Reported Reactions

Drugs › Phosphodiesterase 4 inhibitor

Brand name · Roflumilast

Daliresp: adverse event reports filed with FDA

2,443 reports list it as a suspect or interacting product, 2010–2026. Class: Phosphodiesterase 4 inhibitor.

2,443
reports as suspect product
0% of all reports · about 151 a year
14
reports, 12 months to June 2026
53 in the 12 months before
58.4%
marked serious by the reporter
23% across the class
23.8%
record death among outcomes, as reported
582 reports · not verified by FDA

Between May 2010 and June 2026, 2,443 adverse event reports received by FDA list the brand name Daliresp (roflumilast) as a suspect or interacting product. Reports that mention it only as a concomitant medication (1,846) are left out of every figure here.

In the 12 months to June 2026, 14 reports listed it, down 74% from 53 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 151 reports a year and 0% of the 20,646,523 reports in the database, and 1.6% of the reports for the phosphodiesterase 4 inhibitor 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 death (21.6%), diarrhoea (14.2%) and dyspnoea (12.4%). A report can list several reactions, so shares add to more than 100%; 319 different terms appear across these reports. Death is recorded in 21.6% of these reports, a larger share than in the median phosphodiesterase 4 inhibitor drug (0.9%).

58.4% of the reports are marked serious by the reporter (23% across the class); 23.8% record death among the outcomes and 16.1% record hospitalisation, as reported. 49.3% of the reports came from consumers, and the largest patient age group is 65 to 74 (21.4%). 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

01836Jul 2021: 18Aug 2021: 12Sep 2021: 12Oct 2021: 15Nov 2021: 5Dec 2021: 132022Jan 2022: 12Feb 2022: 12Mar 2022: 7Apr 2022: 10May 2022: 20Jun 2022: 10Jul 2022: 19Aug 2022: 14Sep 2022: 6Oct 2022: 5Nov 2022: 18Dec 2022: 212023Jan 2023: 20Feb 2023: 36Mar 2023: 26Apr 2023: 28May 2023: 19Jun 2023: 13Jul 2023: 23Aug 2023: 18Sep 2023: 2Oct 2023: 10Nov 2023: 11Dec 2023: 122024Jan 2024: 11Feb 2024: 3Mar 2024: 2Apr 2024: 14May 2024: 3Jun 2024: 0Jul 2024: 12Aug 2024: 23Sep 2024: 2Oct 2024: 2Nov 2024: 3Dec 2024: 12025Jan 2025: 1Feb 2025: 4Mar 2025: 2Apr 2025: 0May 2025: 2Jun 2025: 1Jul 2025: 1Aug 2025: 2Sep 2025: 1Oct 2025: 1Nov 2025: 0Dec 2025: 32026Jan 2026: 0Feb 2026: 0Mar 2026: 2Apr 2026: 2May 2026: 1Jun 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

02525042010: 320102011: 712012: 50420122013: 3202014: 13220142015: 1302016: 15920162017: 1472018: 10620182019: 1662020: 9420202021: 1392022: 15420222023: 2182024: 7620242025: 182026: 62026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Daliresp reports recording the termmedian drug in phosphodiesterase 4 inhibitor

  1. Deaththe patient died; cause not stated by this term21.6%527
  2. Diarrhoealoose or frequent stools14.2%347
  3. Dyspnoeashortness of breath12.4%302
  4. Weight decreasedweight loss11.7%285
  5. Nauseafeeling sick10.7%261
  6. Insomniadifficulty sleeping9.3%228
  7. Chronic obstructive pulmonary diseaseCOPD, a long-term lung disease8.7%212
  8. Decreased appetitereduced appetite7.2%177
  9. Headachehead pain7.1%173
  10. Dizzinesslight-headedness or unsteadiness6.6%161
  11. Off label useused for a purpose or in a way not on the label5.9%143
  12. Back painback pain5%123
  13. Tremorshaking4.7%116
  14. Malaisegeneral feeling of being unwell4.7%115
  15. Anxietyanxiety4.4%108
  16. Suicidal ideationthoughts of suicide3.6%88
  17. Intentional product misusedeliberate use not as intended3.6%87
  18. Drug dose omissiona dose was missed3.5%85
  19. Pneumonialung infection3.3%81
  20. Feeling abnormalfeeling odd or not right3.2%78
  21. Coughcough3.2%77
  22. Astheniaweakness or lack of energy2.7%66
  23. Fatiguetiredness2.7%66
  24. Depressionlow mood2.7%65
  25. Influenza like illnessflu-like symptoms2.7%65
  26. Drug ineffectivethe medicine did not work as expected2.5%61
  27. Vomitingbeing sick2.2%54
  28. Abdominal pain upperupper stomach pain1.9%47
  29. Product use issuea problem in how the product was used1.9%46
  30. Condition aggravatedthe condition being treated got worse1.8%45

Top 30 of 319 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 5 drugs in the phosphodiesterase 4 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

Death23.8%582
Life-threatening1.8%45
Hospitalisation (initial or prolonged)16.1%393
Disability0.6%15
Congenital anomaly0%0
Other serious24.1%588
Not serious41.6%1,017

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 152,432 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%0
2 to 110%1
12 to 170%0
18 to 440.3%7
45 to 6412.8%313
65 to 7421.4%524
75 and over18.7%456
Age not given46.7%1,142

Patient sex

Female49.1%1,200
Male40.9%998
Not given10%245

Who reported

Physician25.3%617
Pharmacist1.8%45
Other health professional7.9%194
Lawyer0%0
Consumer or non-health professional49.3%1,205
Not given15.6%382

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.3% 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 disease1,07343.9%
Emphysema371.5%
Bronchitis chronic220.9%
Asthma200.8%
Dyspnoea120.5%
Lung disorder80.3%

The indication field is filled in by the reporter and is often blank; shares are of all 2,443 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Daliresp reports
Symbicort36815.1%
Tiotropium bromide2399.8%
Albuterol1947.9%
Prednisone1787.3%
Aspirin1445.9%
Singulair1014.1%
Oxygen974%
Tudorza Pressair933.8%
Lisinopril893.6%
Albuterol sulfate803.3%

Other products listed in reports where Daliresp 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

MeasureDalirespPhosphodiesterase 4 inhibitorAll reports
Reports as suspect product2,443152,43220,646,523
Share of that pool—1.6%0%
Reports, latest 12 months14—1,332,454
Marked serious58.4%23%57.4%
Death recorded among outcomes, per 1,000 reports2384891
Hospitalisation recorded, per 1,000 reports16181213
Consumer-filed share49.3%24.7%45.8%
Top term, share of reportsDeath 21.6%median 0.9%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 phosphodiesterase 4 inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Otezlabrand135,7103,34420.6%
Eucrisabrand7,751925.1%
Apremilastgeneric5,24788077.5%
Roflumilastgeneric1,28111292.7%

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 Daliresp reports

How many adverse event reports has FDA received for Daliresp?

2,443 reports list Daliresp as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 14 of them arrived in the latest 12 months. Another 1,846 list it only as a concomitant medication.

What reactions are recorded in Daliresp reports?

death (21.6%), diarrhoea (14.2%), dyspnoea (12.4%), weight decreased (11.7%) and nausea (10.7%). 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 Daliresp was responsible.

How serious are the reports?

58.4% are marked serious by the reporter. Among the outcomes recorded, 23.8% of reports include death and 16.1% 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 (49.3%), physician (25.3%) and not given (15.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Daliresp rising?

14 reports in the 12 months to June 2026, down 74% from 53 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 Daliresp 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 Daliresp?

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 Daliresp as a suspect or interacting product; reports listing it only as a concomitant medication (1,846) 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.