Reported Reactions

Drugs › Parenteral iron replacement

Brand name · Ferric citrate

Auryxia: adverse event reports filed with FDA

1,660 reports list it as a suspect or interacting product, 2015–2026. Class: Parenteral iron replacement.

1,660
reports as suspect product
0% of all reports · about 146 a year
29
reports, 12 months to June 2026
55 in the 12 months before
24.1%
marked serious by the reporter
57.1% across the class
11.8%
record death among outcomes, as reported
196 reports · not verified by FDA

1,660 adverse event reports received by FDA list the brand name Auryxia (ferric citrate) as a suspect or interacting product, from March 2015 to April 2026. A further 450 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, 29 reports listed it, down 47% from 55 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 146 reports a year and 0% of the 20,646,523 reports in the database, and 10.2% of the reports for the parenteral iron replacement class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are diarrhoea (15.4%), serum ferritin increased (13.7%) and transferrin saturation increased (10.2%). A report can list several reactions, so shares add to more than 100%; 150 different terms appear across these reports. Diarrhoea is recorded in 15.4% of these reports, a larger share than in the median parenteral iron replacement drug (3.5%).

24.1% of the reports are marked serious by the reporter (57.1% across the class); 11.8% record death among the outcomes and 12.3% record hospitalisation, as reported. 60.2% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (10.7%). 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

079157Jul 2021: 2Aug 2021: 3Sep 2021: 0Oct 2021: 2Nov 2021: 157Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 12May 2022: 0Jun 2022: 1Jul 2022: 0Aug 2022: 4Sep 2022: 2Oct 2022: 2Nov 2022: 82Dec 2022: 22023Jan 2023: 2Feb 2023: 0Mar 2023: 1Apr 2023: 1May 2023: 1Jun 2023: 0Jul 2023: 1Aug 2023: 1Sep 2023: 1Oct 2023: 1Nov 2023: 25Dec 2023: 02024Jan 2024: 1Feb 2024: 1Mar 2024: 4Apr 2024: 0May 2024: 1Jun 2024: 1Jul 2024: 9Aug 2024: 1Sep 2024: 0Oct 2024: 1Nov 2024: 40Dec 2024: 12025Jan 2025: 0Feb 2025: 0Mar 2025: 0Apr 2025: 0May 2025: 2Jun 2025: 1Jul 2025: 0Aug 2025: 1Sep 2025: 1Oct 2025: 0Nov 2025: 22Dec 2025: 12026Jan 2026: 1Feb 2026: 0Mar 2026: 2Apr 2026: 1May 2026: 0Jun 2026: 0

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

01773542015: 12520152016: 1632017: 35420172018: 2522019: 16220192020: 1862021: 18720212022: 1052023: 3420232024: 602025: 2820252026: 4

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Auryxia reports recording the termmedian drug in parenteral iron replacement

  1. Diarrhoealoose or frequent stools15.4%255
  2. Transferrin saturation increased10.2%169
  3. Deaththe patient died; cause not stated by this term4.3%72
  4. Constipationconstipation3.8%63
  5. Drug ineffectivethe medicine did not work as expected3.2%53
  6. Pruritusitching2.8%46
  7. Nauseafeeling sick2.6%43
  8. Vomitingbeing sick2.4%40
  9. Gastrointestinal haemorrhagebleeding in the stomach or bowel2.3%39
  10. Haemoglobin increased2.3%38
  11. Abdominal discomfortstomach discomfort2%34
  12. Blood phosphorus increased2%34
  13. Rashskin rash1.9%32
  14. Off label useused for a purpose or in a way not on the label1.6%27
  15. Abdominal pain upperupper stomach pain1.5%25
  16. Hospitalisationadmission to hospital1.5%25
  17. Abdominal painstomach or belly pain1.4%24
  18. Blood iron increased1.4%24
  19. Cardiac arrestthe heart stopped1.3%22
  20. Haemoglobin decreasedlow haemoglobin1%16
  21. Intentional product misusedeliberate use not as intended1%16
  22. Myocardial infarctionheart attack1%16
  23. Coughcough0.9%15
  24. Drug intolerancethe medicine was not tolerated0.8%14
  25. No adverse eventno adverse event was reported0.6%10
  26. Alopeciahair loss0.5%8

Top 30 of 150 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 9 drugs in the parenteral iron replacement 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

Death11.8%196
Life-threatening0.1%1
Hospitalisation (initial or prolonged)12.3%205
Disability0.1%1
Congenital anomaly0%0
Other serious6.7%111
Not serious75.9%1,260

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 16,234 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%0
2 to 110.2%3
12 to 170.3%5
18 to 443.1%51
45 to 6410.7%177
65 to 7410.1%167
75 and over5.1%85
Age not given70.6%1,172

Patient sex

Female30.2%501
Male37.3%620
Not given32.5%539

Who reported

Physician11.3%188
Pharmacist0.5%9
Other health professional60.2%1,000
Lawyer0%0
Consumer or non-health professional26.8%445
Not given1.1%18

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 100% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hyperphosphataemia65139.2%
Blood phosphorus increased1649.9%
Iron deficiency anaemia221.3%
Chronic kidney disease80.5%
Dialysis80.5%
End stage renal disease40.2%

The indication field is filled in by the reporter and is often blank; shares are of all 1,660 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Auryxia reports
Aspirin422.5%
Amlodipine291.7%
Ergocalciferol261.6%
Iron241.4%
Carvedilol231.4%
Atorvastatin171%
Levothyroxine171%
Losartan171%
Calcitriol161%
Velphoro150.9%

Other products listed in reports where Auryxia 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

MeasureAuryxiaParenteral iron replacementAll reports
Reports as suspect product1,66016,23420,646,523
Share of that pool—10.2%0%
Reports, latest 12 months29—1,332,454
Marked serious24.1%57.1%57.4%
Death recorded among outcomes, per 1,000 reports1185191
Hospitalisation recorded, per 1,000 reports123188213
Consumer-filed share26.8%24.9%45.8%
Top term, share of reportsDiarrhoea 15.4%median 3.5%3.1%

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 parenteral iron replacement class

DrugName typeReportsLatest 12 monthsMarked serious
Venofer (iron sucrose)generic5,41739073.4%
Injectaferbrand2,8131441.3%
Ferahemebrand1,5412060.9%
Ferric carboxymaltosegeneric1,39522567.6%
Ferrlecitbrand1,1747772.4%
Accruferbrand95156713.8%
Infedbrand66510050.1%
Iron sucrosegeneric61824686.2%

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 Auryxia reports

How many adverse event reports has FDA received for Auryxia?

1,660 reports list Auryxia as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 29 of them arrived in the latest 12 months. Another 450 list it only as a concomitant medication.

What reactions are recorded in Auryxia reports?

diarrhoea (15.4%), serum ferritin increased (13.7%), transferrin saturation increased (10.2%), faeces discoloured (6.7%) and death (4.3%). 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 Auryxia was responsible.

How serious are the reports?

24.1% are marked serious by the reporter. Among the outcomes recorded, 11.8% of reports include death and 12.3% 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?

other health professional (60.2%), consumer or non-health professional (26.8%) and physician (11.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Auryxia rising?

29 reports in the 12 months to June 2026, down 47% from 55 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 Auryxia 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 Auryxia?

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 Auryxia as a suspect or interacting product; reports listing it only as a concomitant medication (450) 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.