Reported Reactions

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

062124Jul 2021: 23Aug 2021: 35Sep 2021: 18Oct 2021: 20Nov 2021: 55Dec 2021: 442022Jan 2022: 27Feb 2022: 25Mar 2022: 24Apr 2022: 22May 2022: 15Jun 2022: 20Jul 2022: 22Aug 2022: 15Sep 2022: 17Oct 2022: 23Nov 2022: 39Dec 2022: 242023Jan 2023: 51Feb 2023: 97Mar 2023: 124Apr 2023: 21May 2023: 19Jun 2023: 15Jul 2023: 20Aug 2023: 22Sep 2023: 22Oct 2023: 32Nov 2023: 18Dec 2023: 462024Jan 2024: 24Feb 2024: 22Mar 2024: 20Apr 2024: 27May 2024: 22Jun 2024: 10Jul 2024: 18Aug 2024: 17Sep 2024: 15Oct 2024: 17Nov 2024: 8Dec 2024: 72025Jan 2025: 16Feb 2025: 19Mar 2025: 14Apr 2025: 14May 2025: 16Jun 2025: 13Jul 2025: 9Aug 2025: 11Sep 2025: 7Oct 2025: 4Nov 2025: 4Dec 2025: 132026Jan 2026: 12Feb 2026: 6Mar 2026: 6Apr 2026: 10May 2026: 8Jun 2026: 6

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

01,0512,1012004: 120042005: 1,1522006: 1,3492007: 1,64720072008: 32009: 62010: 920102011: 82012: 32013: 2,10120132014: 2042015: 1,3152016: 95020162017: 9892018: 1,0542019: 83020192020: 4482021: 4102022: 27320222023: 4872024: 2072025: 14020252026: 48

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

  1. Drug ineffectivethe medicine did not work as expected48.7%6,639
  2. Oral herpesa cold sore17.4%2,379
  3. Condition aggravatedthe condition being treated got worse13.9%1,892
  4. Drug administration errora mistake in giving the medicine13%1,773
  5. Herpes simplexa cold sore or genital herpes5.1%702
  6. Wrong technique in product usage processthe product was used in the wrong way3.9%536
  7. Product quality issuea problem with the product itself3.9%535
  8. Lip swellingswollen lips3.9%534
  9. Inappropriate schedule of drug administrationthe medicine was taken at the wrong times3.6%489
  10. Inappropriate schedule of product administrationthe product was taken at the wrong times2.8%387
  11. Hypersensitivityan allergic-type reaction2.2%301
  12. Swelling facea swollen face2%277
  13. Application site erythemaredness where the product was applied1.8%242
  14. Product use in unapproved indicationused for a purpose not on the label1.5%208
  15. Application site swelling1.5%204
  16. Product use issuea problem in how the product was used1.3%183
  17. Expired product administeredthe product was used past its expiry date1.2%169
  18. Application site scab1.2%165
  19. Lip pain1.1%144
  20. Rashskin rash1%142
  21. Lip dry0.9%122
  22. 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

Death0%0
Life-threatening0%3
Hospitalisation (initial or prolonged)0.2%29
Disability0%1
Congenital anomaly0%0
Other serious0.6%87
Not serious99.3%13,537

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

Under 20%4
2 to 110.5%69
12 to 170.9%120
18 to 4424.2%3,305
45 to 6421.7%2,960
65 to 749.2%1,255
75 and over6.4%874
Age not given37%5,047

Patient sex

Female64.8%8,832
Male21.8%2,972
Not given13.4%1,830

Who reported

Physician0.2%33
Pharmacist0.1%7
Other health professional0.2%27
Lawyer0%1
Consumer or non-health professional99.4%13,557
Not given0.1%9

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)ReportsShare
Oral herpes7,26353.3%
Aphthous ulcer590.4%
Chapped lips410.3%
Herpes virus infection310.2%
Aphthous stomatitis190.1%
Herpes zoster170.1%

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)ReportsShare of Abreva reports
Humira350.3%
Enbrel270.2%
Actemra260.2%
Arava260.2%
Ergocalciferol260.2%
Lasix260.2%
Valtrex260.2%
Zenpep260.2%
Hydrocortisone250.2%
Rituxan250.2%

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

MeasureAbrevaNon-Standardized chemical allergenAll reports
Reports as suspect product13,63415,73120,646,523
Share of that pool—86.7%0.1%
Reports, latest 12 months96—1,332,454
Marked serious0.7%7.3%57.4%
Death recorded among outcomes, per 1,000 reports0291
Hospitalisation recorded, per 1,000 reports229213
Consumer-filed share99.4%94.7%45.8%
Top term, share of reportsDrug 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

DrugName typeReportsLatest 12 monthsMarked serious
Refresh Optivebrand1,2065418.8%
Glyceringeneric8915893.2%

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.