RITUXIMAB

85/100 · Critical

Manufactured by Genentech, Inc.

Rituximab Adverse Events: High Seriousness and Diverse Reactions

743,156 FDA adverse event reports analyzed

Last updated: 2026-05-12

About RITUXIMAB

RITUXIMAB is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Genentech, Inc.. Based on analysis of 743,156 FDA adverse event reports, RITUXIMAB 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 RITUXIMAB include OFF LABEL USE, DRUG INEFFECTIVE, RHEUMATOID ARTHRITIS, PAIN, FATIGUE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for RITUXIMAB.

AI Safety Analysis

Rituximab 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 743,156 adverse event reports for this medication, which is primarily manufactured by Genentech, Inc..

The most commonly reported adverse events include Off Label Use, Drug Ineffective, Rheumatoid Arthritis. Of classified reports, 89.2% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. High percentage of serious adverse events (89.2%) indicates significant safety concerns.

A wide range of reactions reported, including infections, infusion-related reactions, and autoimmune disorders. Fatigue, rash, and infusion-related reactions are among the most frequently reported issues.

Patients taking Rituximab should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Rituximab can cause severe allergic reactions and infusion-related reactions. Patients should be monitored closely during and after administration. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Rituximab received a safety concern score of 85/100 (high concern). This is based on a 89.2% serious event ratio across 201,540 classified reports. The score accounts for 743,156 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

OFF LABEL USE38,502 reports
DRUG INEFFECTIVE33,161 reports
RHEUMATOID ARTHRITIS19,544 reports
PAIN17,118 reports
FATIGUE16,621 reports
RASH12,907 reports
ARTHRALGIA12,862 reports
INFUSION RELATED REACTION12,187 reports
PNEUMONIA12,142 reports
DRUG INTOLERANCE12,028 reports
JOINT SWELLING11,489 reports
PYREXIA11,171 reports
NAUSEA11,146 reports
INFECTION10,550 reports
ALOPECIA10,505 reports
CONTRAINDICATED PRODUCT ADMINISTERED10,077 reports
ABDOMINAL DISCOMFORT10,040 reports
DYSPNOEA9,697 reports
HEADACHE9,469 reports
TREATMENT FAILURE9,374 reports
CONDITION AGGRAVATED9,309 reports
SYSTEMIC LUPUS ERYTHEMATOSUS9,289 reports
DRUG HYPERSENSITIVITY9,257 reports
DIARRHOEA9,220 reports
INTENTIONAL PRODUCT USE ISSUE9,013 reports
PEMPHIGUS8,947 reports
ARTHROPATHY8,944 reports
HYPERSENSITIVITY8,895 reports
SWELLING8,882 reports
SYNOVITIS8,437 reports
GLOSSODYNIA7,949 reports
NEUTROPENIA7,929 reports
VOMITING7,916 reports
HEPATIC ENZYME INCREASED7,772 reports
FEBRILE NEUTROPENIA7,735 reports
DEATH7,703 reports
DISEASE PROGRESSION7,556 reports
PRODUCT USE IN UNAPPROVED INDICATION7,486 reports
HAND DEFORMITY7,359 reports
HYPERTENSION7,319 reports
MALAISE7,230 reports
PRODUCT USE ISSUE6,933 reports
WOUND6,787 reports
COVID 196,660 reports
NASOPHARYNGITIS6,562 reports
THERAPEUTIC PRODUCT EFFECT DECREASED6,532 reports
WEIGHT INCREASED6,448 reports
PERIPHERAL SWELLING6,357 reports
MUSCULOSKELETAL STIFFNESS6,258 reports
MATERNAL EXPOSURE DURING PREGNANCY6,182 reports
ASTHENIA6,081 reports
PRURITUS5,945 reports
PERICARDITIS5,872 reports
GENERAL PHYSICAL HEALTH DETERIORATION5,820 reports
THROMBOCYTOPENIA5,735 reports
NO ADVERSE EVENT5,591 reports
DISCOMFORT5,492 reports
ANTI CYCLIC CITRULLINATED PEPTIDE ANTIBODY POSITIVE5,469 reports
PAIN IN EXTREMITY5,324 reports
ANAEMIA5,196 reports
DIZZINESS5,009 reports
SINUSITIS4,999 reports
WEIGHT DECREASED4,983 reports
STOMATITIS4,919 reports
SEPSIS4,805 reports
COUGH4,764 reports
HELICOBACTER INFECTION4,730 reports
GASTROINTESTINAL DISORDER4,649 reports
CONFUSIONAL STATE4,588 reports
DUODENAL ULCER PERFORATION4,575 reports
ILL DEFINED DISORDER4,463 reports
LOWER RESPIRATORY TRACT INFECTION4,459 reports
MOBILITY DECREASED4,446 reports
URTICARIA4,361 reports
BLISTER4,306 reports
C REACTIVE PROTEIN INCREASED4,241 reports
PSORIATIC ARTHROPATHY4,164 reports
HYPOAESTHESIA4,099 reports
IMPAIRED HEALING4,055 reports
INSOMNIA4,033 reports
RHEUMATOID FACTOR POSITIVE4,030 reports
FOLLICULITIS3,952 reports
BLOOD PRESSURE INCREASED3,889 reports
DECREASED APPETITE3,860 reports
IRRITABLE BOWEL SYNDROME3,817 reports
INFLAMMATION3,785 reports
BLOOD CHOLESTEROL INCREASED3,775 reports
TYPE 2 DIABETES MELLITUS3,735 reports
ABDOMINAL PAIN3,699 reports
ABDOMINAL PAIN UPPER3,674 reports
WHEEZING3,658 reports
CHEST PAIN3,602 reports
FIBROMYALGIA3,518 reports
CONTUSION3,500 reports
MUSCLE INJURY3,406 reports
FALL3,404 reports
HYPOTENSION3,361 reports
OSTEOARTHRITIS3,327 reports
GAIT DISTURBANCE3,290 reports
OEDEMA3,245 reports

Key Safety Signals

  • High incidence of serious infections, particularly pneumonia.
  • Frequent occurrence of infusion-related reactions.
  • Autoimmune disorders such as systemic lupus erythematosus and rheumatoid arthritis are reported.

Patient Demographics

Adverse event reports by sex: Female: 92,649, Male: 65,505, Unknown: 1,768. The most frequently reported age groups are age 65 (3,905 reports), age 43 (3,624 reports), age 60 (3,395 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 201,540 classified reports for RITUXIMAB:

  • Serious: 179,719 reports (89.2%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 21,821 reports (10.8%)
Serious 89.2%Non-Serious 10.8%

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

Female92,649 (57.9%)
Male65,505 (41.0%)
Unknown1,768 (1.1%)

Reports by Age

Age 653,905 reports
Age 433,624 reports
Age 603,395 reports
Age 443,250 reports
Age 673,193 reports
Age 703,011 reports
Age 592,884 reports
Age 642,873 reports
Age 692,864 reports
Age 662,829 reports
Age 582,769 reports
Age 632,766 reports
Age 562,707 reports
Age 682,688 reports
Age 712,642 reports
Age 722,634 reports
Age 622,628 reports
Age 742,613 reports
Age 612,586 reports
Age 752,431 reports

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

Drug Interactions & Warnings

Rituximab can cause severe allergic reactions and infusion-related reactions. Patients should be monitored closely during and after administration.

What You Should Know

If you are taking Rituximab, here are important things to know. The most commonly reported side effects include off label use, drug ineffective, rheumatoid arthritis, pain, fatigue. 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 adverse reactions immediately to their healthcare provider. Follow all prescribed dosing and administration guidelines to minimize the risk of adverse events. 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 Rituximab for safety, and updates are regularly issued based on new data.

Frequently Asked Questions

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

The FDA has received approximately 743,156 adverse event reports associated with Rituximab. 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 Rituximab?

The most frequently reported adverse events for Rituximab include Off Label Use, Drug Ineffective, Rheumatoid Arthritis, Pain, Fatigue. By volume, the top reported reactions are: Off Label Use (38,502 reports), Drug Ineffective (33,161 reports), Rheumatoid Arthritis (19,544 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Rituximab.

What percentage of Rituximab adverse event reports are serious?

Out of 201,540 classified reports, 179,719 (89.2%) were classified as serious and 21,821 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 Rituximab (by sex)?

Adverse event reports for Rituximab break down by patient sex as follows: Female: 92,649, Male: 65,505, Unknown: 1,768. 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 Rituximab?

The most frequently reported age groups for Rituximab adverse events are: age 65: 3,905 reports, age 43: 3,624 reports, age 60: 3,395 reports, age 44: 3,250 reports, age 67: 3,193 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 Rituximab?

The primary manufacturer associated with Rituximab 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 Rituximab?

Beyond the most common reactions, other reported adverse events for Rituximab include: Rash, Arthralgia, Infusion Related Reaction, Pneumonia, Drug Intolerance. 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 Rituximab?

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

Rituximab 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. High percentage of serious adverse events (89.2%) indicates significant safety concerns.

What are the key safety signals for Rituximab?

Key safety signals identified in Rituximab's adverse event data include: High incidence of serious infections, particularly pneumonia.. Frequent occurrence of infusion-related reactions.. Autoimmune disorders such as systemic lupus erythematosus and rheumatoid arthritis are reported.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Rituximab interact with other drugs?

Rituximab can cause severe allergic reactions and infusion-related reactions. Patients should be monitored closely during and after administration. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Rituximab.

What should patients know before taking Rituximab?

Patients should report any adverse reactions immediately to their healthcare provider. Follow all prescribed dosing and administration guidelines to minimize the risk of adverse events.

Are Rituximab side effects well-documented?

Rituximab has 743,156 adverse event reports on file with the FDA. A wide range of reactions reported, including infections, infusion-related reactions, and autoimmune disorders. The volume of reports for Rituximab reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Rituximab?

The FDA continues to monitor Rituximab for safety, and updates are regularly issued based on new data. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

CyclophosphamideMycophenolate mofetilAzathioprine
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.