Reported Reactions

Drug classes

Pharmacologic class (EPC) · 2 drug pages

Pyridone: adverse event reports filed with FDA

38,749 reports list a drug in this class as a suspect or interacting product, 2009–2026.

38,749
reports across the class
0.2% of all reports
918
reports, 12 months to June 2026
1,120 in the 12 months before
55%
marked serious by the reporter
57.4% across all reports
2
drugs with a page
brand and generic names counted separately

Pyridone is a pharmacologic class (an FDA Established Pharmacologic Class) with 2 drug pages on this site. Together those drugs are listed as a suspect or interacting product in 38,749 adverse event reports received by FDA, 0.2% of the database, from April 2009 to June 2026.

918 reports arrived in the 12 months to June 2026, down 18% from 1,120 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. 55% of the class's reports are marked serious, 23.5% record death among the outcomes and 18.7% record hospitalisation, as reported.

Across the class the reactions recorded most often are death (19%), nausea (13%) and fatigue (9.5%). 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
EsbrietPirfenidonebrand35,23020951.9%Death
Pirfenidonegeneric3,51970986.2%Death

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

01,2222,444Jul 2021: 227Aug 2021: 249Sep 2021: 192Oct 2021: 207Nov 2021: 206Dec 2021: 2112022Jan 2022: 214Feb 2022: 308Mar 2022: 261Apr 2022: 2,444May 2022: 227Jun 2022: 202Jul 2022: 207Aug 2022: 210Sep 2022: 158Oct 2022: 107Nov 2022: 134Dec 2022: 1182023Jan 2023: 159Feb 2023: 146Mar 2023: 195Apr 2023: 1,903May 2023: 141Jun 2023: 144Jul 2023: 158Aug 2023: 122Sep 2023: 90Oct 2023: 92Nov 2023: 109Dec 2023: 1292024Jan 2024: 145Feb 2024: 121Mar 2024: 117Apr 2024: 502May 2024: 91Jun 2024: 73Jul 2024: 148Aug 2024: 74Sep 2024: 104Oct 2024: 108Nov 2024: 76Dec 2024: 1192025Jan 2025: 110Feb 2025: 94Mar 2025: 62Apr 2025: 88May 2025: 78Jun 2025: 59Jul 2025: 71Aug 2025: 65Sep 2025: 84Oct 2025: 77Nov 2025: 96Dec 2025: 862026Jan 2026: 31Feb 2026: 44Mar 2026: 76Apr 2026: 99May 2026: 77Jun 2026: 112

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. Deaththe patient died; cause not stated by this term19%7,358
  2. Nauseafeeling sick13%5,028
  3. Fatiguetiredness9.5%3,674
  4. Decreased appetitereduced appetite8.2%3,186
  5. Diarrhoealoose or frequent stools8%3,113
  6. Dyspnoeashortness of breath6.7%2,610
  7. Weight decreasedweight loss5.6%2,175
  8. Dizzinesslight-headedness or unsteadiness5.4%2,074
  9. Rashskin rash5.2%2,022
  10. Coughcough4.5%1,732
  11. Vomitingbeing sick4.5%1,732
  12. Pneumonialung infection4.4%1,699
  13. Abdominal discomfortstomach discomfort4.3%1,653
  14. Abdominal pain upperupper stomach pain3.8%1,480
  15. Off label useused for a purpose or in a way not on the label3.6%1,384
  16. Headachehead pain3.5%1,374
  17. Astheniaweakness or lack of energy3.5%1,367
  18. Malaisegeneral feeling of being unwell3.3%1,285
  19. No adverse eventno adverse event was reported3.1%1,213
  20. Dyspepsiaindigestion3%1,165
  21. Pruritusitching2.7%1,062
  22. Insomniadifficulty sleeping2.6%1,000
  23. Constipationconstipation2%763
  24. Drug ineffectivethe medicine did not work as expected2%763
  25. Photosensitivity reactionskin reaction to sunlight1.9%722

Solid bar: share of all class reports. Hollow bar: the median share across the 2 member drugs, the reference used on each member's page. One report can record several terms.

Outcomes, patients and reporters

Outcomes recorded

Death23.5%9,114
Life-threatening0.7%274
Hospitalisation (initial or prolonged)18.7%7,261
Disability0.4%140
Congenital anomaly0%6
Other serious17.7%6,876
Not serious45%17,430

Patient age

Under 20%12
2 to 110%7
12 to 170%8
18 to 440.2%93
45 to 645.6%2,162
65 to 7416%6,182
75 and over22.5%8,737
Age not given55.6%21,548

Who reported

Physician14.7%5,681
Pharmacist4%1,569
Other health professional14%5,427
Lawyer0%1
Consumer or non-health professional66.2%25,640
Not given1.1%431

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 Pyridone reports

Which drugs are in the Pyridone class on this site?

Esbriet and Pirfenidone. Class membership comes from the pharmacologic class (EPC) on the drug's FDA label.

How many reports does the class have?

38,749 reports through June 2026, 918 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?

death (19%), nausea (13%), fatigue (9.5%), decreased appetite (8.2%) and diarrhoea (8%).

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.