Reported Reactions

Drugs

Brand name · Carglumic acid

Carbaglu: adverse event reports filed with FDA

652 reports list it as a suspect or interacting product, 2010–2026.

652
reports as suspect product
0% of all reports · about 41 a year
37
reports, 12 months to June 2026
66 in the 12 months before
78.5%
marked serious by the reporter
57.4% across all reports
20.7%
record death among outcomes, as reported
135 reports · not verified by FDA

652 adverse event reports received by FDA list the brand name Carbaglu (carglumic acid) as a suspect or interacting product, from June 2010 to June 2026. A further 29 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, 37 reports listed it, down 44% from 66 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 41 reports a year and 0% of the 20,646,523 reports in the database. 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 off label use (21.3%), vomiting (19.2%) and ammonia increased (13%). A report can list several reactions, so shares add to more than 100%; 118 different terms appear across these reports. Off label use is recorded in 21.3% of these reports, against 4.1% of all reports in the database.

78.5% of the reports are marked serious by the reporter; 20.7% record death among the outcomes and 53.2% record hospitalisation, as reported. 49.4% of the reports came from consumers, and the largest patient age group is 2 to 11 (18.6%). 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

0713Jul 2021: 1Aug 2021: 1Sep 2021: 4Oct 2021: 1Nov 2021: 1Dec 2021: 02022Jan 2022: 0Feb 2022: 1Mar 2022: 9Apr 2022: 8May 2022: 1Jun 2022: 1Jul 2022: 4Aug 2022: 7Sep 2022: 7Oct 2022: 5Nov 2022: 10Dec 2022: 62023Jan 2023: 6Feb 2023: 5Mar 2023: 5Apr 2023: 9May 2023: 8Jun 2023: 3Jul 2023: 4Aug 2023: 6Sep 2023: 3Oct 2023: 9Nov 2023: 1Dec 2023: 92024Jan 2024: 5Feb 2024: 7Mar 2024: 13Apr 2024: 7May 2024: 3Jun 2024: 5Jul 2024: 7Aug 2024: 7Sep 2024: 4Oct 2024: 3Nov 2024: 4Dec 2024: 52025Jan 2025: 8Feb 2025: 6Mar 2025: 10Apr 2025: 3May 2025: 5Jun 2025: 4Jul 2025: 1Aug 2025: 1Sep 2025: 6Oct 2025: 2Nov 2025: 2Dec 2025: 22026Jan 2026: 3Feb 2026: 6Mar 2026: 8Apr 2026: 1May 2026: 2Jun 2026: 3

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

048962010: 320102012: 52013: 720132014: 82015: 1020152016: 12017: 4820172018: 582019: 9520192020: 962021: 5120212022: 592023: 6820232024: 702025: 5020252026: 23

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Carbaglu reports recording the termall reports in the database

  1. Off label useused for a purpose or in a way not on the label21.3%139
  2. Vomitingbeing sick19.2%125
  3. Ammonia increased13%85
  4. Hospitalisationadmission to hospital6.7%44
  5. Diarrhoealoose or frequent stools6.6%43
  6. Deaththe patient died; cause not stated by this term6.1%40
  7. Hyperammonaemia6%39
  8. Pyrexiafever3.8%25
  9. Condition aggravatedthe condition being treated got worse2.6%17
  10. Constipationconstipation2.5%16
  11. Nasopharyngitisa cold2.5%16
  12. Fatiguetiredness2.3%15
  13. Seizurea fit or convulsion2.3%15
  14. Influenzaflu2%13
  15. Viral infectiona viral infection2%13
  16. Anaemialow red blood cells1.8%12
  17. Product dose omissiona dose was missed1.8%12
  18. Sepsisa severe body-wide response to infection1.8%12
  19. Decreased appetitereduced appetite1.7%11
  20. Nauseafeeling sick1.7%11
  21. Pancreatitisinflammation of the pancreas1.7%11
  22. Product dose omission issuea dose was missed1.7%11
  23. Device occlusionthe device blocked1.4%9
  24. Covid-19COVID-19 infection1.2%8
  25. Hyperammonaemic crisis1.2%8
  26. Metabolic acidosistoo much acid in the body fluids1.2%8
  27. Somnolencedrowsiness1.2%8
  28. Dehydrationdehydration1.1%7

Top 30 of 118 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 share of all reports in the database; 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

Death20.7%135
Life-threatening3.5%23
Hospitalisation (initial or prolonged)53.2%347
Disability0.6%4
Congenital anomaly0%0
Other serious18.3%119
Not serious21.5%140

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 20,646,523 reports. 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 217.6%115
2 to 1118.6%121
12 to 173.7%24
18 to 447.5%49
45 to 642.1%14
65 to 742.6%17
75 and over0.2%1
Age not given47.7%311

Patient sex

Female32.5%212
Male32.2%210
Not given35.3%230

Who reported

Physician31.9%208
Pharmacist2.6%17
Other health professional12.9%84
Lawyer0%0
Consumer or non-health professional49.4%322
Not given3.2%21

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 67.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hyperglycinaemia11217.2%
Hyperammonaemia8312.7%
Urea cycle disorder7411.3%
Propionic acidaemia649.8%
Methylmalonic aciduria467.1%
Methylmalonic acidaemia314.8%

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

In context

MeasureCarbagluAll reports
Reports as suspect product65220,646,523
Share of that pool—0%
Reports, latest 12 months371,332,454
Marked serious78.5%57.4%
Death recorded among outcomes, per 1,000 reports20791
Hospitalisation recorded, per 1,000 reports532213
Consumer-filed share49.4%45.8%
Top term, share of reportsOff label use 21.3%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."

Questions about Carbaglu reports

How many adverse event reports has FDA received for Carbaglu?

652 reports list Carbaglu as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 37 of them arrived in the latest 12 months. Another 29 list it only as a concomitant medication.

What reactions are recorded in Carbaglu reports?

off label use (21.3%), vomiting (19.2%), ammonia increased (13%), hospitalisation (6.7%) and diarrhoea (6.6%). 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 Carbaglu was responsible.

How serious are the reports?

78.5% are marked serious by the reporter. Among the outcomes recorded, 20.7% of reports include death and 53.2% 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 (49.4%), physician (31.9%) and other health professional (12.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Carbaglu rising?

37 reports in the 12 months to June 2026, down 44% from 66 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 Carbaglu 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 Carbaglu?

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 Carbaglu as a suspect or interacting product; reports listing it only as a concomitant medication (29) 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.