Drugs › Non-Standardized chemical allergen
Brand name · Docosanol
Abreva: adverse event reports filed with FDA
13,634 reports list it as a suspect or interacting product, 2004–2026. Class: Non-Standardized chemical allergen.
- 13,634
- reports as suspect product
- 0.1% of all reports · about 606 a year
- 96
- reports, 12 months to June 2026
- 174 in the 12 months before
- 0.7%
- marked serious by the reporter
- 7.3% across the class
- 0%
- record death among outcomes, as reported
- 0 reports · not verified by FDA
13,634 adverse event reports received by FDA list the brand name Abreva (docosanol) as a suspect or interacting product, from January 2004 to June 2026. A further 283 reports list it only as a concomitant medication, and those are not counted in the figures on this page.
In the 12 months to June 2026, 96 reports listed it, down 45% from 174 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 606 reports a year and 0.1% of the 20,646,523 reports in the database, and 86.7% of the reports for the non-Standardized chemical allergen class. How many people take it is not in the data, so a count is not a rate of occurrence.
The MedDRA terms listed most often are drug ineffective (48.7%), oral herpes (17.4%) and condition aggravated (13.9%). A report can list several reactions, so shares add to more than 100%; 270 different terms appear across these reports. Drug ineffective is recorded in 48.7% of these reports, about the same share as in the median non-Standardized chemical allergen drug (48.7%).
0.7% of the reports are marked serious by the reporter (7.3% across the class); 0% record death among the outcomes and 0.2% record hospitalisation, as reported. 99.4% of the reports came from consumers, and the largest patient age group is 18 to 44 (24.2%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."
Reports by month, five years
Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.
By year received
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Abreva reports recording the termmedian drug in non-standardized chemical allergen
- Drug ineffectivethe medicine did not work as expected48.7%6,639
- Oral herpesa cold sore17.4%2,379
- Condition aggravatedthe condition being treated got worse13.9%1,892
- Drug administration errora mistake in giving the medicine13%1,773
- Herpes simplexa cold sore or genital herpes5.1%702
- Wrong technique in product usage processthe product was used in the wrong way3.9%536
- Product quality issuea problem with the product itself3.9%535
- Lip swellingswollen lips3.9%534
- Inappropriate schedule of drug administrationthe medicine was taken at the wrong times3.6%489
- Application site pain3.2%437
- Inappropriate schedule of product administrationthe product was taken at the wrong times2.8%387
- Product complaint2.7%366
- Hypersensitivityan allergic-type reaction2.2%301
- Swelling facea swollen face2%277
- Application site erythemaredness where the product was applied1.8%242
- Application site irritation1.7%226
- Product use in unapproved indicationused for a purpose not on the label1.5%208
- Application site swelling1.5%204
- Product use issuea problem in how the product was used1.3%183
- Expired product administeredthe product was used past its expiry date1.2%169
- Application site scab1.2%165
- Intentional drug misuse1.1%151
- Oral discomfort1.1%151
- Lip pain1.1%144
- Rashskin rash1%142
- Cheilitis1%139
- Lip dry0.9%122
- Application site reactiona reaction where the product was applied0.9%120
Top 30 of 270 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 3 drugs in the non-standardized chemical allergen class; it describes the reports, not the patients. 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."
Outcomes recorded
Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 15,731 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."
Patients and reporters
Patient age
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.9% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Oral herpes | 7,263 | 53.3% |
| Aphthous ulcer | 59 | 0.4% |
| Chapped lips | 41 | 0.3% |
| Herpes virus infection | 31 | 0.2% |
| Aphthous stomatitis | 19 | 0.1% |
| Herpes zoster | 17 | 0.1% |
The indication field is filled in by the reporter and is often blank; shares are of all 13,634 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Abreva reports |
|---|---|---|
| Humira | 35 | 0.3% |
| Enbrel | 27 | 0.2% |
| Actemra | 26 | 0.2% |
| Arava | 26 | 0.2% |
| Ergocalciferol | 26 | 0.2% |
| Lasix | 26 | 0.2% |
| Valtrex | 26 | 0.2% |
| Zenpep | 26 | 0.2% |
| Hydrocortisone | 25 | 0.2% |
| Rituxan | 25 | 0.2% |
Other products listed in reports where Abreva is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.
In context
| Measure | Abreva | Non-Standardized chemical allergen | All reports |
|---|---|---|---|
| Reports as suspect product | 13,634 | 15,731 | 20,646,523 |
| Share of that pool | — | 86.7% | 0.1% |
| Reports, latest 12 months | 96 | — | 1,332,454 |
| Marked serious | 0.7% | 7.3% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 0 | 2 | 91 |
| Hospitalisation recorded, per 1,000 reports | 2 | 29 | 213 |
| Consumer-filed share | 99.4% | 94.7% | 45.8% |
| Top term, share of reports | Drug ineffective 48.7% | median 48.7% | 6.3% |
Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. 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."
Other drugs in the non-standardized chemical allergen class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Refresh Optive | brand | 1,206 | 54 | 18.8% |
| Glycerin | generic | 891 | 58 | 93.2% |
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." A brand and its generic are separate rows because reporters name them separately.
Questions about Abreva reports
How many adverse event reports has FDA received for Abreva?
13,634 reports list Abreva as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 96 of them arrived in the latest 12 months. Another 283 list it only as a concomitant medication.
What reactions are recorded in Abreva reports?
drug ineffective (48.7%), oral herpes (17.4%), condition aggravated (13.9%), drug administration error (13%) and incorrect drug administration duration (5.9%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Abreva was responsible.
How serious are the reports?
0.7% are marked serious by the reporter. Among the outcomes recorded, 0% of reports include death and 0.2% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.
Who files these reports?
consumer or non-health professional (99.4%), physician (0.2%) and other health professional (0.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Abreva rising?
96 reports in the 12 months to June 2026, down 45% from 174 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.
Do these reports show that Abreva was responsible for these reactions?
No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.
Is this a list of the side effects of Abreva?
No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.
How do I report an adverse event?
Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. 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 report counts here when it lists Abreva as a suspect or interacting product; reports listing it only as a concomitant medication (283) are excluded. 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.