Reported Reactions

Drug classes

Pharmacologic class (EPC) · 74 drug pages

Corticosteroid: adverse event reports filed with FDA

808,789 reports list a drug in this class as a suspect or interacting product, 2004–2026.

808,789
reports across the class
3.9% of all reports
62,248
reports, 12 months to June 2026
73,086 in the 12 months before
77.7%
marked serious by the reporter
57.4% across all reports
74
drugs with a page
brand and generic names counted separately

Corticosteroid is a pharmacologic class (an FDA Established Pharmacologic Class) with 74 drug pages on this site. Together those drugs are listed as a suspect or interacting product in 808,789 adverse event reports received by FDA, 3.9% of the database, from January 2004 to June 2026.

62,248 reports arrived in the 12 months to June 2026, down 15% from 73,086 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. 77.7% of the class's reports are marked serious, 14.6% record death among the outcomes and 33.6% record hospitalisation, as reported.

Across the class the reactions recorded most often are drug ineffective (15%), off label use (11.4%) and dyspnoea (9.2%). The class median share shown beside each term is the middle value across the member drugs; it is the comparison used on every drug page in this class.

The members table is ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Drugs in the class

DrugName typeReportsLatest 12 monthsMarked seriousTop term recorded
Prednisonegeneric183,86715,61491.4%Drug ineffective
Dexamethasonegeneric129,6779,21695.1%Off label use
Prednisolonegeneric87,8066,62497.6%Off label use
Methylprednisolonegeneric49,5374,43095.2%Drug ineffective
SymbicortBudesonide and formoterol fumarate dihydratebrand39,1191,17750.6%Dyspnoea
Breo ElliptaFluticasone furoate and vilanterol trifenatatebrand22,22062831.7%Dyspnoea
Hydrocortisonegeneric21,2632,38689.5%Drug ineffective
Advair DiskusFluticasone propionate and salmeterolbrand20,51812029%Dyspnoea
Advair HfaFluticasone propionate and salmeterol xinafoatebrand19,62258954.9%Asthma
Budesonidegeneric14,7141,08382.2%Drug ineffective
Desoximetasonegeneric12,2091,52599.2%Systemic lupus erythematosus
FloventFluticasone propionatebrand10,77217142.1%Drug ineffective
Methylprednisolone sodium succinategeneric10,7721,63097.8%Off label use
Solu-medrolgeneric10,28843288.8%Drug ineffective
CiproCiprofloxacinbrand9,79110857.3%Drug hypersensitivity
Triamcinolone acetonidegeneric9,6511,42473.5%Drug ineffective
FlonaseFluticasone propionatebrand9,39314214.1%Drug ineffective
Cortisone acetategeneric9,2681,08097.6%Systemic lupus erythematosus
DuleraMometasone furoate and formoterol fumarate dihydratebrand7,2592413.2%Product quality issue
Fluticasone propionategeneric7,22559653.1%Drug ineffective
BreztriBudesonide, glycopyrrolate, and formoterol fumaratebrand7,1861,95740%Device delivery system issue
CortisoneHydrocortisonebrand6,18659888.6%Fatigue
NasonexMometasone furoatebrand5,38716754.9%Product quality issue
Fluticasone propionate and salmeterolgeneric5,3871,00555.8%Product dose omission issue
TarpeyoBudesonidebrand5,3651,38319.3%Product dose omission issue
AsmanexMometasone furoatebrand4,80887.1%No adverse event
MedrolMethylprednisolonebrand4,58212581.8%Drug hypersensitivity
Dexamethasone sodium phosphategeneric4,54781692.2%Off label use
Pulmicort FlexhalerBudesonidebrand4,350115.1%Dyspnoea
FluticasoneFluticasone propionatebrand4,27940368.1%Drug ineffective
Nasacort Allergy 24HRTriamcinolone acetonidebrand4,1961795.2%Drug ineffective
Prednisolone acetategeneric3,61720134.9%Treatment failure
Hydrocortisone acetategeneric3,56437292.9%Drug ineffective
EmflazaDeflazacortbrand3,3841424.8%Weight increased
Mometasone furoategeneric3,03730477.6%Asthma
Arnuity ElliptaFluticasone furoatebrand2,60717426.7%Wrong technique in device usage process
Fluticasone furoategeneric2,53926697%Drug ineffective
OzurdexDexamethasonebrand2,50627467.8%Endophthalmitis
Clobetasol propionategeneric2,48619942.2%Drug ineffective
Methylprednisolone acetategeneric2,46734792.3%Off label use
Hydrocortisone sodium succinategeneric2,34343999.1%Off label use
Depo-MedrolMethylprednisolone acetatebrand2,1815575.8%Pain
TopicortDesoximetasonebrand2,16318596%Systemic lupus erythematosus
Betamethasone dipropionategeneric2,04322377.7%Drug ineffective
Wixela InhubFluticasone propionate and salmeterolbrand2,00018511.8%Device issue
Mometasonegeneric1,76618382.6%Asthma
RyaltrisOlopatadine hydrochloride and mometasone furoatebrand1,7357416.6%Device delivery system issue
Qvar RedihalerBeclomethasone dipropionate hfabrand1,7335219.4%Drug ineffective
Prednisolone sodium phosphategeneric1,72714092%Drug ineffective
Pulmicort RespulesBudesonidebrand1,7103040.1%Dyspnoea
XhanceFluticasone propionatebrand1,5931437%Product use in unapproved indication
Kenalog-40Triamcinolone acetonidebrand1,5401430.3%Product storage error
Betamethasone valerategeneric1,39110592.7%Drug ineffective
Hydrocortisone butyrategeneric1,36830997.6%Off label use
Desonidegeneric1,2705776.8%Drug ineffective
LotemaxLoteprednol etabonatebrand1,2472522.7%Off label use
DymistaAzelastine hydrochloride and fluticasone propionatebrand1,1343738.3%Drug ineffective
AirsupraAlbuterol sulfate and budesonidebrand97255613.3%Device delivery system issue
Fluocinonidegeneric9353720.3%Drug ineffective
Beclomethasone dipropionategeneric91813492.6%Dyspnoea
QnaslBeclomethasone dipropionatebrand87599%Nasal discomfort
Solu-cortefgeneric8134086.1%Off label use
Fluorometholonegeneric7719343.2%Treatment failure
UcerisBudesonidebrand769140.2%Off label use
YutiqFluocinolone acetonidebrand736806%Off label use
IluvienFluocinolone acetonidebrand73010655.8%Intraocular pressure increased
Asmanex HfaMometasone furoatebrand70567.2%No adverse event
Pred FortePrednisolone acetatebrand7033945.9%Drug ineffective
NasacortTriamcinolone acetonidebrand6242734.8%Drug ineffective
Budesonide and formoterol fumarategeneric611096.9%Asthma
BreynaBudesonide and formoterol fumaratebrand6113116.2%Device delivery system issue
CortefHydrocortisonebrand588868%Fatigue
Deflazacortgeneric5316296.8%Off label use
Tri-LumaFluocinolone acetonide, hydroquinone, and tretinoinbrand502244.2%Erythema

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Reports by month, five years

04,0928,183Jul 2021: 5,872Aug 2021: 5,762Sep 2021: 6,741Oct 2021: 5,816Nov 2021: 5,678Dec 2021: 7,2842022Jan 2022: 5,242Feb 2022: 5,106Mar 2022: 6,154Apr 2022: 5,420May 2022: 5,800Jun 2022: 5,695Jul 2022: 4,742Aug 2022: 5,210Sep 2022: 5,671Oct 2022: 5,263Nov 2022: 6,055Dec 2022: 6,7762023Jan 2023: 5,291Feb 2023: 5,727Mar 2023: 5,753Apr 2023: 5,472May 2023: 6,450Jun 2023: 6,051Jul 2023: 5,448Aug 2023: 6,391Sep 2023: 5,572Oct 2023: 5,697Nov 2023: 5,180Dec 2023: 5,8922024Jan 2024: 5,246Feb 2024: 5,633Mar 2024: 6,066Apr 2024: 6,323May 2024: 6,656Jun 2024: 5,522Jul 2024: 6,759Aug 2024: 6,225Sep 2024: 5,615Oct 2024: 8,183Nov 2024: 6,043Dec 2024: 7,9232025Jan 2025: 5,571Feb 2025: 5,733Mar 2025: 5,962Apr 2025: 5,192May 2025: 3,930Jun 2025: 5,950Jul 2025: 6,945Aug 2025: 5,407Sep 2025: 5,526Oct 2025: 4,577Nov 2025: 5,612Dec 2025: 5,4212026Jan 2026: 4,872Feb 2026: 5,199Mar 2026: 5,307Apr 2026: 4,669May 2026: 4,026Jun 2026: 4,687

FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

Reactions recorded across the class

share of class reports recording the termmedian drug in the class

  1. Drug ineffectivethe medicine did not work as expected15%121,620
  2. Off label useused for a purpose or in a way not on the label11.4%92,032
  3. Dyspnoeashortness of breath9.2%74,051
  4. Fatiguetiredness6.9%55,765
  5. Painpain, site not specified6.6%53,147
  6. Asthmaasthma5.9%48,061
  7. Condition aggravatedthe condition being treated got worse5.6%45,277
  8. Rashskin rash5.3%42,555
  9. Pneumonialung infection5.1%41,149
  10. Pyrexiafever4.9%39,702
  11. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease4.9%39,395
  12. Headachehead pain4.7%38,317
  13. Wheezingwheezing4.6%37,374
  14. Product use in unapproved indicationused for a purpose not on the label4.5%36,184
  15. Nauseafeeling sick4.4%35,489
  16. Abdominal discomfortstomach discomfort4.3%35,177
  17. Alopeciahair loss4.3%35,084
  18. Systemic lupus erythematosuslupus, an autoimmune disease4.3%34,886
  19. Hypersensitivityan allergic-type reaction4.2%34,247
  20. Arthralgiajoint pain4.1%33,418
  21. Drug intolerancethe medicine was not tolerated4.1%33,236
  22. Diarrhoealoose or frequent stools4.1%32,871
  23. Infusion related reactiona reaction during or soon after an infusion4.1%32,786
  24. Swellingswelling4%32,349
  25. Pemphigus4%32,259

Solid bar: share of all class reports. Hollow bar: the median share across the 74 member drugs, the reference used on each member's page. One report can record several terms.

Outcomes, patients and reporters

Outcomes recorded

Death14.6%118,319
Life-threatening9.5%76,767
Hospitalisation (initial or prolonged)33.6%271,687
Disability6.1%49,299
Congenital anomaly2.2%17,845
Other serious57.4%464,168
Not serious22.3%180,095

Patient age

Under 20.8%6,212
2 to 112.9%23,796
12 to 172%16,322
18 to 4414.9%120,633
45 to 6421.1%170,487
65 to 7413.4%108,275
75 and over9.4%76,084
Age not given35.5%286,980

Who reported

Physician27.5%222,223
Pharmacist3.1%25,266
Other health professional37%299,310
Lawyer0.2%1,294
Consumer or non-health professional29.1%235,419
Not given3.1%25,277

Grey bar: all 20,646,523 reports in the database. Outcome flags are as the reporter set them and are not verified by FDA.

Questions about Corticosteroid reports

Which drugs are in the Corticosteroid class on this site?

Prednisone, Dexamethasone, Prednisolone, Methylprednisolone, Symbicort and Breo Ellipta and 68 more. Class membership comes from the pharmacologic class (EPC) on the drug's FDA label.

How many reports does the class have?

808,789 reports through June 2026, 62,248 of them in the latest 12 months. A report listing two drugs of the class counts once for each.

What reactions are recorded most often?

drug ineffective (15%), off label use (11.4%), dyspnoea (9.2%), fatigue (6.9%) and pain (6.6%).

Can the members table be used to rank the drugs?

No. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." Drugs differ in how many people take them, in the conditions they treat, in time on the market and in how diligently reports are collected.

How do I report an adverse event?

Through FDA MedWatch (Form FDA 3500, or 1-800-FDA-1088) or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A class is the Established Pharmacologic Class most often attached to a drug's reports by openFDA's label harmonisation, or from the NDC Directory where reports carry none. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.