Reported Reactions

Drugs › l-Thyroxine

Brand name · Levothyroxine sodium

Euthyrox: adverse event reports filed with FDA

3,596 reports list it as a suspect or interacting product, 2004–2026. Class: l-Thyroxine. Also reported as Euthyrox 50 Mcg, Euthyrox 170465, Euthyrox 75.

3,596
reports as suspect product
0% of all reports · about 164 a year
133
reports, 12 months to June 2026
199 in the 12 months before
89.6%
marked serious by the reporter
48.4% across the class
2.4%
record death among outcomes, as reported
87 reports · not verified by FDA

Between August 2004 and June 2026, 3,596 adverse event reports received by FDA list the brand name Euthyrox (levothyroxine sodium) as a suspect or interacting product. Reports that mention it only as a concomitant medication (8,950) are left out of every figure here.

In the 12 months to June 2026, 133 reports listed it, down 33% from 199 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 164 reports a year and 0% of the 20,646,523 reports in the database, and 7% of the reports for the l-Thyroxine class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded fatigue (19.8%), headache (13.4%) and asthenia (10.7%). A report can list several reactions, so shares add to more than 100%; 948 different terms appear across these reports. Fatigue is recorded in 19.8% of these reports, a larger share than in the median l-Thyroxine drug (12.5%).

89.6% of the reports are marked serious by the reporter (48.4% across the class); 2.4% record death among the outcomes and 25.2% record hospitalisation, as reported. 58.2% of the reports came from consumers, and the largest patient age group is 45 to 64 (24.4%). 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

03365Jul 2021: 24Aug 2021: 21Sep 2021: 17Oct 2021: 18Nov 2021: 8Dec 2021: 202022Jan 2022: 65Feb 2022: 24Mar 2022: 25Apr 2022: 18May 2022: 23Jun 2022: 18Jul 2022: 17Aug 2022: 7Sep 2022: 18Oct 2022: 24Nov 2022: 14Dec 2022: 192023Jan 2023: 16Feb 2023: 25Mar 2023: 17Apr 2023: 17May 2023: 34Jun 2023: 11Jul 2023: 11Aug 2023: 21Sep 2023: 22Oct 2023: 15Nov 2023: 11Dec 2023: 352024Jan 2024: 15Feb 2024: 26Mar 2024: 19Apr 2024: 23May 2024: 24Jun 2024: 19Jul 2024: 19Aug 2024: 18Sep 2024: 13Oct 2024: 25Nov 2024: 14Dec 2024: 142025Jan 2025: 18Feb 2025: 22Mar 2025: 13Apr 2025: 26May 2025: 10Jun 2025: 7Jul 2025: 22Aug 2025: 10Sep 2025: 8Oct 2025: 15Nov 2025: 3Dec 2025: 92026Jan 2026: 7Feb 2026: 11Mar 2026: 9Apr 2026: 19May 2026: 13Jun 2026: 7

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

03446882004: 320042005: 42006: 42007: 220072008: 62009: 42010: 620102011: 12012: 222013: 8520132014: 1032015: 582016: 2220162017: 1262018: 6882019: 67220192020: 5732021: 2522022: 27220222023: 2352024: 2292025: 16320252026: 66

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Euthyrox reports recording the termmedian drug in l-thyroxine

  1. Fatiguetiredness19.8%712
  2. Headachehead pain13.4%482
  3. Astheniaweakness or lack of energy10.7%385
  4. Dizzinesslight-headedness or unsteadiness10.5%379
  5. Insomniadifficulty sleeping10.4%373
  6. Alopeciahair loss9.6%344
  7. Anxietyanxiety8.1%293
  8. Nauseafeeling sick8.1%293
  9. Muscle spasmsmuscle cramps7.9%283
  10. Palpitationsawareness of the heartbeat7.8%282
  11. Myalgiamuscle pain7.5%270
  12. Vertigoa spinning sensation7.3%263
  13. Depressionlow mood7.3%262
  14. Weight increasedweight gain7.3%262
  15. Arthralgiajoint pain6.8%243
  16. Malaisegeneral feeling of being unwell6.4%231
  17. Diarrhoealoose or frequent stools6.1%220
  18. Maternal exposure during pregnancythe mother took the medicine during pregnancy5.6%202
  19. Dyspnoeashortness of breath5.3%191
  20. Disturbance in attentiondifficulty concentrating5.1%183
  21. Irritabilityirritability5%181
  22. Blood thyroid stimulating hormone decreased4.8%171
  23. Hypertensionhigh blood pressure4.7%168
  24. Weight decreasedweight loss4.6%167
  25. Hyperthyroidismoveractive thyroid4.5%163
  26. Hypothyroidismunderactive thyroid4.4%158
  27. Tachycardiafast heart rate4.3%156
  28. Sleep disordera sleep problem4%144

Top 30 of 948 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 6 drugs in the l-thyroxine 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

Death2.4%87
Life-threatening2.3%81
Hospitalisation (initial or prolonged)25.2%907
Disability2.6%92
Congenital anomaly1.1%40
Other serious69.6%2,504
Not serious10.4%375

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 51,210 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 21.2%43
2 to 111%36
12 to 171.3%48
18 to 4416.4%588
45 to 6424.4%876
65 to 7412.3%441
75 and over10.2%367
Age not given33.3%1,197

Patient sex

Female80.3%2,888
Male13.9%499
Not given5.8%209

Who reported

Physician12.1%436
Pharmacist4.3%155
Other health professional10.8%388
Lawyer8.5%307
Consumer or non-health professional58.2%2,093
Not given6%217

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 10.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hypothyroidism94526.3%
Post procedural hypothyroidism2837.9%
Autoimmune thyroiditis2557.1%
Thyroid disorder2005.6%
Thyroidectomy952.6%
Basedow's disease150.4%

The indication field is filled in by the reporter and is often blank; shares are of all 3,596 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Euthyrox reports
Pantoprazole1012.8%
Bisoprolol742.1%
Ibuprofen671.9%
Levothyroxine631.8%
Aspirin621.7%
Ramipril611.7%
Omeprazole601.7%
Folic acid571.6%
Eliquis541.5%
Levothyroxine sodium501.4%

Other products listed in reports where Euthyrox 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

MeasureEuthyroxl-ThyroxineAll reports
Reports as suspect product3,59651,21020,646,523
Share of that pool—7%0%
Reports, latest 12 months133—1,332,454
Marked serious89.6%48.4%57.4%
Death recorded among outcomes, per 1,000 reports246291
Hospitalisation recorded, per 1,000 reports252172213
Consumer-filed share58.2%69%45.8%
Top term, share of reportsFatigue 19.8%median 12.5%3.7%

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 l-thyroxine class

DrugName typeReportsLatest 12 monthsMarked serious
Synthroidbrand26,8311,91038.1%
Levothyroxine sodiumgeneric14,3721,01366.1%
Levoxylbrand3,3827027.7%
Tirosintbrand2,27620517%
NP Thyroidbrand7533066.8%

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 Euthyrox reports

How many adverse event reports has FDA received for Euthyrox?

3,596 reports list Euthyrox as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 133 of them arrived in the latest 12 months. Another 8,950 list it only as a concomitant medication.

What reactions are recorded in Euthyrox reports?

fatigue (19.8%), headache (13.4%), asthenia (10.7%), dizziness (10.5%) and insomnia (10.4%). 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 Euthyrox was responsible.

How serious are the reports?

89.6% are marked serious by the reporter. Among the outcomes recorded, 2.4% of reports include death and 25.2% 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 (58.2%), physician (12.1%) and other health professional (10.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Euthyrox rising?

133 reports in the 12 months to June 2026, down 33% from 199 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 Euthyrox 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 Euthyrox?

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 Euthyrox as a suspect or interacting product; reports listing it only as a concomitant medication (8,950) 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.