Reported Reactions

Drugs › Corticosteroid

Generic name

Dexamethasone sodium phosphate: adverse event reports filed with FDA

4,547 reports list it as a suspect or interacting product, 2004–2026. Class: Corticosteroid. Also reported as Dexamethasone Sodium Phosphate Injection Usp, Dexamethasone Sodium Phosphate Injection.

4,547
reports as suspect product
0% of all reports · about 206 a year
816
reports, 12 months to June 2026
533 in the 12 months before
92.2%
marked serious by the reporter
77.7% across the class
14.7%
record death among outcomes, as reported
669 reports · not verified by FDA

4,547 adverse event reports received by FDA list dexamethasone sodium phosphate, a generic name as a suspect or interacting product, from June 2004 to June 2026. A further 5,870 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, 816 reports listed it, up 53% from 533 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 206 reports a year and 0% of the 20,646,523 reports in the database, and 0.6% of the reports for the corticosteroid class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded off label use (12.7%), product use in unapproved indication (7.3%) and drug ineffective (6.9%). A report can list several reactions, so shares add to more than 100%; 994 different terms appear across these reports. Off label use is recorded in 12.7% of these reports, a larger share than in the median corticosteroid drug (8.8%).

92.2% of the reports are marked serious by the reporter (77.7% across the class); 14.7% record death among the outcomes and 36.9% record hospitalisation, as reported. 44.6% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (25.6%). 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

068135Jul 2021: 32Aug 2021: 29Sep 2021: 63Oct 2021: 55Nov 2021: 39Dec 2021: 372022Jan 2022: 37Feb 2022: 51Mar 2022: 43Apr 2022: 31May 2022: 49Jun 2022: 33Jul 2022: 32Aug 2022: 34Sep 2022: 45Oct 2022: 37Nov 2022: 37Dec 2022: 682023Jan 2023: 27Feb 2023: 42Mar 2023: 44Apr 2023: 55May 2023: 43Jun 2023: 22Jul 2023: 34Aug 2023: 28Sep 2023: 24Oct 2023: 26Nov 2023: 27Dec 2023: 302024Jan 2024: 27Feb 2024: 42Mar 2024: 20Apr 2024: 20May 2024: 22Jun 2024: 20Jul 2024: 54Aug 2024: 54Sep 2024: 29Oct 2024: 51Nov 2024: 44Dec 2024: 462025Jan 2025: 29Feb 2025: 47Mar 2025: 44Apr 2025: 49May 2025: 42Jun 2025: 44Jul 2025: 59Aug 2025: 54Sep 2025: 80Oct 2025: 68Nov 2025: 49Dec 2025: 812026Jan 2026: 135Feb 2026: 51Mar 2026: 60Apr 2026: 60May 2026: 55Jun 2026: 64

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

03236462004: 320042005: 102006: 272007: 1920072008: 252009: 482010: 2520102011: 1662012: 1652013: 13320132014: 592015: 882016: 13720162017: 1552018: 1772019: 22220192020: 3082021: 3812022: 49720222023: 4022024: 4292025: 64620252026: 425

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Dexamethasone sodium phosphate reports recording the termmedian drug in corticosteroid

  1. Off label useused for a purpose or in a way not on the label12.7%578
  2. Product use in unapproved indicationused for a purpose not on the label7.3%332
  3. Drug ineffectivethe medicine did not work as expected6.9%315
  4. Pyrexiafever3.7%168
  5. Neutropenialow neutrophils, a type of white blood cell3.5%159
  6. Fatiguetiredness3.4%154
  7. Nauseafeeling sick3.3%151
  8. Diarrhoealoose or frequent stools3.1%143
  9. Thrombocytopenialow platelets3.1%139
  10. Dyspnoeashortness of breath2.8%127
  11. Pneumonialung infection2.8%127
  12. Neuropathy peripheralnerve damage in hands or feet2.6%117
  13. Anaemialow red blood cells2.6%116
  14. Vomitingbeing sick2.4%111
  15. Rashskin rash2.4%109
  16. Condition aggravatedthe condition being treated got worse2.2%101
  17. Treatment failurethe treatment did not work2.2%100
  18. White blood cell count decreasedlow white cell count2%89
  19. Disease progressionthe disease advanced1.9%85
  20. Headachehead pain1.9%85
  21. Platelet count decreasedlow platelet count1.8%84
  22. Febrile neutropeniafever with low white blood cells1.8%83
  23. Astheniaweakness or lack of energy1.8%80
  24. Deaththe patient died; cause not stated by this term1.7%79
  25. Infectionan infection, type not specified1.7%77

Top 30 of 994 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 74 drugs in the corticosteroid 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

Death14.7%669
Life-threatening11.4%517
Hospitalisation (initial or prolonged)36.9%1,679
Disability3.4%154
Congenital anomaly0.4%20
Other serious67.5%3,069
Not serious7.8%354

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 808,789 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 21%46
2 to 115.3%243
12 to 173.1%142
18 to 4415.5%707
45 to 6425.6%1,165
65 to 7416.6%754
75 and over9.8%447
Age not given22.9%1,043

Patient sex

Female41.5%1,889
Male45.2%2,053
Not given13.3%605

Who reported

Physician37.4%1,699
Pharmacist3.7%169
Other health professional44.6%2,028
Lawyer0.1%5
Consumer or non-health professional12%547
Not given2.2%99

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 28.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Plasma cell myeloma71115.6%
Acute lymphocytic leukaemia2084.6%
Diffuse large b-cell lymphoma1463.2%
Covid-19892%
Plasma cell myeloma refractory801.8%
Multiple myeloma551.2%

The indication field is filled in by the reporter and is often blank; shares are of all 4,547 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Dexamethasone sodium phosphate reports
Cyclophosphamide91720.2%
Cytarabine55512.2%
Rituximab50211%
Lenalidomide45410%
Prednisone4239.3%
Bortezomib4149.1%
Methotrexate4149.1%
Doxorubicin hydrochloride3768.3%
Etoposide3728.2%
Vincristine sulfate3507.7%

Other products listed in reports where Dexamethasone sodium phosphate 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

MeasureDexamethasone sodium phosphateCorticosteroidAll reports
Reports as suspect product4,547808,78920,646,523
Share of that pool—0.6%0%
Reports, latest 12 months816—1,332,454
Marked serious92.2%77.7%57.4%
Death recorded among outcomes, per 1,000 reports14714691
Hospitalisation recorded, per 1,000 reports369336213
Consumer-filed share12%29.1%45.8%
Top term, share of reportsOff label use 12.7%median 8.8%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 corticosteroid class

DrugName typeReportsLatest 12 monthsMarked serious
Prednisonegeneric183,86715,61491.4%
Dexamethasonegeneric129,6779,21695.1%
Prednisolonegeneric87,8066,62497.6%
Methylprednisolonegeneric49,5374,43095.2%
Symbicortbrand39,1191,17750.6%
Breo Elliptabrand22,22062831.7%
Hydrocortisonegeneric21,2632,38689.5%
Advair Diskusbrand20,51812029%
Advair Hfabrand19,62258954.9%
Budesonidegeneric14,7141,08382.2%
Desoximetasonegeneric12,2091,52599.2%
Floventbrand10,77217142.1%
Methylprednisolone sodium succinategeneric10,7721,63097.8%
Solu-medrolgeneric10,28843288.8%
Ciprobrand9,79110857.3%

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 Dexamethasone sodium phosphate reports

How many adverse event reports has FDA received for Dexamethasone sodium phosphate?

4,547 reports list Dexamethasone sodium phosphate as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 816 of them arrived in the latest 12 months. Another 5,870 list it only as a concomitant medication.

What reactions are recorded in Dexamethasone sodium phosphate reports?

off label use (12.7%), product use in unapproved indication (7.3%), drug ineffective (6.9%), plasma cell myeloma (4%) and myelosuppression (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 Dexamethasone sodium phosphate was responsible.

How serious are the reports?

92.2% are marked serious by the reporter. Among the outcomes recorded, 14.7% of reports include death and 36.9% 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?

other health professional (44.6%), physician (37.4%) and consumer or non-health professional (12%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Dexamethasone sodium phosphate rising?

816 reports in the 12 months to June 2026, up 53% from 533 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 Dexamethasone sodium phosphate 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 Dexamethasone sodium phosphate?

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 Dexamethasone sodium phosphate as a suspect or interacting product; reports listing it only as a concomitant medication (5,870) 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.