Reported Reactions

Drugs › Prostaglandin E1 analog

Brand name · Misoprostol

Cytotec: adverse event reports filed with FDA

1,495 reports list it as a suspect or interacting product, 2004–2026. Class: Prostaglandin E1 analog.

1,495
reports as suspect product
0% of all reports · about 66 a year
33
reports, 12 months to June 2026
29 in the 12 months before
92.9%
marked serious by the reporter
58.1% across the class
7.8%
record death among outcomes, as reported
116 reports · not verified by FDA

1,495 adverse event reports received by FDA list the brand name Cytotec (misoprostol) as a suspect or interacting product, from January 2004 to June 2026. A further 1,900 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, 33 reports listed it, up 14% from 29 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 66 reports a year and 0% of the 20,646,523 reports in the database, and 16.4% of the reports for the prostaglandin E1 analog 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 off label use (28.9%), product use in unapproved indication (14.4%) and foetal exposure during delivery (12.9%). A report can list several reactions, so shares add to more than 100%; 353 different terms appear across these reports. Off label use is recorded in 28.9% of these reports, a larger share than in the median prostaglandin E1 analog drug (6.6%).

92.9% of the reports are marked serious by the reporter (58.1% across the class); 7.8% record death among the outcomes and 29.3% record hospitalisation, as reported. 47.3% of the reports came from consumers, and the largest patient age group is 18 to 44 (42.1%). 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

0714Jul 2021: 8Aug 2021: 10Sep 2021: 10Oct 2021: 10Nov 2021: 8Dec 2021: 82022Jan 2022: 3Feb 2022: 4Mar 2022: 10Apr 2022: 6May 2022: 13Jun 2022: 5Jul 2022: 6Aug 2022: 10Sep 2022: 3Oct 2022: 7Nov 2022: 14Dec 2022: 102023Jan 2023: 6Feb 2023: 9Mar 2023: 5Apr 2023: 2May 2023: 6Jun 2023: 6Jul 2023: 1Aug 2023: 5Sep 2023: 3Oct 2023: 4Nov 2023: 6Dec 2023: 22024Jan 2024: 11Feb 2024: 9Mar 2024: 1Apr 2024: 2May 2024: 3Jun 2024: 2Jul 2024: 0Aug 2024: 4Sep 2024: 0Oct 2024: 1Nov 2024: 1Dec 2024: 12025Jan 2025: 0Feb 2025: 5Mar 2025: 3Apr 2025: 0May 2025: 3Jun 2025: 11Jul 2025: 5Aug 2025: 5Sep 2025: 4Oct 2025: 2Nov 2025: 6Dec 2025: 02026Jan 2026: 2Feb 2026: 3Mar 2026: 0Apr 2026: 2May 2026: 3Jun 2026: 1

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

01783562004: 2920042005: 312006: 402007: 4920072008: 512009: 372010: 4320102011: 362012: 562013: 4920132014: 432015: 462016: 4820162017: 1182018: 552019: 5520192020: 3562021: 1172022: 9120222023: 552024: 352025: 4420252026: 11

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Cytotec reports recording the termmedian drug in prostaglandin e1 analog

  1. Off label useused for a purpose or in a way not on the label28.9%432
  2. Product use in unapproved indicationused for a purpose not on the label14.4%216
  3. Foetal exposure during delivery12.9%193
  4. Maternal exposure during pregnancythe mother took the medicine during pregnancy6.8%102
  5. Uterine tachysystole6.6%99
  6. Foetal exposure during pregnancythe unborn baby was exposed to the medicine6%90
  7. Foetal heart rate decreased6%90
  8. Haemorrhagebleeding5.1%76
  9. Product use issuea problem in how the product was used4.2%63
  10. Pyrexiafever4.2%63
  11. Vomitingbeing sick3.9%59
  12. Drug exposure during pregnancythe medicine was taken during pregnancy3.6%54
  13. Vaginal haemorrhagevaginal bleeding3.5%52
  14. Abdominal painstomach or belly pain2.9%44
  15. Uterine rupture2.9%44
  16. Painpain, site not specified2.8%42
  17. Neonatal hypoxia2.7%41
  18. Pruritusitching2.7%41
  19. Chillschills or shivering2.6%39
  20. Tremorshaking2.5%37
  21. Diarrhoealoose or frequent stools2.3%35
  22. Foetal distress syndrome2.2%33
  23. Nauseafeeling sick2.1%32
  24. Drug hypersensitivityan allergic-type reaction to a medicine1.9%29
  25. Headachehead pain1.8%27
  26. Premature separation of placenta1.8%27
  27. Drug ineffectivethe medicine did not work as expected1.7%26
  28. Foetal heart rate abnormal1.7%26

Top 30 of 353 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 3 drugs in the prostaglandin e1 analog 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

Death7.8%116
Life-threatening10.6%159
Hospitalisation (initial or prolonged)29.3%438
Disability6.2%93
Congenital anomaly5.5%82
Other serious67.1%1,003
Not serious7.1%106

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 9,132 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 22.9%43
2 to 110.8%12
12 to 170.9%14
18 to 4442.1%629
45 to 646.4%96
65 to 742.3%35
75 and over1.4%21
Age not given43.1%645

Patient sex

Female70.9%1,060
Male13.2%197
Not given15.9%238

Who reported

Physician22.5%337
Pharmacist6.2%93
Other health professional18.8%281
Lawyer1.6%24
Consumer or non-health professional47.3%707
Not given3.5%53

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 15.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Labour induction46030.8%
Abortion induced26617.8%
Abortion644.3%
Induced labour332.2%
Abortion spontaneous221.5%
Abortion missed161.1%

The indication field is filled in by the reporter and is often blank; shares are of all 1,495 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Cytotec reports
Diclofenac sodium291.9%
Prednisolone271.8%
Enbrel251.7%
Methotrexate241.6%
Orencia211.4%
Arthrotec201.3%
Celebrex201.3%
Paracetamol191.3%
Aspirin181.2%
Oxytocin181.2%

Other products listed in reports where Cytotec 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

MeasureCytotecProstaglandin E1 analogAll reports
Reports as suspect product1,4959,13220,646,523
Share of that pool—16.4%0%
Reports, latest 12 months33—1,332,454
Marked serious92.9%58.1%57.4%
Death recorded among outcomes, per 1,000 reports784191
Hospitalisation recorded, per 1,000 reports293255213
Consumer-filed share47.3%22.6%45.8%
Top term, share of reportsOff label use 28.9%median 6.6%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 prostaglandin e1 analog class

DrugName typeReportsLatest 12 monthsMarked serious
Misoprostolgeneric5,33411544.6%
Arthrotecbrand2,3031066.8%

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 Cytotec reports

How many adverse event reports has FDA received for Cytotec?

1,495 reports list Cytotec as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 33 of them arrived in the latest 12 months. Another 1,900 list it only as a concomitant medication.

What reactions are recorded in Cytotec reports?

off label use (28.9%), product use in unapproved indication (14.4%), foetal exposure during delivery (12.9%), drug ineffective for unapproved indication (7%) and maternal exposure during pregnancy (6.8%). 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 Cytotec was responsible.

How serious are the reports?

92.9% are marked serious by the reporter. Among the outcomes recorded, 7.8% of reports include death and 29.3% 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 (47.3%), physician (22.5%) and other health professional (18.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Cytotec rising?

33 reports in the 12 months to June 2026, up 14% from 29 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 Cytotec 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 Cytotec?

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 Cytotec as a suspect or interacting product; reports listing it only as a concomitant medication (1,900) 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.