Reported Reactions

Drugs › Arteriolar vasodilator

Generic name

Biotin: adverse event reports filed with FDA

769 reports list it as a suspect or interacting product, 2004–2026. Class: Arteriolar vasodilator. Also reported as Biotin 5000, Biotin /08249501/, Biotin Tab.

769
reports as suspect product
0% of all reports · about 35 a year
72
reports, 12 months to June 2026
74 in the 12 months before
78.8%
marked serious by the reporter
10.6% across the class
22.2%
record death among outcomes, as reported
171 reports · not verified by FDA

769 adverse event reports received by FDA list biotin, a generic name as a suspect or interacting product, from October 2004 to June 2026. A further 30,474 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, 72 reports listed it, close to the 74 of 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 35 reports a year and 0% of the 20,646,523 reports in the database, and 1.8% of the reports for the arteriolar vasodilator class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded dyspnoea (25%), off label use (20.9%) and somnolence (19.5%). A report can list several reactions, so shares add to more than 100%; 343 different terms appear across these reports. Dyspnoea is recorded in 25% of these reports, a larger share than in the median arteriolar vasodilator drug (4.2%).

78.8% of the reports are marked serious by the reporter (10.6% across the class); 22.2% record death among the outcomes and 33.4% record hospitalisation, as reported. 44.9% of the reports came from other health professionals, and the largest patient age group is 75 and over (30%). 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

01223Jul 2021: 10Aug 2021: 1Sep 2021: 7Oct 2021: 9Nov 2021: 1Dec 2021: 62022Jan 2022: 23Feb 2022: 20Mar 2022: 14Apr 2022: 8May 2022: 3Jun 2022: 8Jul 2022: 6Aug 2022: 14Sep 2022: 7Oct 2022: 19Nov 2022: 12Dec 2022: 82023Jan 2023: 15Feb 2023: 15Mar 2023: 12Apr 2023: 4May 2023: 9Jun 2023: 14Jul 2023: 5Aug 2023: 21Sep 2023: 10Oct 2023: 12Nov 2023: 9Dec 2023: 112024Jan 2024: 16Feb 2024: 2Mar 2024: 4Apr 2024: 4May 2024: 5Jun 2024: 1Jul 2024: 6Aug 2024: 7Sep 2024: 4Oct 2024: 14Nov 2024: 6Dec 2024: 72025Jan 2025: 3Feb 2025: 2Mar 2025: 4Apr 2025: 4May 2025: 4Jun 2025: 13Jul 2025: 9Aug 2025: 0Sep 2025: 4Oct 2025: 3Nov 2025: 5Dec 2025: 42026Jan 2026: 6Feb 2026: 9Mar 2026: 8Apr 2026: 5May 2026: 10Jun 2026: 9

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

0711422004: 120042005: 12008: 12009: 320092010: 22011: 42012: 1820122013: 82014: 122015: 3020152016: 232017: 312018: 3320182019: 492020: 372021: 5920212022: 1422023: 1372024: 7620242025: 552026: 47

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Biotin reports recording the termmedian drug in arteriolar vasodilator

  1. Dyspnoeashortness of breath25%192
  2. Off label useused for a purpose or in a way not on the label20.9%161
  3. Somnolencedrowsiness19.5%150
  4. Coughcough18.2%140
  5. Wheezingwheezing17.2%132
  6. Muscle spasmsmuscle cramps16.1%124
  7. Chest discomfortchest discomfort16%123
  8. Abdominal distensiona bloated abdomen15.9%122
  9. Atrial fibrillationan irregular heart rhythm15.6%120
  10. Eosinophilia15.5%119
  11. Myoglobin blood increased15.5%119
  12. Brain natriuretic peptide increased15.3%118
  13. Dysphoniaa hoarse voice15.3%118
  14. Fractional exhaled nitric oxide increased15.3%118
  15. Nasopharyngitisa cold15.3%118
  16. Plantar fasciitis15%115
  17. Condition aggravatedthe condition being treated got worse14%108
  18. Nauseafeeling sick14%108
  19. Stressstress14%108
  20. Drug ineffectivethe medicine did not work as expected13.9%107
  21. General physical health deteriorationgeneral decline in health13.9%107
  22. Drug hypersensitivityan allergic-type reaction to a medicine13.8%106
  23. Multiple organ dysfunction syndromeseveral organs failing13.7%105
  24. Hyponatraemialow blood sodium13.5%104
  25. Obstructive sleep apnoea syndrome13.4%103

Top 30 of 343 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 4 drugs in the arteriolar vasodilator 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

Death22.2%171
Life-threatening16.4%126
Hospitalisation (initial or prolonged)33.4%257
Disability18.6%143
Congenital anomaly9.2%71
Other serious69.6%535
Not serious21.2%163

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 43,259 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 23%23
2 to 112.1%16
12 to 170.1%1
18 to 448.6%66
45 to 6416.6%128
65 to 747.2%55
75 and over30%231
Age not given32.4%249

Patient sex

Female46.2%355
Male43.4%334
Not given10.4%80

Who reported

Physician17.4%134
Pharmacist2.6%20
Other health professional44.9%345
Lawyer0.1%1
Consumer or non-health professional32.2%248
Not given2.7%21

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 38.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Vitamin supplementation536.9%
Alopecia334.3%
Foetal exposure during pregnancy202.6%
Multiple sclerosis182.3%
Constipation91.2%
Seizure81%

The indication field is filled in by the reporter and is often blank; shares are of all 769 reports.

In context

MeasureBiotinArteriolar vasodilatorAll reports
Reports as suspect product76943,25920,646,523
Share of that pool—1.8%0%
Reports, latest 12 months72—1,332,454
Marked serious78.8%10.6%57.4%
Death recorded among outcomes, per 1,000 reports2221191
Hospitalisation recorded, per 1,000 reports33445213
Consumer-filed share32.2%90.1%45.8%
Top term, share of reportsDyspnoea 25%median 4.2%2.7%

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 arteriolar vasodilator class

DrugName typeReportsLatest 12 monthsMarked serious
Minoxidilgeneric28,5931,2776.2%
Womens Rogaine Unscentedbrand11,4093340.7%
Hydralazine hydrochloridegeneric2,48826085.6%

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 Biotin reports

How many adverse event reports has FDA received for Biotin?

769 reports list Biotin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 72 of them arrived in the latest 12 months. Another 30,474 list it only as a concomitant medication.

What reactions are recorded in Biotin reports?

dyspnoea (25%), off label use (20.9%), somnolence (19.5%), coronary artery disease (19.4%) and cough (18.2%). 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 Biotin was responsible.

How serious are the reports?

78.8% are marked serious by the reporter. Among the outcomes recorded, 22.2% of reports include death and 33.4% 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 (44.9%), consumer or non-health professional (32.2%) and physician (17.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Biotin rising?

72 reports in the 12 months to June 2026, close to the 74 of 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 Biotin 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 Biotin?

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 Biotin as a suspect or interacting product; reports listing it only as a concomitant medication (30,474) 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.