Reported Reactions

Drugs

Product name as reported

Certican: adverse event reports filed with FDA

3,305 reports list it as a suspect or interacting product, 2004–2026.

3,305
reports as suspect product
0% of all reports · about 147 a year
93
reports, 12 months to June 2026
108 in the 12 months before
99.6%
marked serious by the reporter
57.4% across all reports
15.2%
record death among outcomes, as reported
501 reports · not verified by FDA

3,305 adverse event reports received by FDA list the product name "Certican" as reporters wrote it as a suspect or interacting product, from January 2004 to June 2026. A further 540 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, 93 reports listed it, down 14% from 108 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 147 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 pyrexia (8.5%), blood creatinine increased (6.4%) and diarrhoea (5.9%). A report can list several reactions, so shares add to more than 100%; 798 different terms appear across these reports. Pyrexia is recorded in 8.5% of these reports, against 1.6% of all reports in the database.

99.6% of the reports are marked serious by the reporter; 15.2% record death among the outcomes and 62.8% record hospitalisation, as reported. 57.6% of the reports came from physicians, and the largest patient age group is 45 to 64 (32.7%). 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

01020Jul 2021: 20Aug 2021: 17Sep 2021: 12Oct 2021: 15Nov 2021: 10Dec 2021: 182022Jan 2022: 8Feb 2022: 6Mar 2022: 10Apr 2022: 13May 2022: 4Jun 2022: 5Jul 2022: 9Aug 2022: 10Sep 2022: 16Oct 2022: 12Nov 2022: 6Dec 2022: 112023Jan 2023: 8Feb 2023: 14Mar 2023: 12Apr 2023: 2May 2023: 5Jun 2023: 8Jul 2023: 5Aug 2023: 6Sep 2023: 12Oct 2023: 9Nov 2023: 8Dec 2023: 72024Jan 2024: 3Feb 2024: 12Mar 2024: 12Apr 2024: 8May 2024: 14Jun 2024: 5Jul 2024: 12Aug 2024: 7Sep 2024: 12Oct 2024: 11Nov 2024: 5Dec 2024: 122025Jan 2025: 5Feb 2025: 11Mar 2025: 11Apr 2025: 3May 2025: 7Jun 2025: 12Jul 2025: 17Aug 2025: 7Sep 2025: 4Oct 2025: 7Nov 2025: 8Dec 2025: 32026Jan 2026: 3Feb 2026: 17Mar 2026: 6Apr 2026: 9May 2026: 10Jun 2026: 2

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

01563112004: 120042005: 92006: 312007: 4520072008: 472009: 1232010: 31120102011: 2142012: 2262013: 15520132014: 2452015: 2832016: 25420162017: 2022018: 1982019: 17020192020: 1652021: 1652022: 11020222023: 962024: 1132025: 9520252026: 47

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Certican reports recording the termall reports in the database

  1. Pyrexiafever8.5%280
  2. Blood creatinine increasedraised creatinine, a kidney test6.4%210
  3. Diarrhoealoose or frequent stools5.9%196
  4. Acute kidney injurysudden loss of kidney function5.1%169
  5. Dyspnoeashortness of breath4.4%144
  6. Renal impairmentreduced kidney function4.3%142
  7. Kidney transplant rejection4.1%135
  8. Deaththe patient died; cause not stated by this term3.5%116
  9. Anaemialow red blood cells3.4%113
  10. Oedema peripheralswelling of the legs, ankles or hands3.4%112
  11. Drug interactionan interaction between medicines3.2%105
  12. Pneumonialung infection3.2%105
  13. Off label useused for a purpose or in a way not on the label3%100
  14. Interstitial lung diseasescarring or inflammation of lung tissue2.9%97
  15. Proteinuriaprotein in the urine2.8%92
  16. Renal failurekidney failure2.8%92
  17. Abdominal painstomach or belly pain2.7%89
  18. Coughcough2.5%81
  19. Immunosuppressant drug level increased2.5%81
  20. Urinary tract infectionbladder or urinary infection2.4%79
  21. Vomitingbeing sick2.4%79
  22. Hypertensionhigh blood pressure2.1%71
  23. Astheniaweakness or lack of energy2.1%68
  24. Pancytopenialow counts of all blood cells2%65
  25. Thrombocytopenialow platelets1.9%63
  26. Lung disordera lung problem, type not specified1.9%62
  27. Pulmonary embolisma blood clot in the lung1.8%61
  28. Sepsisa severe body-wide response to infection1.7%56

Top 30 of 798 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

Death15.2%501
Life-threatening6.4%213
Hospitalisation (initial or prolonged)62.8%2,076
Disability3.7%121
Congenital anomaly0.2%6
Other serious47.4%1,566
Not serious0.4%13

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 20.4%13
2 to 111.5%50
12 to 171.1%37
18 to 4414.9%491
45 to 6432.7%1,080
65 to 7413.8%456
75 and over2%65
Age not given33.7%1,113

Patient sex

Female30.5%1,009
Male62.6%2,068
Not given6.9%228

Who reported

Physician57.6%1,905
Pharmacist6.7%222
Other health professional23.1%762
Lawyer0%0
Consumer or non-health professional11.3%374
Not given1.3%42

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 4.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Renal transplant1,13034.2%
Liver transplant36511%
Prophylaxis against transplant rejection3229.7%
Heart transplant2818.5%
Immunosuppression1584.8%
Lung transplant942.8%

The indication field is filled in by the reporter and is often blank; shares are of all 3,305 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Certican reports
Prograf55816.9%
Neoral55116.7%
CellCept53116.1%
Tacrolimus49014.8%
Myfortic42412.8%
Prednisone3229.7%
Prednisolone2718.2%
Mycophenolate mofetil2437.4%
Cortancyl2286.9%
Advagraf1645%

Other products listed in reports where Certican 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

MeasureCerticanAll reports
Reports as suspect product3,30520,646,523
Share of that pool—0%
Reports, latest 12 months931,332,454
Marked serious99.6%57.4%
Death recorded among outcomes, per 1,000 reports15291
Hospitalisation recorded, per 1,000 reports628213
Consumer-filed share11.3%45.8%
Top term, share of reportsPyrexia 8.5%1.6%

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 Certican reports

How many adverse event reports has FDA received for Certican?

3,305 reports list Certican as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 93 of them arrived in the latest 12 months. Another 540 list it only as a concomitant medication.

What reactions are recorded in Certican reports?

pyrexia (8.5%), blood creatinine increased (6.4%), diarrhoea (5.9%), acute kidney injury (5.1%) and dyspnoea (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 Certican was responsible.

How serious are the reports?

99.6% are marked serious by the reporter. Among the outcomes recorded, 15.2% of reports include death and 62.8% 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?

physician (57.6%), other health professional (23.1%) and consumer or non-health professional (11.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Certican rising?

93 reports in the 12 months to June 2026, down 14% from 108 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 Certican 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 Certican?

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 Certican as a suspect or interacting product; reports listing it only as a concomitant medication (540) 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.