Reported Reactions

Drugs › Corticosteroid

Generic name

Fluticasone propionate and salmeterol: adverse event reports filed with FDA

5,387 reports list it as a suspect or interacting product, 2004–2026. Class: Corticosteroid. Also reported as Fluticasone Propionate/Salmeterol, Fluticasone Propionate And Salmeterol Inhaler.

5,387
reports as suspect product
0% of all reports · about 244 a year
1,005
reports, 12 months to June 2026
652 in the 12 months before
55.8%
marked serious by the reporter
77.7% across the class
8.8%
record death among outcomes, as reported
472 reports · not verified by FDA

Between June 2004 and June 2026, 5,387 adverse event reports received by FDA list fluticasone propionate and salmeterol, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (7,184) are left out of every figure here.

In the 12 months to June 2026, 1,005 reports listed it, up 54% from 652 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 244 reports a year and 0% of the 20,646,523 reports in the database, and 0.7% 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.

The MedDRA terms listed most often are product dose omission issue (28.8%), dyspnoea (12.7%) and drug ineffective (8.9%). A report can list several reactions, so shares add to more than 100%; 797 different terms appear across these reports. Product dose omission issue is recorded in 28.8% of these reports, a larger share than in the median corticosteroid drug (0.6%).

55.8% of the reports are marked serious by the reporter (77.7% across the class); 8.8% record death among the outcomes and 26.5% record hospitalisation, as reported. 81.6% of the reports came from consumers, and the largest patient age group is 45 to 64 (16.5%). 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

0348696Jul 2021: 2Aug 2021: 2Sep 2021: 31Oct 2021: 2Nov 2021: 2Dec 2021: 582022Jan 2022: 5Feb 2022: 0Mar 2022: 54Apr 2022: 2May 2022: 1Jun 2022: 50Jul 2022: 3Aug 2022: 4Sep 2022: 45Oct 2022: 1Nov 2022: 2Dec 2022: 322023Jan 2023: 1Feb 2023: 3Mar 2023: 44Apr 2023: 4May 2023: 2Jun 2023: 60Jul 2023: 3Aug 2023: 1Sep 2023: 41Oct 2023: 5Nov 2023: 5Dec 2023: 832024Jan 2024: 1Feb 2024: 5Mar 2024: 10Apr 2024: 12May 2024: 11Jun 2024: 2Jul 2024: 4Aug 2024: 7Sep 2024: 4Oct 2024: 6Nov 2024: 4Dec 2024: 6062025Jan 2025: 1Feb 2025: 6Mar 2025: 4Apr 2025: 2May 2025: 3Jun 2025: 5Jul 2025: 2Aug 2025: 3Sep 2025: 2Oct 2025: 0Nov 2025: 287Dec 2025: 42026Jan 2026: 696Feb 2026: 3Mar 2026: 2Apr 2026: 3May 2026: 2Jun 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

06981,3962004: 2620042005: 82010: 7420102011: 2722012: 66220122013: 1,3962014: 64520142017: 12018: 720182019: 152020: 2520202021: 1072022: 19920222023: 2522024: 67220242025: 3192026: 7072026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Fluticasone propionate and salmeterol reports recording the termmedian drug in corticosteroid

  1. Product dose omission issuea dose was missed28.8%1,552
  2. Dyspnoeashortness of breath12.7%685
  3. Drug ineffectivethe medicine did not work as expected8.9%479
  4. Asthmaasthma7.4%399
  5. Pneumonialung infection6.2%335
  6. Off label useused for a purpose or in a way not on the label5.6%301
  7. Coughcough5.3%283
  8. Product quality issuea problem with the product itself5.2%279
  9. Product use issuea problem in how the product was used4.7%254
  10. Deaththe patient died; cause not stated by this term4.3%232
  11. Chronic obstructive pulmonary diseaseCOPD, a long-term lung disease3.9%210
  12. Malaisegeneral feeling of being unwell3.1%167
  13. Dysphoniaa hoarse voice3%159
  14. Hospitalisationadmission to hospital2.4%130
  15. Drug administration errora mistake in giving the medicine2.3%125
  16. Wheezingwheezing2.1%111
  17. Investigation2%106
  18. Bronchitischest infection1.8%97
  19. Fatiguetiredness1.6%84
  20. Headachehead pain1.6%84
  21. Chest discomfortchest discomfort1.5%83
  22. Wrong technique in product usage processthe product was used in the wrong way1.5%81
  23. Dizzinesslight-headedness or unsteadiness1.5%80
  24. Falla fall1.5%80
  25. Lung disordera lung problem, type not specified1.4%74
  26. Nasopharyngitisa cold1.4%73
  27. Chest painchest pain1.3%71
  28. Myocardial infarctionheart attack1.3%71
  29. Condition aggravatedthe condition being treated got worse1.3%68

Top 30 of 797 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

Death8.8%472
Life-threatening1%56
Hospitalisation (initial or prolonged)26.5%1,430
Disability1.3%71
Congenital anomaly0.1%6
Other serious24.9%1,339
Not serious44.2%2,380

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 20.1%4
2 to 111.1%60
12 to 170.5%26
18 to 443.7%198
45 to 6416.5%888
65 to 7410.8%581
75 and over11.1%597
Age not given56.3%3,033

Patient sex

Female58.4%3,147
Male37.7%2,031
Not given3.9%209

Who reported

Physician5.6%303
Pharmacist5.3%286
Other health professional6.8%364
Lawyer0%1
Consumer or non-health professional81.6%4,394
Not given0.7%39

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 86.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Asthma1,47427.4%
Chronic obstructive pulmonary disease1,06519.8%
Dyspnoea1532.8%
Respiratory disorder671.2%
Emphysema611.1%
Cough531%

The indication field is filled in by the reporter and is often blank; shares are of all 5,387 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Fluticasone propionate and salmeterol reports
Albuterol sulfate4037.5%
Tiotropium bromide3676.8%
Albuterol2925.4%
Prednisone2103.9%
Singulair1923.6%
Aspirin1653.1%
Lisinopril1132.1%
Oxygen1082%
Ventolin Hfa891.7%
Combivent831.5%

Other products listed in reports where Fluticasone propionate and salmeterol 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

MeasureFluticasone propionate and salmeterolCorticosteroidAll reports
Reports as suspect product5,387808,78920,646,523
Share of that pool—0.7%0%
Reports, latest 12 months1,005—1,332,454
Marked serious55.8%77.7%57.4%
Death recorded among outcomes, per 1,000 reports8814691
Hospitalisation recorded, per 1,000 reports265336213
Consumer-filed share81.6%29.1%45.8%
Top term, share of reportsProduct dose omission issue 28.8%median 0.6%1.4%

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 Fluticasone propionate and salmeterol reports

How many adverse event reports has FDA received for Fluticasone propionate and salmeterol?

5,387 reports list Fluticasone propionate and salmeterol as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,005 of them arrived in the latest 12 months. Another 7,184 list it only as a concomitant medication.

What reactions are recorded in Fluticasone propionate and salmeterol reports?

product dose omission issue (28.8%), dyspnoea (12.7%), drug ineffective (8.9%), asthma (7.4%) and pneumonia (6.2%). 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 Fluticasone propionate and salmeterol was responsible.

How serious are the reports?

55.8% are marked serious by the reporter. Among the outcomes recorded, 8.8% of reports include death and 26.5% 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 (81.6%), other health professional (6.8%) and physician (5.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Fluticasone propionate and salmeterol rising?

1,005 reports in the 12 months to June 2026, up 54% from 652 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 Fluticasone propionate and salmeterol 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 Fluticasone propionate and salmeterol?

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 Fluticasone propionate and salmeterol as a suspect or interacting product; reports listing it only as a concomitant medication (7,184) 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.