Reported Reactions

Drugs › Corticosteroid

Brand name · Budesonide, glycopyrrolate, and formoterol fumarate

Breztri: adverse event reports filed with FDA

7,186 reports list it as a suspect or interacting product, 2019–2026. Class: Corticosteroid. Also reported as Breztri Inhaler.

7,186
reports as suspect product
0% of all reports · about 1,065 a year
1,957
reports, 12 months to June 2026
2,364 in the 12 months before
40%
marked serious by the reporter
77.7% across the class
15.6%
record death among outcomes, as reported
1,118 reports · not verified by FDA

Between October 2019 and June 2026, 7,186 adverse event reports received by FDA list the brand name Breztri (budesonide, glycopyrrolate, and formoterol fumarate) as a suspect or interacting product. Reports that mention it only as a concomitant medication (3,205) are left out of every figure here.

In the 12 months to June 2026, 1,957 reports listed it, down 17% from 2,364 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 1,065 reports a year and 0% of the 20,646,523 reports in the database, and 0.9% 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.

The MedDRA terms listed most often are device delivery system issue (21.3%), dyspnoea (19.6%) and product dose omission issue (17.8%). A report can list several reactions, so shares add to more than 100%; 688 different terms appear across these reports. Device delivery system issue is recorded in 21.3% of these reports, with no counterpart in the median corticosteroid drug (0%).

40% of the reports are marked serious by the reporter (77.7% across the class); 15.6% record death among the outcomes and 8.5% record hospitalisation, as reported. 79.4% of the reports came from consumers, and the largest patient age group is 75 and over (11.2%). 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

0129257Jul 2021: 15Aug 2021: 12Sep 2021: 7Oct 2021: 17Nov 2021: 17Dec 2021: 182022Jan 2022: 18Feb 2022: 12Mar 2022: 13Apr 2022: 16May 2022: 11Jun 2022: 9Jul 2022: 15Aug 2022: 17Sep 2022: 18Oct 2022: 14Nov 2022: 16Dec 2022: 182023Jan 2023: 14Feb 2023: 64Mar 2023: 68Apr 2023: 154May 2023: 161Jun 2023: 132Jul 2023: 118Aug 2023: 136Sep 2023: 135Oct 2023: 143Nov 2023: 123Dec 2023: 1612024Jan 2024: 168Feb 2024: 184Mar 2024: 170Apr 2024: 184May 2024: 213Jun 2024: 175Jul 2024: 195Aug 2024: 257Sep 2024: 175Oct 2024: 225Nov 2024: 226Dec 2024: 1682025Jan 2025: 174Feb 2025: 181Mar 2025: 181Apr 2025: 216May 2025: 208Jun 2025: 158Jul 2025: 203Aug 2025: 177Sep 2025: 170Oct 2025: 153Nov 2025: 147Dec 2025: 1412026Jan 2026: 126Feb 2026: 156Mar 2026: 201Apr 2026: 171May 2026: 131Jun 2026: 181

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

01,1702,3402019: 320192020: 3520202021: 14720212022: 17720222023: 1,40920232024: 2,34020242025: 2,10920252026: 9662026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Breztri reports recording the termmedian drug in corticosteroid

  1. Device delivery system issuea problem with the delivery system21.3%1,533
  2. Dyspnoeashortness of breath19.6%1,411
  3. Product dose omission issuea dose was missed17.8%1,279
  4. Deaththe patient died; cause not stated by this term14.2%1,018
  5. Device malfunctionthe device did not work properly11.1%800
  6. Incorrect dose administered by devicethe device gave the wrong dose11.1%797
  7. Wrong technique in product usage processthe product was used in the wrong way8.4%606
  8. Product use issuea problem in how the product was used6.9%499
  9. Chronic obstructive pulmonary diseaseCOPD, a long-term lung disease6.6%476
  10. Coughcough6.2%449
  11. Drug ineffectivethe medicine did not work as expected6.2%447
  12. Incorrect dose administeredthe wrong dose was given5.6%403
  13. Visual impairmentreduced vision4.6%328
  14. Asthmaasthma4.5%324
  15. Dysphoniaa hoarse voice3.9%281
  16. Device issuea problem with the device3.4%243
  17. Pneumonialung infection3%218
  18. Off label useused for a purpose or in a way not on the label2.7%191
  19. Illness2.3%167
  20. Feeling abnormalfeeling odd or not right2.2%158
  21. Overdosea dose above the recommended amount2.1%150
  22. Memory impairmentmemory problems2.1%149
  23. Condition aggravatedthe condition being treated got worse2%144
  24. Malaisegeneral feeling of being unwell1.8%132
  25. Wheezingwheezing1.8%132
  26. Drug delivery system issue1.8%129

Top 30 of 688 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

Death15.6%1,118
Life-threatening1.3%97
Hospitalisation (initial or prolonged)8.5%609
Disability0.5%33
Congenital anomaly0%1
Other serious21.1%1,516
Not serious60%4,310

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
2 to 110%1
12 to 170%0
18 to 440.7%47
45 to 645.7%411
65 to 7410.6%759
75 and over11.2%806
Age not given71.8%5,161

Patient sex

Female42.1%3,023
Male33.6%2,416
Not given24.3%1,747

Who reported

Physician9.7%696
Pharmacist2.4%174
Other health professional7.9%567
Lawyer0%0
Consumer or non-health professional79.4%5,705
Not given0.6%44

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 92.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Chronic obstructive pulmonary disease1,05514.7%
Asthma2123%
Emphysema540.8%
Dyspnoea270.4%
Cough170.2%
Lung disorder80.1%

The indication field is filled in by the reporter and is often blank; shares are of all 7,186 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Breztri reports
Symbicort5197.2%
Albuterol1452%
Trelegy Ellipta791.1%
Albuterol sulfate691%
Fasenra670.9%
Farxiga580.8%
Prednisone470.7%
Bevespi Aerosphere430.6%
Daliresp380.5%
Tiotropium bromide310.4%

Other products listed in reports where Breztri 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

MeasureBreztriCorticosteroidAll reports
Reports as suspect product7,186808,78920,646,523
Share of that pool—0.9%0%
Reports, latest 12 months1,957—1,332,454
Marked serious40%77.7%57.4%
Death recorded among outcomes, per 1,000 reports15614691
Hospitalisation recorded, per 1,000 reports85336213
Consumer-filed share79.4%29.1%45.8%
Top term, share of reportsDevice delivery system issue 21.3%median 0%0.1%

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 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%
Advair Hfabrand19,62258954.9%
Budesonidegeneric14,7141,08382.2%
Desoximetasonegeneric12,2091,52599.2%
Floventbrand10,77217142.1%
Methylprednisolone sodium succinategeneric10,7721,63097.8%
Solu-medrolgeneric10,28843288.8%
Ciprobrand9,79110857.3%

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 Breztri reports

How many adverse event reports has FDA received for Breztri?

7,186 reports list Breztri as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,957 of them arrived in the latest 12 months. Another 3,205 list it only as a concomitant medication.

What reactions are recorded in Breztri reports?

device delivery system issue (21.3%), dyspnoea (19.6%), product dose omission issue (17.8%), wrong technique in device usage process (15.9%) and device use issue (15.1%). 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 Breztri was responsible.

How serious are the reports?

40% are marked serious by the reporter. Among the outcomes recorded, 15.6% of reports include death and 8.5% 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 (79.4%), physician (9.7%) and other health professional (7.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Breztri rising?

1,957 reports in the 12 months to June 2026, down 17% from 2,364 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 Breztri 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 Breztri?

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 Breztri as a suspect or interacting product; reports listing it only as a concomitant medication (3,205) 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.