Reported Reactions

Drugs › Nucleoside metabolic inhibitor

Brand name · Capecitabine

Capecitabine 500mg: adverse event reports filed with FDA

652 reports list it as a suspect or interacting product, 2005–2021. Class: Nucleoside metabolic inhibitor.

652
reports as suspect product
0% of all reports · about 31 a year
0
reports, 12 months to June 2026
0 in the 12 months before
63.3%
marked serious by the reporter
92.2% across the class
21.2%
record death among outcomes, as reported
138 reports · not verified by FDA

Between May 2005 and September 2021, 652 adverse event reports received by FDA list the brand name Capecitabine 500mg (capecitabine) as a suspect or interacting product. Reports that mention it only as a concomitant medication (23) are left out of every figure here.

In the 12 months to June 2026, 0 reports listed it, and none 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 31 reports a year and 0% of the 20,646,523 reports in the database, and 0.2% of the reports for the nucleoside metabolic inhibitor 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 death (19.9%), diarrhoea (11.5%) and palmar-plantar erythrodysaesthesia syndrome (6.1%). A report can list several reactions, so shares add to more than 100%; 108 different terms appear across these reports. Death is recorded in 19.9% of these reports, a larger share than in the median nucleoside metabolic inhibitor drug (3.1%).

63.3% of the reports are marked serious by the reporter (92.2% across the class); 21.2% record death among the outcomes and 33.9% record hospitalisation, as reported. 34.7% of the reports came from pharmacists, and the largest patient age group is 45 to 64 (29.8%). 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

0611Jul 2021: 11Aug 2021: 7Sep 2021: 6Oct 2021: 0Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 0May 2022: 0Jun 2022: 0Jul 2022: 0Aug 2022: 0Sep 2022: 0Oct 2022: 0Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 0Apr 2023: 0May 2023: 0Jun 2023: 0Jul 2023: 0Aug 2023: 0Sep 2023: 0Oct 2023: 0Nov 2023: 0Dec 2023: 02024Jan 2024: 0Feb 2024: 0Mar 2024: 0Apr 2024: 0May 2024: 0Jun 2024: 0Jul 2024: 0Aug 2024: 0Sep 2024: 0Oct 2024: 0Nov 2024: 0Dec 2024: 02025Jan 2025: 0Feb 2025: 0Mar 2025: 0Apr 2025: 0May 2025: 0Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 0Oct 2025: 0Nov 2025: 0Dec 2025: 02026Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 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

01182352005: 220052015: 520152016: 2420162017: 8220172018: 5420182019: 23520192020: 17420202021: 762021

Reactions recorded in the reports

share of Capecitabine 500mg reports recording the termmedian drug in nucleoside metabolic inhibitor

  1. Deaththe patient died; cause not stated by this term19.9%130
  2. Diarrhoealoose or frequent stools11.5%75
  3. Hospitalisationadmission to hospital4.6%30
  4. Nauseafeeling sick4.4%29
  5. Skin exfoliationpeeling skin4%26
  6. Fatiguetiredness3.8%25
  7. Dehydrationdehydration3.5%23
  8. Disease progressionthe disease advanced3.2%21
  9. Vomitingbeing sick2.8%18
  10. Pain in extremitypain in an arm or leg2.1%14
  11. Paraesthesiatingling or pins and needles2.1%14
  12. Neuropathy peripheralnerve damage in hands or feet2%13
  13. Decreased appetitereduced appetite1.7%11
  14. Dry skindry skin1.7%11
  15. Pneumonialung infection1.7%11
  16. Peripheral swellingswelling of the arms or legs1.5%10
  17. Weight decreasedweight loss1.5%10
  18. Adverse drug reactiona harmful or unpleasant reaction reported to a medicine1.4%9
  19. Headachehead pain1.4%9
  20. Rashskin rash1.4%9
  21. Astheniaweakness or lack of energy1.2%8
  22. Burning sensationa burning feeling1.2%8
  23. Erythemaskin redness1.2%8
  24. Painpain, site not specified1.2%8
  25. Sepsisa severe body-wide response to infection1.2%8
  26. Skin discolourationa change in skin colour1.2%8

Top 30 of 108 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 19 drugs in the nucleoside metabolic inhibitor 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

Death21.2%138
Life-threatening0.8%5
Hospitalisation (initial or prolonged)33.9%221
Disability0.9%6
Congenital anomaly0%0
Other serious8.3%54
Not serious36.7%239

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 313,386 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 20.5%3
2 to 110%0
12 to 170.2%1
18 to 444.4%29
45 to 6429.8%194
65 to 7419.9%130
75 and over21%137
Age not given24.2%158

Patient sex

Female67.2%438
Male31.3%204
Not given1.5%10

Who reported

Physician16%104
Pharmacist34.7%226
Other health professional34.5%225
Lawyer0%0
Consumer or non-health professional10.6%69
Not given4.3%28

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Colon cancer12018.4%
Breast cancer8913.7%
Neoplasm malignant629.5%
Breast cancer female548.3%
Rectal cancer456.9%
Pancreatic carcinoma365.5%

The indication field is filled in by the reporter and is often blank; shares are of all 652 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Capecitabine 500mg reports
Ondansetron345.2%
Omeprazole304.6%
Aspirin284.3%
Lisinopril264%
Atorvastatin243.7%
Amlodipine233.5%
Gabapentin233.5%
Metformin172.6%
Lorazepam162.5%
Eliquis152.3%

Other products listed in reports where Capecitabine 500mg 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

MeasureCapecitabine 500mgNucleoside metabolic inhibitorAll reports
Reports as suspect product652313,38620,646,523
Share of that pool—0.2%0%
Reports, latest 12 months0—1,332,454
Marked serious63.3%92.2%57.4%
Death recorded among outcomes, per 1,000 reports21221091
Hospitalisation recorded, per 1,000 reports339380213
Consumer-filed share10.6%11.4%45.8%
Top term, share of reportsDeath 19.9%median 3.1%4.1%

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 nucleoside metabolic inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Fluorouracilgeneric60,4515,31596.1%
Capecitabinegeneric51,7833,28183.3%
Cytarabinegeneric50,7413,54597.9%
Gemcitabinegeneric33,1982,92097.9%
Xelodabrand32,27928073%
Fludarabinebrand20,2601,90098.7%
Azacitidinegeneric14,9691,83098%
Gemcitabine hydrochloridegeneric12,3991,16497.1%
Mercaptopurinegeneric10,54050795.8%
Vidazabrand9,08735896.9%
Fludarabine phosphategeneric8,42641998.5%
Decitabinegeneric3,02625896.8%
Clofarabinegeneric2,0207796.5%
Purixangeneric7672981.5%
Onuregbrand7556949.8%

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 Capecitabine 500mg reports

How many adverse event reports has FDA received for Capecitabine 500mg?

652 reports list Capecitabine 500mg as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 0 of them arrived in the latest 12 months. Another 23 list it only as a concomitant medication.

What reactions are recorded in Capecitabine 500mg reports?

death (19.9%), diarrhoea (11.5%), palmar-plantar erythrodysaesthesia syndrome (6.1%), hospitalisation (4.6%) and nausea (4.4%). 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 Capecitabine 500mg was responsible.

How serious are the reports?

63.3% are marked serious by the reporter. Among the outcomes recorded, 21.2% of reports include death and 33.9% 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?

pharmacist (34.7%), other health professional (34.5%) and physician (16%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Capecitabine 500mg rising?

0 reports in the 12 months to June 2026, and none 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 Capecitabine 500mg 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 Capecitabine 500mg?

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 Capecitabine 500mg as a suspect or interacting product; reports listing it only as a concomitant medication (23) 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.