Reported Reactions

Drugs › Retinoid

Generic name

Acitretin: adverse event reports filed with FDA

2,211 reports list it as a suspect or interacting product, 2004–2026. Class: Retinoid. Also reported as Acitretin Capsule, Acitretin Capsules Usp.

2,211
reports as suspect product
0% of all reports · about 99 a year
107
reports, 12 months to June 2026
220 in the 12 months before
83.9%
marked serious by the reporter
49.6% across the class
4%
record death among outcomes, as reported
88 reports · not verified by FDA

2,211 adverse event reports received by FDA list acitretin, a generic name as a suspect or interacting product, from February 2004 to June 2026. A further 2,767 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, 107 reports listed it, down 51% from 220 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 99 reports a year and 0% of the 20,646,523 reports in the database, and 3.4% of the reports for the retinoid 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 (29.3%), psoriasis (14.4%) and off label use (12.2%). A report can list several reactions, so shares add to more than 100%; 655 different terms appear across these reports. Drug ineffective is recorded in 29.3% of these reports, a larger share than in the median retinoid drug (3%).

83.9% of the reports are marked serious by the reporter (49.6% across the class); 4% record death among the outcomes and 19.6% record hospitalisation, as reported. 38.3% of the reports came from physicians, and the largest patient age group is 45 to 64 (31%). 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

02039Jul 2021: 9Aug 2021: 15Sep 2021: 17Oct 2021: 8Nov 2021: 9Dec 2021: 82022Jan 2022: 16Feb 2022: 23Mar 2022: 20Apr 2022: 16May 2022: 22Jun 2022: 11Jul 2022: 7Aug 2022: 21Sep 2022: 7Oct 2022: 13Nov 2022: 10Dec 2022: 212023Jan 2023: 14Feb 2023: 14Mar 2023: 19Apr 2023: 16May 2023: 19Jun 2023: 33Jul 2023: 18Aug 2023: 29Sep 2023: 30Oct 2023: 28Nov 2023: 31Dec 2023: 142024Jan 2024: 4Feb 2024: 18Mar 2024: 17Apr 2024: 33May 2024: 20Jun 2024: 13Jul 2024: 39Aug 2024: 27Sep 2024: 14Oct 2024: 18Nov 2024: 11Dec 2024: 122025Jan 2025: 8Feb 2025: 11Mar 2025: 22Apr 2025: 28May 2025: 24Jun 2025: 6Jul 2025: 5Aug 2025: 11Sep 2025: 17Oct 2025: 15Nov 2025: 9Dec 2025: 72026Jan 2026: 9Feb 2026: 8Mar 2026: 10Apr 2026: 5May 2026: 6Jun 2026: 5

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

01332652004: 1820042005: 512006: 722007: 6920072008: 592009: 582010: 3120102011: 282012: 262013: 3020132014: 512015: 652016: 7320162017: 962018: 1272019: 14620192020: 1622021: 1652022: 18720222023: 2652024: 2262025: 16320252026: 43

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Acitretin reports recording the termmedian drug in retinoid

  1. Drug ineffectivethe medicine did not work as expected29.3%648
  2. Psoriasispsoriasis, a skin condition14.4%319
  3. Off label useused for a purpose or in a way not on the label12.2%269
  4. Treatment failurethe treatment did not work6.5%143
  5. Condition aggravatedthe condition being treated got worse6.2%138
  6. Diarrhoealoose or frequent stools6.1%134
  7. Pruritusitching5.7%126
  8. Hypertensionhigh blood pressure5.7%125
  9. Arthralgiajoint pain5.5%122
  10. Nauseafeeling sick3.8%85
  11. Drug intolerancethe medicine was not tolerated3.7%82
  12. Skin exfoliationpeeling skin3.7%81
  13. Product use in unapproved indicationused for a purpose not on the label3.5%78
  14. Fatiguetiredness3.3%73
  15. Alopeciahair loss3.1%69
  16. Painpain, site not specified3.1%68
  17. Erythemaskin redness2.9%65
  18. Drug exposure during pregnancythe medicine was taken during pregnancy2.7%60
  19. Rashskin rash2.7%59
  20. Abdominal discomfortstomach discomfort2.5%55
  21. Pregnancypregnancy2.4%52
  22. Dry skindry skin2.3%51
  23. Astheniaweakness or lack of energy2.2%48
  24. Drug interactionan interaction between medicines2.2%48
  25. Urticariahives2.2%48

Top 30 of 655 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 11 drugs in the retinoid 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

Death4%88
Life-threatening2.8%61
Hospitalisation (initial or prolonged)19.6%434
Disability1.9%42
Congenital anomaly0.7%16
Other serious70.4%1,557
Not serious16.1%357

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 65,827 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 20.6%13
2 to 111.1%25
12 to 170.9%20
18 to 4416.6%368
45 to 6431%686
65 to 7412.6%278
75 and over6.7%148
Age not given30.4%673

Patient sex

Female43%951
Male45.4%1,004
Not given11.6%256

Who reported

Physician38.3%846
Pharmacist3.3%72
Other health professional35.3%781
Lawyer0.1%2
Consumer or non-health professional19%419
Not given4.1%91

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 24.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Psoriasis62228.1%
Pustular psoriasis1155.2%
Pityriasis rubra pilaris723.3%
Erythrodermic psoriasis411.9%
Lichen planus411.9%
Hidradenitis391.8%

The indication field is filled in by the reporter and is often blank; shares are of all 2,211 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Acitretin reports
Methotrexate71132.2%
Cyclosporine41018.5%
Adalimumab30413.7%
Prednisone1978.9%
Cosentyx1888.5%
Stelara1667.5%
Secukinumab1607.2%
Humira1516.8%
Infliximab1456.6%
Clobetasol1386.2%

Other products listed in reports where Acitretin 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

MeasureAcitretinRetinoidAll reports
Reports as suspect product2,21165,82720,646,523
Share of that pool—3.4%0%
Reports, latest 12 months107—1,332,454
Marked serious83.9%49.6%57.4%
Death recorded among outcomes, per 1,000 reports402591
Hospitalisation recorded, per 1,000 reports19686213
Consumer-filed share19%34.4%45.8%
Top term, share of reportsDrug ineffective 29.3%median 3%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 retinoid class

DrugName typeReportsLatest 12 monthsMarked serious
Isotretinoingeneric14,8522,17753.4%
Accutanebrand12,31740677%
Zenatanebrand7,23978325.6%
Claravisbrand7,01921766.4%
Amnesteembrand6,0354945.4%
Differinbrand4,892703%
Adapalenegeneric4,7202,9641.7%
Tretinoingeneric3,41536572.4%
Absoricabrand2,5181837.8%
Targretinbrand6091079.3%

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 Acitretin reports

How many adverse event reports has FDA received for Acitretin?

2,211 reports list Acitretin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 107 of them arrived in the latest 12 months. Another 2,767 list it only as a concomitant medication.

What reactions are recorded in Acitretin reports?

drug ineffective (29.3%), psoriasis (14.4%), off label use (12.2%), treatment failure (6.5%) and condition aggravated (6.2%). 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 Acitretin was responsible.

How serious are the reports?

83.9% are marked serious by the reporter. Among the outcomes recorded, 4% of reports include death and 19.6% 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?

physician (38.3%), other health professional (35.3%) and consumer or non-health professional (19%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Acitretin rising?

107 reports in the 12 months to June 2026, down 51% from 220 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 Acitretin 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 Acitretin?

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 Acitretin as a suspect or interacting product; reports listing it only as a concomitant medication (2,767) 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.