Reported Reactions

Drugs › Nonsteroidal anti-inflammatory drug

Brand name · Nepafenac

Ilevro: adverse event reports filed with FDA

1,020 reports list it as a suspect or interacting product, 2013–2026. Class: Nonsteroidal anti-inflammatory drug.

1,020
reports as suspect product
0% of all reports · about 81 a year
5
reports, 12 months to June 2026
7 in the 12 months before
13.5%
marked serious by the reporter
71.8% across the class
0.4%
record death among outcomes, as reported
4 reports · not verified by FDA

1,020 adverse event reports received by FDA list the brand name Ilevro (nepafenac) as a suspect or interacting product, from November 2013 to April 2026. A further 414 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, 5 reports listed it, down 29% from 7 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 0.2% of the reports for the nonsteroidal anti-inflammatory drug class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded eye pain (35.3%), vision blurred (9.1%) and drug ineffective (7.3%). A report can list several reactions, so shares add to more than 100%; 116 different terms appear across these reports. Eye pain is recorded in 35.3% of these reports, a larger share than in the median nonsteroidal anti-inflammatory drug drug (0.1%).

13.5% of the reports are marked serious by the reporter (71.8% across the class); 0.4% record death among the outcomes and 1.1% record hospitalisation, as reported. 73.9% of the reports came from consumers, and the largest patient age group is 75 and over (4.8%). 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

036Jul 2021: 3Aug 2021: 1Sep 2021: 4Oct 2021: 6Nov 2021: 0Dec 2021: 12022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 2May 2022: 0Jun 2022: 1Jul 2022: 1Aug 2022: 0Sep 2022: 0Oct 2022: 0Nov 2022: 1Dec 2022: 02023Jan 2023: 1Feb 2023: 1Mar 2023: 0Apr 2023: 1May 2023: 0Jun 2023: 0Jul 2023: 0Aug 2023: 0Sep 2023: 0Oct 2023: 0Nov 2023: 6Dec 2023: 02024Jan 2024: 2Feb 2024: 2Mar 2024: 0Apr 2024: 0May 2024: 6Jun 2024: 3Jul 2024: 0Aug 2024: 0Sep 2024: 1Oct 2024: 1Nov 2024: 1Dec 2024: 32025Jan 2025: 1Feb 2025: 0Mar 2025: 0Apr 2025: 0May 2025: 0Jun 2025: 0Jul 2025: 1Aug 2025: 0Sep 2025: 0Oct 2025: 0Nov 2025: 1Dec 2025: 12026Jan 2026: 0Feb 2026: 1Mar 2026: 0Apr 2026: 1May 2026: 0Jun 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

02494972013: 120132014: 92015: 3720152016: 1702017: 49720172018: 902019: 9520192020: 512021: 3120212022: 52023: 920232024: 192025: 420252026: 2

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Ilevro reports recording the termmedian drug in nonsteroidal anti-inflammatory drug

  1. Eye paineye pain35.3%360
  2. Vision blurredblurred vision9.1%93
  3. Drug ineffectivethe medicine did not work as expected7.3%74
  4. Product quality issuea problem with the product itself5.4%55
  5. Eye irritationeye irritation4.5%46
  6. Visual impairmentreduced vision2.8%29
  7. Incorrect dose administeredthe wrong dose was given2.7%28
  8. Product container issuea problem with the container2.5%25
  9. Ocular hyperaemiaa red eye1.7%17
  10. Cystoid macular oedema1.6%16
  11. No adverse eventno adverse event was reported1.6%16
  12. Product dropper issue1.3%13
  13. Drug effect decreasedthe medicine had less effect1.2%12
  14. Visual acuity reducedreduced sharpness of vision1.2%12
  15. Hypersensitivityan allergic-type reaction1.1%11
  16. Off label useused for a purpose or in a way not on the label1.1%11
  17. Treatment failurethe treatment did not work1.1%11
  18. Wrong technique in product usage processthe product was used in the wrong way1.1%11
  19. Drug intolerancethe medicine was not tolerated1%10
  20. Product administration errora mistake in giving the product1%10
  21. Dry eyedry eye0.8%8

Top 30 of 116 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 47 drugs in the nonsteroidal anti-inflammatory drug 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

Death0.4%4
Life-threatening0%0
Hospitalisation (initial or prolonged)1.1%11
Disability0%0
Congenital anomaly0%0
Other serious12.7%130
Not serious86.5%882

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 548,672 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%0
2 to 110.1%1
12 to 170%0
18 to 440.5%5
45 to 642.5%25
65 to 743.3%34
75 and over4.8%49
Age not given88.8%906

Patient sex

Female30.2%308
Male14.4%147
Not given55.4%565

Who reported

Physician21.5%219
Pharmacist0.9%9
Other health professional3.4%35
Lawyer0.1%1
Consumer or non-health professional73.9%754
Not given0.2%2

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 97% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Postoperative care595.8%
Cataract operation515%
Posterior capsule opacification464.5%
Preoperative care131.3%
Cataract70.7%
Eye pain40.4%

The indication field is filled in by the reporter and is often blank; shares are of all 1,020 reports.

In context

MeasureIlevroNonsteroidal anti-inflammatory drugAll reports
Reports as suspect product1,020548,67220,646,523
Share of that pool—0.2%0%
Reports, latest 12 months5—1,332,454
Marked serious13.5%71.8%57.4%
Death recorded among outcomes, per 1,000 reports416291
Hospitalisation recorded, per 1,000 reports11356213
Consumer-filed share73.9%38.7%45.8%
Top term, share of reportsEye pain 35.3%median 0.1%0.3%

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 nonsteroidal anti-inflammatory drug class

DrugName typeReportsLatest 12 monthsMarked serious
Acetaminophengeneric86,93611,55494.8%
Ibuprofengeneric77,0585,63282.8%
Aspiringeneric72,1583,57593.2%
Diclofenac sodiumgeneric51,9202,97951.8%
Alevebrand49,10135116.4%
Celebrexbrand45,73173572.2%
Diclofenacgeneric27,7602,84291.6%
Naproxengeneric23,8722,14790.7%
Advilbrand19,64952227.6%
Celecoxibgeneric15,2011,92582%
Naproxen sodiumgeneric9,8741,22079%
Meloxicamgeneric7,86045973.1%
Diclofenac potassiumgeneric5,7021,24097.8%
Ketoprofengeneric5,63966198.3%
Advil pmgeneric4,97813411.1%

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 Ilevro reports

How many adverse event reports has FDA received for Ilevro?

1,020 reports list Ilevro as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 5 of them arrived in the latest 12 months. Another 414 list it only as a concomitant medication.

What reactions are recorded in Ilevro reports?

eye pain (35.3%), vision blurred (9.1%), drug ineffective (7.3%), product quality issue (5.4%) and liquid product physical issue (4.6%). 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 Ilevro was responsible.

How serious are the reports?

13.5% are marked serious by the reporter. Among the outcomes recorded, 0.4% of reports include death and 1.1% 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?

consumer or non-health professional (73.9%), physician (21.5%) and other health professional (3.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Ilevro rising?

5 reports in the 12 months to June 2026, down 29% from 7 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 Ilevro 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 Ilevro?

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 Ilevro as a suspect or interacting product; reports listing it only as a concomitant medication (414) 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.