Reported Reactions

Drugs › Corticosteroid

Brand name · Fluticasone propionate and salmeterol xinafoate

Advair Hfa: adverse event reports filed with FDA

19,622 reports list it as a suspect or interacting product, 2004–2026. Class: Corticosteroid.

19,622
reports as suspect product
0.1% of all reports · about 889 a year
589
reports, 12 months to June 2026
748 in the 12 months before
54.9%
marked serious by the reporter
77.7% across the class
4.8%
record death among outcomes, as reported
946 reports · not verified by FDA

19,622 adverse event reports received by FDA list the brand name Advair Hfa (fluticasone propionate and salmeterol xinafoate) as a suspect or interacting product, from June 2004 to June 2026. A further 39,801 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, 589 reports listed it, down 21% from 748 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 889 reports a year and 0.1% of the 20,646,523 reports in the database, and 2.4% of the reports for the corticosteroid class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded asthma (25.8%), dyspnoea (25.3%) and wheezing (14.4%). A report can list several reactions, so shares add to more than 100%; 1,601 different terms appear across these reports. Asthma is recorded in 25.8% of these reports, a larger share than in the median corticosteroid drug (5%).

54.9% of the reports are marked serious by the reporter (77.7% across the class); 4.8% record death among the outcomes and 25.7% record hospitalisation, as reported. 77.6% of the reports came from consumers, and the largest patient age group is 45 to 64 (19.9%). 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

067134Jul 2021: 134Aug 2021: 84Sep 2021: 82Oct 2021: 87Nov 2021: 64Dec 2021: 482022Jan 2022: 71Feb 2022: 64Mar 2022: 82Apr 2022: 52May 2022: 64Jun 2022: 53Jul 2022: 58Aug 2022: 50Sep 2022: 66Oct 2022: 55Nov 2022: 59Dec 2022: 592023Jan 2023: 41Feb 2023: 48Mar 2023: 73Apr 2023: 61May 2023: 59Jun 2023: 51Jul 2023: 33Aug 2023: 45Sep 2023: 60Oct 2023: 88Nov 2023: 52Dec 2023: 722024Jan 2024: 46Feb 2024: 103Mar 2024: 71Apr 2024: 75May 2024: 110Jun 2024: 39Jul 2024: 93Aug 2024: 64Sep 2024: 66Oct 2024: 102Nov 2024: 72Dec 2024: 592025Jan 2025: 39Feb 2025: 59Mar 2025: 53Apr 2025: 36May 2025: 34Jun 2025: 71Jul 2025: 63Aug 2025: 50Sep 2025: 55Oct 2025: 72Nov 2025: 91Dec 2025: 372026Jan 2026: 40Feb 2026: 44Mar 2026: 33Apr 2026: 31May 2026: 30Jun 2026: 43

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

02,3434,6852004: 53220042005: 22006: 1,6942007: 520072008: 1482009: 4992010: 1620102011: 1012012: 332013: 12520132014: 4,6852015: 1,4032016: 1,03220162017: 8292018: 1,1302019: 1,31320192020: 1,4652021: 1,4112022: 73320222023: 6832024: 9002025: 66020252026: 221

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Advair Hfa reports recording the termmedian drug in corticosteroid

  1. Asthmaasthma25.8%5,067
  2. Dyspnoeashortness of breath25.3%4,971
  3. Wheezingwheezing14.4%2,828
  4. Drug ineffectivethe medicine did not work as expected14.3%2,803
  5. Coughcough10.8%2,123
  6. Pneumonialung infection9.5%1,868
  7. Malaisegeneral feeling of being unwell7.3%1,435
  8. Drug hypersensitivityan allergic-type reaction to a medicine6.8%1,326
  9. Painpain, site not specified6.3%1,245
  10. Headachehead pain5.6%1,099
  11. Productive cougha cough with phlegm5.1%1,004
  12. Product quality issuea problem with the product itself4.7%926
  13. Off label useused for a purpose or in a way not on the label4.7%923
  14. Chronic obstructive pulmonary diseaseCOPD, a long-term lung disease4.7%922
  15. Hypersensitivityan allergic-type reaction4.4%862
  16. Dysphoniaa hoarse voice4.2%833
  17. Chest discomfortchest discomfort4.2%827
  18. Condition aggravatedthe condition being treated got worse4.2%819
  19. Fatiguetiredness4.1%807
  20. Vomitingbeing sick4%779
  21. Chest painchest pain3.9%772
  22. Hypertensionhigh blood pressure3.8%738
  23. Upper respiratory tract infectiona cold or similar infection3.5%677
  24. Overdosea dose above the recommended amount3.2%632
  25. Hyperhidrosisexcessive sweating3.2%622
  26. Pyrexiafever3.2%622

Top 30 of 1,601 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 74 drugs in the corticosteroid 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

Death4.8%946
Life-threatening1.6%314
Hospitalisation (initial or prolonged)25.7%5,048
Disability1.7%330
Congenital anomaly0.3%51
Other serious42.3%8,294
Not serious45.1%8,846

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 808,789 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 20.1%16
2 to 111.5%299
12 to 170.5%106
18 to 446.3%1,239
45 to 6419.9%3,910
65 to 7415.1%2,967
75 and over9.9%1,943
Age not given46.6%9,142

Patient sex

Female61.1%11,997
Male30.4%5,972
Not given8.4%1,653

Who reported

Physician8.7%1,710
Pharmacist0.9%170
Other health professional11.9%2,343
Lawyer0.3%54
Consumer or non-health professional77.6%15,220
Not given0.6%125

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 68.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Asthma4,95525.3%
Chronic obstructive pulmonary disease2,66413.6%
Dyspnoea2911.5%
Emphysema2081.1%
Respiratory disorder1290.7%
Bronchitis1100.6%

The indication field is filled in by the reporter and is often blank; shares are of all 19,622 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Advair Hfa reports
Albuterol sulfate3,24516.5%
Prednisone2,89514.8%
Singulair2,80814.3%
Tiotropium bromide2,49412.7%
Albuterol2,36412%
Flovent1,1706%
Mepolizumab1,0415.3%
Rituximab1,0005.1%
Aspirin9855%
Moxifloxacin hydrochloride9504.8%

Other products listed in reports where Advair Hfa 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

MeasureAdvair HfaCorticosteroidAll reports
Reports as suspect product19,622808,78920,646,523
Share of that pool—2.4%0.1%
Reports, latest 12 months589—1,332,454
Marked serious54.9%77.7%57.4%
Death recorded among outcomes, per 1,000 reports4814691
Hospitalisation recorded, per 1,000 reports257336213
Consumer-filed share77.6%29.1%45.8%
Top term, share of reportsAsthma 25.8%median 5%0.5%

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 corticosteroid class

DrugName typeReportsLatest 12 monthsMarked serious
Prednisonegeneric183,86715,61491.4%
Dexamethasonegeneric129,6779,21695.1%
Prednisolonegeneric87,8066,62497.6%
Methylprednisolonegeneric49,5374,43095.2%
Symbicortbrand39,1191,17750.6%
Breo Elliptabrand22,22062831.7%
Hydrocortisonegeneric21,2632,38689.5%
Advair Diskusbrand20,51812029%
Budesonidegeneric14,7141,08382.2%
Desoximetasonegeneric12,2091,52599.2%
Floventbrand10,77217142.1%
Methylprednisolone sodium succinategeneric10,7721,63097.8%
Solu-medrolgeneric10,28843288.8%
Ciprobrand9,79110857.3%
Triamcinolone acetonidegeneric9,6511,42473.5%

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 Advair Hfa reports

How many adverse event reports has FDA received for Advair Hfa?

19,622 reports list Advair Hfa as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 589 of them arrived in the latest 12 months. Another 39,801 list it only as a concomitant medication.

What reactions are recorded in Advair Hfa reports?

asthma (25.8%), dyspnoea (25.3%), wheezing (14.4%), drug ineffective (14.3%) and cough (10.8%). 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 Advair Hfa was responsible.

How serious are the reports?

54.9% are marked serious by the reporter. Among the outcomes recorded, 4.8% of reports include death and 25.7% 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 (77.6%), other health professional (11.9%) and physician (8.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Advair Hfa rising?

589 reports in the 12 months to June 2026, down 21% from 748 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 Advair Hfa 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 Advair Hfa?

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 Advair Hfa as a suspect or interacting product; reports listing it only as a concomitant medication (39,801) 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.