TREPROSTINIL

82/100 · Critical

Manufactured by United Therapeutics Corporation

High Safety Concerns with Treprostinil, Particularly for Respiratory and Cardiovascular Reactions

313,927 FDA adverse event reports analyzed

Last updated: 2026-05-12

About TREPROSTINIL

TREPROSTINIL is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by United Therapeutics Corporation. Based on analysis of 313,927 FDA adverse event reports, TREPROSTINIL 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 TREPROSTINIL include DYSPNOEA, HEADACHE, DIARRHOEA, NAUSEA, COUGH. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for TREPROSTINIL.

AI Safety Analysis

Treprostinil 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 313,927 adverse event reports for this medication, which is primarily manufactured by United Therapeutics Corporation.

The most commonly reported adverse events include Dyspnoea, Headache, Diarrhoea. Of classified reports, 57.9% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Respiratory issues such as dyspnea and pneumonia are among the most common adverse events.

Cardiovascular events, including hypotension and right ventricular failure, are also frequent. Serious adverse events, including death and pulmonary arterial hypertension, are reported.

Patients taking Treprostinil should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Treprostinil can cause hypotension and should be used with caution in patients with pre-existing cardiovascular conditions. Drug interactions are not well-documented, but patients should inform their healthcare provider of all medications they are ta This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 82/100

Treprostinil received a safety concern score of 82/100 (high concern). This is based on a 57.9% serious event ratio across 118,637 classified reports. The score accounts for 313,927 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

DYSPNOEA20,295 reports
HEADACHE16,274 reports
DIARRHOEA13,136 reports
NAUSEA11,858 reports
COUGH10,541 reports
DIZZINESS8,870 reports
FATIGUE8,812 reports
DEATH8,777 reports
VOMITING6,084 reports
INFUSION SITE PAIN5,510 reports
HYPOTENSION5,419 reports
MALAISE5,405 reports
PNEUMONIA5,398 reports
FLUID RETENTION4,963 reports
PAIN IN EXTREMITY4,745 reports
OXYGEN SATURATION DECREASED4,584 reports
CHEST PAIN4,420 reports
PULMONARY ARTERIAL HYPERTENSION4,411 reports
PAIN4,355 reports
OFF LABEL USE4,264 reports
ASTHENIA4,131 reports
DYSPNOEA EXERTIONAL4,029 reports
FLUSHING3,681 reports
WEIGHT DECREASED3,634 reports
OEDEMA PERIPHERAL3,478 reports
PAIN IN JAW3,444 reports
DECREASED APPETITE3,304 reports
INFUSION SITE ERYTHEMA3,183 reports
FEELING ABNORMAL3,069 reports
PERIPHERAL SWELLING2,968 reports
FALL2,952 reports
PULMONARY HYPERTENSION2,748 reports
SYNCOPE2,740 reports
NASOPHARYNGITIS2,634 reports
ARTHRALGIA2,590 reports
CHEST DISCOMFORT2,531 reports
ABDOMINAL DISCOMFORT2,497 reports
NASAL CONGESTION2,495 reports
THERAPY NON RESPONDER2,490 reports
PALPITATIONS2,419 reports
CONDITION AGGRAVATED2,411 reports
PYREXIA2,338 reports
OEDEMA2,319 reports
WEIGHT INCREASED2,253 reports
THROAT IRRITATION2,251 reports
EPISTAXIS2,165 reports
ABDOMINAL PAIN UPPER2,144 reports
BACK PAIN2,111 reports
DRUG DOSE OMISSION2,096 reports
PRODUCTIVE COUGH2,016 reports
OROPHARYNGEAL PAIN1,949 reports
DERMATITIS CONTACT1,900 reports
HEART RATE INCREASED1,887 reports
PRODUCT DOSE OMISSION ISSUE1,851 reports
INFUSION SITE SWELLING1,799 reports
DEVICE DISLOCATION1,795 reports
ANXIETY1,757 reports
DEVICE ISSUE1,741 reports
ABDOMINAL DISTENSION1,709 reports
BLOOD PRESSURE DECREASED1,704 reports
FLUID OVERLOAD1,699 reports
HYPOXIA1,689 reports
INSOMNIA1,673 reports
PRODUCT USE ISSUE1,672 reports
MYALGIA1,646 reports
CONSTIPATION1,626 reports
RIGHT VENTRICULAR FAILURE1,616 reports
SEASONAL ALLERGY1,556 reports
CARDIAC FAILURE1,542 reports
DEVICE RELATED INFECTION1,534 reports
LOSS OF CONSCIOUSNESS1,522 reports
ABDOMINAL PAIN1,492 reports
DEHYDRATION1,490 reports
INFUSION SITE INFECTION1,485 reports
DRUG INEFFECTIVE1,449 reports
ANAEMIA1,429 reports
DYSPEPSIA1,395 reports
CARDIAC FAILURE CONGESTIVE1,371 reports
RESPIRATORY FAILURE1,367 reports
INFLUENZA1,358 reports
COVID 191,347 reports
INFUSION SITE HAEMORRHAGE1,342 reports
RASH1,320 reports
DRUG INTOLERANCE1,312 reports
URINARY TRACT INFECTION1,308 reports
MUSCLE SPASMS1,291 reports
PRURITUS1,286 reports
SEPSIS1,278 reports
MIGRAINE1,195 reports
ILLNESS1,188 reports
HOSPITALISATION1,181 reports
SWELLING1,165 reports
ATRIAL FIBRILLATION1,148 reports
SINUSITIS1,148 reports
INFECTION1,120 reports
PULMONARY OEDEMA1,116 reports
INJECTION SITE PAIN1,076 reports
HAEMOPTYSIS1,071 reports
SOMNOLENCE1,050 reports
GASTROINTESTINAL DISORDER1,040 reports

Key Safety Signals

  • Dyspnea and pneumonia are the most frequently reported reactions.
  • Hypotension and right ventricular failure are significant cardiovascular concerns.
  • Death and pulmonary arterial hypertension are serious adverse events.

Patient Demographics

Adverse event reports by sex: Female: 85,823, Male: 29,944, Unknown: 29. The most frequently reported age groups are age 66 (1,827 reports), age 64 (1,713 reports), age 65 (1,710 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 118,637 classified reports for TREPROSTINIL:

  • Serious: 68,747 reports (57.9%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 49,890 reports (42.1%)
Serious 57.9%Non-Serious 42.1%

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

Female85,823 (74.1%)
Male29,944 (25.9%)
Unknown29 (0.0%)

Reports by Age

Age 661,827 reports
Age 641,713 reports
Age 651,710 reports
Age 701,696 reports
Age 671,691 reports
Age 711,683 reports
Age 691,677 reports
Age 591,662 reports
Age 681,651 reports
Age 721,634 reports
Age 741,629 reports
Age 601,624 reports
Age 621,610 reports
Age 631,607 reports
Age 611,598 reports
Age 571,548 reports
Age 731,545 reports
Age 581,522 reports
Age 751,517 reports
Age 551,501 reports

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

Drug Interactions & Warnings

Treprostinil can cause hypotension and should be used with caution in patients with pre-existing cardiovascular conditions. Drug interactions are not well-documented, but patients should inform their healthcare provider of all medications they are ta

What You Should Know

If you are taking Treprostinil, here are important things to know. The most commonly reported side effects include dyspnoea, headache, diarrhoea, nausea, cough. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor patients for signs of respiratory distress and cardiovascular issues, especially during the initial dosing period. Inform healthcare providers of any pre-existing conditions, particularly cardiovascular issues, before starting treprostinil. 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 the safety of treprostinil and has not issued any specific warnings or changes to the labeling based on this data.

Frequently Asked Questions

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

The FDA has received approximately 313,927 adverse event reports associated with Treprostinil. 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 Treprostinil?

The most frequently reported adverse events for Treprostinil include Dyspnoea, Headache, Diarrhoea, Nausea, Cough. By volume, the top reported reactions are: Dyspnoea (20,295 reports), Headache (16,274 reports), Diarrhoea (13,136 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Treprostinil.

What percentage of Treprostinil adverse event reports are serious?

Out of 118,637 classified reports, 68,747 (57.9%) were classified as serious and 49,890 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 Treprostinil (by sex)?

Adverse event reports for Treprostinil break down by patient sex as follows: Female: 85,823, Male: 29,944, Unknown: 29. 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 Treprostinil?

The most frequently reported age groups for Treprostinil adverse events are: age 66: 1,827 reports, age 64: 1,713 reports, age 65: 1,710 reports, age 70: 1,696 reports, age 67: 1,691 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 Treprostinil?

The primary manufacturer associated with Treprostinil adverse event reports is United Therapeutics Corporation. 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 Treprostinil?

Beyond the most common reactions, other reported adverse events for Treprostinil include: Dizziness, Fatigue, Death, Vomiting, Infusion Site Pain. 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 Treprostinil?

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

Treprostinil 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. Respiratory issues such as dyspnea and pneumonia are among the most common adverse events.

What are the key safety signals for Treprostinil?

Key safety signals identified in Treprostinil's adverse event data include: Dyspnea and pneumonia are the most frequently reported reactions.. Hypotension and right ventricular failure are significant cardiovascular concerns.. Death and pulmonary arterial hypertension are serious adverse events.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Treprostinil interact with other drugs?

Treprostinil can cause hypotension and should be used with caution in patients with pre-existing cardiovascular conditions. Drug interactions are not well-documented, but patients should inform their healthcare provider of all medications they are ta Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Treprostinil.

What should patients know before taking Treprostinil?

Monitor patients for signs of respiratory distress and cardiovascular issues, especially during the initial dosing period. Inform healthcare providers of any pre-existing conditions, particularly cardiovascular issues, before starting treprostinil.

Are Treprostinil side effects well-documented?

Treprostinil has 313,927 adverse event reports on file with the FDA. Cardiovascular events, including hypotension and right ventricular failure, are also frequent. The volume of reports for Treprostinil reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Treprostinil?

The FDA continues to monitor the safety of treprostinil and has not issued any specific warnings or changes to the labeling based on this data. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

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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.