinIbuprofen
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.