Reported Reactions

Drugs › Gadolinium-based contrast agent

Generic name

Gadobutrol: adverse event reports filed with FDA

1,018 reports list it as a suspect or interacting product, 2011–2026. Class: Gadolinium-based contrast agent.

1,018
reports as suspect product
0% of all reports · about 67 a year
184
reports, 12 months to June 2026
191 in the 12 months before
91.4%
marked serious by the reporter
55.4% across the class
12%
record death among outcomes, as reported
122 reports · not verified by FDA

1,018 adverse event reports received by FDA list gadobutrol, a generic name as a suspect or interacting product, from April 2011 to June 2026. A further 109 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, 184 reports listed it, close to the 191 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 67 reports a year and 0% of the 20,646,523 reports in the database, and 8.6% of the reports for the gadolinium-based contrast agent class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded dyspnoea (13.3%), pruritus (12.6%) and nausea (11.3%). A report can list several reactions, so shares add to more than 100%; 312 different terms appear across these reports. Dyspnoea is recorded in 13.3% of these reports, about the same share as in the median gadolinium-based contrast agent drug (10.9%).

91.4% of the reports are marked serious by the reporter (55.4% across the class); 12% record death among the outcomes and 29.1% record hospitalisation, as reported. 55.1% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (31.5%). 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

01529Jul 2021: 5Aug 2021: 5Sep 2021: 15Oct 2021: 28Nov 2021: 22Dec 2021: 172022Jan 2022: 7Feb 2022: 22Mar 2022: 10Apr 2022: 10May 2022: 25Jun 2022: 25Jul 2022: 25Aug 2022: 13Sep 2022: 13Oct 2022: 6Nov 2022: 8Dec 2022: 92023Jan 2023: 12Feb 2023: 12Mar 2023: 19Apr 2023: 17May 2023: 22Jun 2023: 14Jul 2023: 14Aug 2023: 12Sep 2023: 13Oct 2023: 20Nov 2023: 14Dec 2023: 212024Jan 2024: 14Feb 2024: 11Mar 2024: 10Apr 2024: 17May 2024: 16Jun 2024: 14Jul 2024: 25Aug 2024: 14Sep 2024: 14Oct 2024: 18Nov 2024: 24Dec 2024: 172025Jan 2025: 13Feb 2025: 17Mar 2025: 12Apr 2025: 11May 2025: 13Jun 2025: 13Jul 2025: 29Aug 2025: 13Sep 2025: 17Oct 2025: 13Nov 2025: 15Dec 2025: 132026Jan 2026: 15Feb 2026: 16Mar 2026: 13Apr 2026: 15May 2026: 16Jun 2026: 9

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

0971942011: 320112012: 52013: 220132014: 32015: 320152016: 172017: 1120172018: 202019: 1120192020: 102021: 11320212022: 1732023: 19020232024: 1942025: 17920252026: 84

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Gadobutrol reports recording the termmedian drug in gadolinium-based contrast agent

  1. Dyspnoeashortness of breath13.3%135
  2. Pruritusitching12.6%128
  3. Nauseafeeling sick11.3%115
  4. Urticariahives10.4%106
  5. Erythemaskin redness8.1%82
  6. Vomitingbeing sick7.8%79
  7. Dizzinesslight-headedness or unsteadiness7.2%73
  8. Hypotensionlow blood pressure6.8%69
  9. Coughcough6.2%63
  10. Rashskin rash6%61
  11. Gadolinium deposition disease5.6%57
  12. Throat irritationan irritated throat4.6%47
  13. Headachehead pain4.3%44
  14. Nontherapeutic agent urine positive4%41
  15. Paraesthesiatingling or pins and needles3.9%40
  16. Blood pressure decreaseda low blood pressure reading3.8%39
  17. Anaphylactic shocka severe allergic reaction with collapse3.7%38
  18. Anaphylactic reactiona severe, sudden allergic reaction3.5%36
  19. Contrast media allergy3.5%36
  20. Loss of consciousnesspassing out3.5%36
  21. Deaththe patient died; cause not stated by this term3.4%35
  22. Hyperhidrosisexcessive sweating3.4%35
  23. Syncopefainting3.3%34
  24. Contrast media reaction3.2%33
  25. Seizurea fit or convulsion3.1%32
  26. Astheniaweakness or lack of energy3%31
  27. Cardiac arrestthe heart stopped3%31
  28. Feeling hotfeeling hot2.8%29
  29. Hypoaesthesianumbness2.8%29

Top 30 of 312 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 4 drugs in the gadolinium-based contrast agent 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

Death12%122
Life-threatening13.3%135
Hospitalisation (initial or prolonged)29.1%296
Disability3.2%33
Congenital anomaly0.2%2
Other serious60.4%615
Not serious8.6%88

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 11,772 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 20.5%5
2 to 110.9%9
12 to 172.8%29
18 to 4430.3%308
45 to 6431.5%321
65 to 7413%132
75 and over7.8%79
Age not given13.3%135

Patient sex

Female55.2%562
Male34.8%354
Not given10%102

Who reported

Physician20.1%205
Pharmacist8.4%86
Other health professional55.1%561
Lawyer0.1%1
Consumer or non-health professional10.7%109
Not given5.5%56

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 27% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Magnetic resonance imaging25024.6%
Magnetic resonance imaging head828.1%
Magnetic resonance imaging heart393.8%
Scan with contrast383.7%
Magnetic resonance imaging abdominal323.1%
Diagnostic procedure242.4%

The indication field is filled in by the reporter and is often blank; shares are of all 1,018 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Gadobutrol reports
Calcium carbonate181.8%
Albuterol161.6%
Chlorpromazine161.6%
Codeine161.6%
Erythromycin161.6%
Gabapentin161.6%
Perindopril161.6%
Tylenol161.6%
Albuterol sulfate151.5%
Amlodipine besylate151.5%

Other products listed in reports where Gadobutrol 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

MeasureGadobutrolGadolinium-based contrast agentAll reports
Reports as suspect product1,01811,77220,646,523
Share of that pool—8.6%0%
Reports, latest 12 months184—1,332,454
Marked serious91.4%55.4%57.4%
Death recorded among outcomes, per 1,000 reports1203391
Hospitalisation recorded, per 1,000 reports291167213
Consumer-filed share10.7%18.5%45.8%
Top term, share of reportsDyspnoea 13.3%median 10.9%2.7%

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 gadolinium-based contrast agent class

DrugName typeReportsLatest 12 monthsMarked serious
MultiHancebrand4,14712660.3%
Gadavistbrand3,65311528.8%
Dotarembrand2,95421669%

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 Gadobutrol reports

How many adverse event reports has FDA received for Gadobutrol?

1,018 reports list Gadobutrol as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 184 of them arrived in the latest 12 months. Another 109 list it only as a concomitant medication.

What reactions are recorded in Gadobutrol reports?

dyspnoea (13.3%), pruritus (12.6%), nausea (11.3%), urticaria (10.4%) and erythema (8.1%). 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 Gadobutrol was responsible.

How serious are the reports?

91.4% are marked serious by the reporter. Among the outcomes recorded, 12% of reports include death and 29.1% 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 (55.1%), physician (20.1%) and consumer or non-health professional (10.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Gadobutrol rising?

184 reports in the 12 months to June 2026, close to the 191 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 Gadobutrol 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 Gadobutrol?

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 Gadobutrol as a suspect or interacting product; reports listing it only as a concomitant medication (109) 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.