Reported Reactions

Drugs › Azole antifungal

Generic name

Fluconazole: adverse event reports filed with FDA

17,175 reports list it as a suspect or interacting product, 2004–2026. Class: Azole antifungal. Also reported as Fluconazole 100mg Capsules, Fluconazole Injection Usp, Fluconazole 150mg.

17,175
reports as suspect product
0.1% of all reports · about 764 a year
1,458
reports, 12 months to June 2026
1,528 in the 12 months before
90.7%
marked serious by the reporter
79% across the class
17.7%
record death among outcomes, as reported
3,038 reports · not verified by FDA

Between January 2004 and June 2026, 17,175 adverse event reports received by FDA list fluconazole, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (39,970) are left out of every figure here.

In the 12 months to June 2026, 1,458 reports listed it, close to the 1,528 of 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 764 reports a year and 0.1% of the 20,646,523 reports in the database, and 24.9% of the reports for the azole antifungal 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 drug ineffective (15.4%), drug interaction (13.2%) and off label use (8.9%). A report can list several reactions, so shares add to more than 100%; 2,134 different terms appear across these reports. Drug ineffective is recorded in 15.4% of these reports, about the same share as in the median azole antifungal drug (15%).

90.7% of the reports are marked serious by the reporter (79% across the class); 17.7% record death among the outcomes and 40.7% record hospitalisation, as reported. 42.4% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (25%). 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

094188Jul 2021: 89Aug 2021: 96Sep 2021: 108Oct 2021: 102Nov 2021: 125Dec 2021: 1042022Jan 2022: 90Feb 2022: 105Mar 2022: 118Apr 2022: 85May 2022: 112Jun 2022: 122Jul 2022: 79Aug 2022: 81Sep 2022: 115Oct 2022: 79Nov 2022: 119Dec 2022: 1062023Jan 2023: 112Feb 2023: 122Mar 2023: 78Apr 2023: 75May 2023: 124Jun 2023: 155Jul 2023: 111Aug 2023: 104Sep 2023: 104Oct 2023: 117Nov 2023: 125Dec 2023: 962024Jan 2024: 110Feb 2024: 125Mar 2024: 161Apr 2024: 146May 2024: 156Jun 2024: 154Jul 2024: 152Aug 2024: 122Sep 2024: 114Oct 2024: 188Nov 2024: 138Dec 2024: 1372025Jan 2025: 142Feb 2025: 129Mar 2025: 100Apr 2025: 107May 2025: 90Jun 2025: 109Jul 2025: 162Aug 2025: 120Sep 2025: 135Oct 2025: 136Nov 2025: 128Dec 2025: 1832026Jan 2026: 120Feb 2026: 110Mar 2026: 103Apr 2026: 101May 2026: 62Jun 2026: 98

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

08521,7032004: 15320042005: 1812006: 2312007: 19920072008: 2802009: 2652010: 27320102011: 4572012: 4842013: 43220132014: 5452015: 6662016: 73720162017: 8962018: 1,1922019: 1,30220192020: 1,3092021: 1,2002022: 1,21120222023: 1,3232024: 1,7032025: 1,54120252026: 594

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Fluconazole reports recording the termmedian drug in azole antifungal

  1. Drug ineffectivethe medicine did not work as expected15.4%2,641
  2. Drug interactionan interaction between medicines13.2%2,263
  3. Off label useused for a purpose or in a way not on the label8.9%1,526
  4. Pyrexiafever5.5%944
  5. Headachehead pain5.5%937
  6. Rashskin rash4.1%703
  7. Hypersensitivityan allergic-type reaction3.8%647
  8. Nauseafeeling sick3.7%639
  9. Thrombocytopenialow platelets3.6%613
  10. Painpain, site not specified3.5%602
  11. Exposure during pregnancythe medicine was taken during pregnancy3.3%575
  12. Condition aggravatedthe condition being treated got worse3.2%551
  13. Erythemaskin redness3%511
  14. Drug hypersensitivityan allergic-type reaction to a medicine2.9%501
  15. Drug intolerancethe medicine was not tolerated2.9%498
  16. Fatiguetiredness2.9%498
  17. Diarrhoealoose or frequent stools2.8%484
  18. Product use in unapproved indicationused for a purpose not on the label2.7%470
  19. Acute kidney injurysudden loss of kidney function2.7%463
  20. Hepatic enzyme increasedraised liver enzymes2.6%446
  21. Hypertensionhigh blood pressure2.6%444
  22. Rash erythematousa red rash2.6%441
  23. Product use issuea problem in how the product was used2.5%436
  24. Overdosea dose above the recommended amount2.5%432
  25. Dyspnoeashortness of breath2.5%430
  26. Treatment failurethe treatment did not work2.5%426
  27. Infusion related reactiona reaction during or soon after an infusion2.5%425
  28. Constipationconstipation2.4%417
  29. Candida infectionthrush, a yeast infection2.4%404
  30. Anaemialow red blood cells2.3%401

Top 30 of 2,134 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 16 drugs in the azole antifungal 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

Death17.7%3,038
Life-threatening10.7%1,830
Hospitalisation (initial or prolonged)40.7%6,995
Disability2.3%394
Congenital anomaly0.8%144
Other serious62.8%10,780
Not serious9.3%1,594

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 69,035 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 21.8%315
2 to 112.9%500
12 to 171.8%306
18 to 4421.7%3,731
45 to 6425%4,291
65 to 7413.4%2,302
75 and over10.7%1,832
Age not given22.7%3,898

Patient sex

Female47.3%8,119
Male40.3%6,921
Not given12.4%2,135

Who reported

Physician31.5%5,407
Pharmacist7.6%1,311
Other health professional42.4%7,280
Lawyer0.1%15
Consumer or non-health professional14.7%2,525
Not given3.7%637

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 29.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Candida infection9675.6%
Fungal infection9115.3%
Antifungal prophylaxis7344.3%
Oral candidiasis4152.4%
Prophylaxis3862.2%
Antifungal treatment3231.9%

The indication field is filled in by the reporter and is often blank; shares are of all 17,175 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Fluconazole reports
Acetaminophen1,3407.8%
Vancomycin1,3377.8%
Meropenem1,2707.4%
Prednisone1,2407.2%
Ciprofloxacin1,2297.2%
Amphotericin b1,2037%
Furosemide1,1656.8%
Pantoprazole1,1076.4%
Dexamethasone9865.7%
Zopiclone9305.4%

Other products listed in reports where Fluconazole 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

MeasureFluconazoleAzole antifungalAll reports
Reports as suspect product17,17569,03520,646,523
Share of that pool—24.9%0.1%
Reports, latest 12 months1,458—1,332,454
Marked serious90.7%79%57.4%
Death recorded among outcomes, per 1,000 reports17717791
Hospitalisation recorded, per 1,000 reports407317213
Consumer-filed share14.7%23.9%45.8%
Top term, share of reportsDrug ineffective 15.4%median 15%6.3%

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 azole antifungal class

DrugName typeReportsLatest 12 monthsMarked serious
Voriconazolegeneric13,49595694.7%
Vfendbrand6,7527686.5%
Itraconazolegeneric4,55236490.4%
Posaconazolegeneric4,23458991.7%
Ketoconazolegeneric4,04723441.7%
Noxafilbrand3,2303966.7%
Diflucanbrand3,1476569.8%
Clotrimazolegeneric2,75729880.4%
Cresembabrand2,05025457.5%
Sporanoxbrand1,7284387.6%
Tioconazolegeneric1,4691973.1%
Jubliabrand1,2717918%
Miconazole nitrategeneric1,26016622.5%
Nizoralbrand1,21834829.5%
Miconazolegeneric6503072.3%

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 Fluconazole reports

How many adverse event reports has FDA received for Fluconazole?

17,175 reports list Fluconazole as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,458 of them arrived in the latest 12 months. Another 39,970 list it only as a concomitant medication.

What reactions are recorded in Fluconazole reports?

drug ineffective (15.4%), drug interaction (13.2%), off label use (8.9%), pyrexia (5.5%) and headache (5.5%). 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 Fluconazole was responsible.

How serious are the reports?

90.7% are marked serious by the reporter. Among the outcomes recorded, 17.7% of reports include death and 40.7% 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 (42.4%), physician (31.5%) and consumer or non-health professional (14.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Fluconazole rising?

1,458 reports in the 12 months to June 2026, close to the 1,528 of 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 Fluconazole 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 Fluconazole?

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 Fluconazole as a suspect or interacting product; reports listing it only as a concomitant medication (39,970) 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.