Reported Reactions

Drugs › Osmotic laxative

Brand name · Sodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextrose

DIANEAL Low Calcium with Dextrose: adverse event reports filed with FDA

970 reports list it as a suspect or interacting product, 2014–2026. Class: Osmotic laxative.

970
reports as suspect product
0% of all reports · about 81 a year
26
reports, 12 months to June 2026
48 in the 12 months before
97.4%
marked serious by the reporter
54.5% across the class
68.9%
record death among outcomes, as reported
668 reports · not verified by FDA

Between August 2014 and May 2026, 970 adverse event reports received by FDA list the brand name DIANEAL Low Calcium with Dextrose (sodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextrose) as a suspect or interacting product. Reports that mention it only as a concomitant medication (0) are left out of every figure here.

In the 12 months to June 2026, 26 reports listed it, down 46% from 48 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 81 reports a year and 0% of the 20,646,523 reports in the database, and 0.7% of the reports for the osmotic laxative class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded death (37.1%), peritonitis (8.7%) and dyspnoea (7%). A report can list several reactions, so shares add to more than 100%; 139 different terms appear across these reports. Death is recorded in 37.1% of these reports, a larger share than in the median osmotic laxative drug (2.4%).

97.4% of the reports are marked serious by the reporter (54.5% across the class); 68.9% record death among the outcomes and 42.9% record hospitalisation, as reported. 68.6% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (21.3%). 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

02243Jul 2021: 12Aug 2021: 7Sep 2021: 7Oct 2021: 8Nov 2021: 10Dec 2021: 62022Jan 2022: 6Feb 2022: 3Mar 2022: 9Apr 2022: 6May 2022: 14Jun 2022: 14Jul 2022: 5Aug 2022: 9Sep 2022: 4Oct 2022: 4Nov 2022: 10Dec 2022: 32023Jan 2023: 8Feb 2023: 9Mar 2023: 5Apr 2023: 9May 2023: 43Jun 2023: 12Jul 2023: 7Aug 2023: 11Sep 2023: 9Oct 2023: 4Nov 2023: 6Dec 2023: 42024Jan 2024: 7Feb 2024: 6Mar 2024: 9Apr 2024: 3May 2024: 2Jun 2024: 3Jul 2024: 4Aug 2024: 3Sep 2024: 4Oct 2024: 1Nov 2024: 3Dec 2024: 52025Jan 2025: 0Feb 2025: 2Mar 2025: 5Apr 2025: 4May 2025: 14Jun 2025: 3Jul 2025: 3Aug 2025: 1Sep 2025: 4Oct 2025: 4Nov 2025: 3Dec 2025: 22026Jan 2026: 1Feb 2026: 1Mar 2026: 1Apr 2026: 3May 2026: 3Jun 2026: 0

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

0991972014: 1120142015: 862016: 19720162017: 1242018: 3920182019: 222020: 7920202021: 942022: 8720222023: 1272024: 5020242025: 452026: 92026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of DIANEAL Low Calcium with Dextrose reports recording the termmedian drug in osmotic laxative

  1. Deaththe patient died; cause not stated by this term37.1%360
  2. Dyspnoeashortness of breath7%68
  3. Loss of consciousnesspassing out4.6%45
  4. Ultrafiltration failure3.6%35
  5. Cardio-respiratory arrestthe heart and breathing stopped3%29
  6. Seizurea fit or convulsion3%29
  7. Astheniaweakness or lack of energy2.8%27
  8. Peritoneal cloudy effluent2.8%27
  9. Sepsisa severe body-wide response to infection2.8%27
  10. Pneumonialung infection2.5%24
  11. Hypotensionlow blood pressure2.4%23
  12. Abdominal painstomach or belly pain2.3%22
  13. Oedema peripheralswelling of the legs, ankles or hands2.2%21
  14. Decreased appetitereduced appetite2.1%20
  15. Diarrhoealoose or frequent stools2.1%20
  16. Hypertensionhigh blood pressure2.1%20
  17. Malaisegeneral feeling of being unwell1.5%15
  18. Pulmonary oedemafluid in the lungs1.5%15
  19. Cardiac arrestthe heart stopped1.4%14
  20. Fatiguetiredness1.4%14
  21. Covid-19COVID-19 infection1.2%12
  22. Diabetic footfoot problems from diabetes1.2%12
  23. Oedemaswelling from fluid1.2%12

Top 30 of 139 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 17 drugs in the osmotic laxative 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

Death68.9%668
Life-threatening0.8%8
Hospitalisation (initial or prolonged)42.9%416
Disability0.1%1
Congenital anomaly0%0
Other serious40.3%391
Not serious2.6%25

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 129,514 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 20.1%1
2 to 110.7%7
12 to 170.8%8
18 to 4411.3%110
45 to 6421.3%207
65 to 7410.1%98
75 and over8.4%81
Age not given47.2%458

Patient sex

Female42.3%410
Male56.7%550
Not given1%10

Who reported

Physician0.9%9
Pharmacist0.1%1
Other health professional68.6%665
Lawyer0%0
Consumer or non-health professional30.4%295
Not given0%0

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 2.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Peritoneal dialysis53855.5%
Chronic kidney disease20320.9%
End stage renal disease252.6%
Renal failure202.1%

The indication field is filled in by the reporter and is often blank; shares are of all 970 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of DIANEAL Low Calcium with Dextrose reports
Dianeal Low Calcium Peritoneal Dialysis Solution with Dextrose11011.3%
Furosemide10110.4%
Folic acid959.8%
Calcium carbonate889.1%
Amlodipine868.9%
Ferrous sulfate828.5%
Losartan788%
Extraneal727.4%
Calcium596.1%
Potassium chloride515.3%

Other products listed in reports where DIANEAL Low Calcium with Dextrose 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

MeasureDIANEAL Low Calcium with DextroseOsmotic laxativeAll reports
Reports as suspect product970129,51420,646,523
Share of that pool—0.7%0%
Reports, latest 12 months26—1,332,454
Marked serious97.4%54.5%57.4%
Death recorded among outcomes, per 1,000 reports68915291
Hospitalisation recorded, per 1,000 reports429286213
Consumer-filed share30.4%61%45.8%
Top term, share of reportsDeath 37.1%median 2.4%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 osmotic laxative class

DrugName typeReportsLatest 12 monthsMarked serious
MiraLAXbrand38,1881,7217.2%
Extranealbrand30,83073383.6%
Sodium chloridegeneric11,0441,38992.5%
Delflexbrand8,76567653.8%
Potassium chloridegeneric8,17251886.4%
DIANEAL PD-2 with Dextrosebrand7,17816188.6%
Polyethylene glycol 3350generic5,75072617.8%
Lactulosegeneric4,13335387.1%
SUPREP Bowel Prepbrand3,664359.1%
Sodium bicarbonategeneric3,34230892.1%
Dulcolaxbrand2,89313763.8%
Sutabbrand1,51315112%
Bssbrand1,0474189.6%
Polyethylene glycolgeneric7605885.5%
Sodium bicarbonate, sodium chloridegeneric67529100%

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 DIANEAL Low Calcium with Dextrose reports

How many adverse event reports has FDA received for DIANEAL Low Calcium with Dextrose?

970 reports list DIANEAL Low Calcium with Dextrose as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 26 of them arrived in the latest 12 months. Another 0 list it only as a concomitant medication.

What reactions are recorded in DIANEAL Low Calcium with Dextrose reports?

death (37.1%), peritonitis (8.7%), dyspnoea (7%), loss of consciousness (4.6%) and peritoneal dialysis complication (3.7%). 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 DIANEAL Low Calcium with Dextrose was responsible.

How serious are the reports?

97.4% are marked serious by the reporter. Among the outcomes recorded, 68.9% of reports include death and 42.9% 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 (68.6%), consumer or non-health professional (30.4%) and physician (0.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for DIANEAL Low Calcium with Dextrose rising?

26 reports in the 12 months to June 2026, down 46% from 48 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 DIANEAL Low Calcium with Dextrose 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 DIANEAL Low Calcium with Dextrose?

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 DIANEAL Low Calcium with Dextrose as a suspect or interacting product; reports listing it only as a concomitant medication (0) 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.