PIRFENIDONE

72/100 · Elevated

Manufactured by Genentech, Inc.

High Serious Event Rate for PIRFENIDONE

77,209 FDA adverse event reports analyzed

Last updated: 2026-05-12

About PIRFENIDONE

PIRFENIDONE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Genentech, Inc.. Based on analysis of 77,209 FDA adverse event reports, PIRFENIDONE has a safety score of 72 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 PIRFENIDONE include DEATH, NAUSEA, FATIGUE, DECREASED APPETITE, DIARRHOEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for PIRFENIDONE.

AI Safety Analysis

Pirfenidone has a safety concern score of 72 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 77,209 adverse event reports for this medication, which is primarily manufactured by Genentech, Inc..

The most commonly reported adverse events include Death, Nausea, Fatigue. Of classified reports, 55.0% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. The most common serious adverse events include death, pneumonia, and respiratory failure.

Nausea, fatigue, and decreased appetite are the most frequently reported non-serious adverse events. The drug is most commonly reported in patients aged 70 and above.

Patients taking Pirfenidone should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Pirfenidone is associated with serious respiratory events, and patients should be monitored for signs of pneumonia and respiratory failure. Drug interactions, particularly with drugs that affect respiratory function, should be considered. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 72/100

Pirfenidone received a safety concern score of 72/100 (elevated concern). This is based on a 55.0% serious event ratio across 39,835 classified reports. The score accounts for 77,209 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

DEATH7,433 reports
NAUSEA5,132 reports
FATIGUE3,773 reports
DECREASED APPETITE3,235 reports
DIARRHOEA3,208 reports
DYSPNOEA2,886 reports
WEIGHT DECREASED2,202 reports
DIZZINESS2,147 reports
RASH2,028 reports
COUGH1,990 reports
VOMITING1,780 reports
PNEUMONIA1,756 reports
ABDOMINAL DISCOMFORT1,676 reports
ABDOMINAL PAIN UPPER1,501 reports
HEADACHE1,484 reports
OFF LABEL USE1,484 reports
ASTHENIA1,420 reports
MALAISE1,336 reports
NO ADVERSE EVENT1,217 reports
DYSPEPSIA1,170 reports
PRURITUS1,055 reports
INSOMNIA1,019 reports
DRUG INEFFECTIVE812 reports
CONSTIPATION788 reports
OXYGEN SATURATION DECREASED758 reports
PHOTOSENSITIVITY REACTION709 reports
GASTROOESOPHAGEAL REFLUX DISEASE623 reports
FALL615 reports
GASTRIC DISORDER573 reports
PRODUCTIVE COUGH558 reports
IDIOPATHIC PULMONARY FIBROSIS516 reports
PAIN516 reports
NASOPHARYNGITIS503 reports
INTENTIONAL PRODUCT USE ISSUE500 reports
ARTHRALGIA463 reports
CHEST PAIN440 reports
DEPRESSION437 reports
ABDOMINAL PAIN423 reports
SOMNOLENCE418 reports
DRUG INTOLERANCE408 reports
FEELING ABNORMAL403 reports
GASTROINTESTINAL DISORDER403 reports
ANXIETY380 reports
COVID 19368 reports
URINARY TRACT INFECTION363 reports
DYSPNOEA EXERTIONAL359 reports
LUNG DISORDER358 reports
DYSGEUSIA355 reports
SUNBURN354 reports
BACK PAIN353 reports
CEREBROVASCULAR ACCIDENT351 reports
ABDOMINAL DISTENSION339 reports
PULMONARY FIBROSIS338 reports
MEMORY IMPAIRMENT326 reports
ERYTHEMA325 reports
RESPIRATORY FAILURE319 reports
FLATULENCE314 reports
RHINORRHOEA314 reports
HYPOTENSION311 reports
PERIPHERAL SWELLING306 reports
HEART RATE INCREASED304 reports
DRUG DOSE OMISSION278 reports
INTERSTITIAL LUNG DISEASE276 reports
MYOCARDIAL INFARCTION276 reports
ILLNESS269 reports
CONDITION AGGRAVATED265 reports
PRODUCT DOSE OMISSION ISSUE257 reports
CARDIAC DISORDER255 reports
INFLUENZA255 reports
CHEST DISCOMFORT252 reports
LOWER RESPIRATORY TRACT INFECTION252 reports
ATRIAL FIBRILLATION251 reports
DRUG INTERACTION247 reports
ILL DEFINED DISORDER244 reports
GENERAL PHYSICAL HEALTH DETERIORATION238 reports
PYREXIA237 reports
HOSPITALISATION236 reports
AGEUSIA235 reports
INFECTION232 reports
BRONCHITIS230 reports
GAIT DISTURBANCE230 reports
PAIN IN EXTREMITY229 reports
DRY SKIN228 reports
PULMONARY FUNCTION TEST DECREASED226 reports
SKIN EXFOLIATION218 reports
DYSPHAGIA215 reports
EPISTAXIS215 reports
PRODUCT DOSE OMISSION214 reports
LETHARGY211 reports
WEIGHT INCREASED209 reports
SINUSITIS208 reports
HEPATIC ENZYME INCREASED206 reports
URTICARIA206 reports
HYPERTENSION205 reports
HYPOXIA200 reports
THERAPY CESSATION198 reports
THERAPY INTERRUPTED196 reports
DEHYDRATION195 reports
LUNG NEOPLASM MALIGNANT190 reports
RASH PRURITIC190 reports

Key Safety Signals

  • Death is the most serious adverse event with 7433 reports.
  • Pneumonia and respiratory failure are also significant serious adverse events.
  • Nausea, fatigue, and decreased appetite are the most common non-serious adverse events.

Patient Demographics

Adverse event reports by sex: Male: 24,077, Female: 14,087, Unknown: 4. The most frequently reported age groups are age 74 (922 reports), age 76 (903 reports), age 77 (891 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 39,835 classified reports for PIRFENIDONE:

  • Serious: 21,890 reports (55.0%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 17,945 reports (45.0%)
Serious 55.0%Non-Serious 45.0%

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

Male24,077 (63.1%)
Female14,087 (36.9%)
Unknown4 (0.0%)

Reports by Age

Age 74922 reports
Age 76903 reports
Age 77891 reports
Age 78844 reports
Age 79843 reports
Age 75841 reports
Age 73813 reports
Age 72767 reports
Age 80756 reports
Age 71693 reports
Age 70670 reports
Age 81662 reports
Age 69616 reports
Age 83575 reports
Age 82574 reports
Age 68565 reports
Age 67486 reports
Age 66466 reports
Age 84439 reports
Age 65406 reports

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

Drug Interactions & Warnings

Pirfenidone is associated with serious respiratory events, and patients should be monitored for signs of pneumonia and respiratory failure. Drug interactions, particularly with drugs that affect respiratory function, should be considered.

What You Should Know

If you are taking Pirfenidone, here are important things to know. The most commonly reported side effects include death, nausea, fatigue, decreased appetite, 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 signs of respiratory distress or severe side effects to their healthcare provider immediately. Regular monitoring of liver enzymes and blood pressure is recommended due to the potential for these adverse effects. 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 has not issued any specific warnings regarding the use of Pirfenidone, but healthcare providers should be vigilant about monitoring patients for serious adverse events, especially respiratory issues.

Frequently Asked Questions

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

The FDA has received approximately 77,209 adverse event reports associated with Pirfenidone. 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 Pirfenidone?

The most frequently reported adverse events for Pirfenidone include Death, Nausea, Fatigue, Decreased Appetite, Diarrhoea. By volume, the top reported reactions are: Death (7,433 reports), Nausea (5,132 reports), Fatigue (3,773 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Pirfenidone.

What percentage of Pirfenidone adverse event reports are serious?

Out of 39,835 classified reports, 21,890 (55.0%) were classified as serious and 17,945 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 Pirfenidone (by sex)?

Adverse event reports for Pirfenidone break down by patient sex as follows: Male: 24,077, Female: 14,087, Unknown: 4. 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 Pirfenidone?

The most frequently reported age groups for Pirfenidone adverse events are: age 74: 922 reports, age 76: 903 reports, age 77: 891 reports, age 78: 844 reports, age 79: 843 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 Pirfenidone?

The primary manufacturer associated with Pirfenidone adverse event reports is Genentech, 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 Pirfenidone?

Beyond the most common reactions, other reported adverse events for Pirfenidone include: Dyspnoea, Weight Decreased, Dizziness, Rash, Cough. 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 Pirfenidone?

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

Pirfenidone has a safety concern score of 72 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. The most common serious adverse events include death, pneumonia, and respiratory failure.

What are the key safety signals for Pirfenidone?

Key safety signals identified in Pirfenidone's adverse event data include: Death is the most serious adverse event with 7433 reports.. Pneumonia and respiratory failure are also significant serious adverse events.. Nausea, fatigue, and decreased appetite are the most common non-serious adverse events.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Pirfenidone interact with other drugs?

Pirfenidone is associated with serious respiratory events, and patients should be monitored for signs of pneumonia and respiratory failure. Drug interactions, particularly with drugs that affect respiratory function, should be considered. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Pirfenidone.

What should patients know before taking Pirfenidone?

Patients should report any signs of respiratory distress or severe side effects to their healthcare provider immediately. Regular monitoring of liver enzymes and blood pressure is recommended due to the potential for these adverse effects.

Are Pirfenidone side effects well-documented?

Pirfenidone has 77,209 adverse event reports on file with the FDA. Nausea, fatigue, and decreased appetite are the most frequently reported non-serious adverse events. The volume of reports for Pirfenidone reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Pirfenidone?

The FDA has not issued any specific warnings regarding the use of Pirfenidone, but healthcare providers should be vigilant about monitoring patients for serious adverse events, especially respiratory issues. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

PirfenidoneOxygen TherapyRespiratory Medications
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.