Reported Reactions

Drugs › Azole antifungal

Brand name · Efinaconazole

Jublia: adverse event reports filed with FDA

1,271 reports list it as a suspect or interacting product, 2014–2026. Class: Azole antifungal.

1,271
reports as suspect product
0% of all reports · about 107 a year
79
reports, 12 months to June 2026
62 in the 12 months before
18%
marked serious by the reporter
79% across the class
3.1%
record death among outcomes, as reported
40 reports · not verified by FDA

1,271 adverse event reports received by FDA list the brand name Jublia (efinaconazole) as a suspect or interacting product, from September 2014 to June 2026. A further 468 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, 79 reports listed it, up 27% from 62 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 107 reports a year and 0% of the 20,646,523 reports in the database, and 1.8% 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 (26%), pain (10.1%) and headache (9%). A report can list several reactions, so shares add to more than 100%; 253 different terms appear across these reports. Drug ineffective is recorded in 26% of these reports, a larger share than in the median azole antifungal drug (15%).

18% of the reports are marked serious by the reporter (79% across the class); 3.1% record death among the outcomes and 11% record hospitalisation, as reported. 75.3% of the reports came from consumers, and the largest patient age group is 45 to 64 (18.9%). 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

0815Jul 2021: 10Aug 2021: 6Sep 2021: 4Oct 2021: 1Nov 2021: 3Dec 2021: 32022Jan 2022: 6Feb 2022: 7Mar 2022: 2Apr 2022: 5May 2022: 4Jun 2022: 3Jul 2022: 3Aug 2022: 2Sep 2022: 4Oct 2022: 7Nov 2022: 0Dec 2022: 92023Jan 2023: 8Feb 2023: 10Mar 2023: 5Apr 2023: 8May 2023: 12Jun 2023: 3Jul 2023: 3Aug 2023: 8Sep 2023: 8Oct 2023: 9Nov 2023: 5Dec 2023: 42024Jan 2024: 6Feb 2024: 4Mar 2024: 8Apr 2024: 13May 2024: 15Jun 2024: 6Jul 2024: 8Aug 2024: 2Sep 2024: 9Oct 2024: 11Nov 2024: 4Dec 2024: 12025Jan 2025: 3Feb 2025: 3Mar 2025: 5Apr 2025: 3May 2025: 2Jun 2025: 11Jul 2025: 6Aug 2025: 5Sep 2025: 5Oct 2025: 3Nov 2025: 11Dec 2025: 72026Jan 2026: 7Feb 2026: 10Mar 2026: 11Apr 2026: 4May 2026: 6Jun 2026: 4

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

01472932014: 2720142015: 2932016: 27620162017: 1172018: 7520182019: 502020: 5220202021: 532022: 5220222023: 832024: 8720242025: 642026: 422026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Jublia reports recording the termmedian drug in azole antifungal

  1. Drug ineffectivethe medicine did not work as expected26%330
  2. Painpain, site not specified10.1%128
  3. Headachehead pain9%115
  4. Fatiguetiredness9%114
  5. Drug hypersensitivityan allergic-type reaction to a medicine8.9%113
  6. Oedema peripheralswelling of the legs, ankles or hands8.9%113
  7. Asthmaasthma8.7%111
  8. Bronchopulmonary aspergillosis allergic8.7%111
  9. Musculoskeletal stiffnessstiffness in muscles or joints8.7%111
  10. Anaemialow red blood cells8.7%110
  11. Aspirationbreathing material into the lungs8.7%110
  12. Astheniaweakness or lack of energy8.6%109
  13. Upper respiratory tract infectiona cold or similar infection8.6%109
  14. Blood creatinine increasedraised creatinine, a kidney test8.5%108
  15. Lower respiratory tract infectiona chest infection8.5%108
  16. Pyrexiafever8.4%107
  17. Tremorshaking8.3%106
  18. Nail discolouration8.2%104
  19. Product dose omission issuea dose was missed7.4%94
  20. Dyspnoeashortness of breath7%89
  21. Constipationconstipation6.9%88
  22. Pneumonialung infection6.9%88
  23. Haemoptysiscoughing up blood6.8%87

Top 30 of 253 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

Death3.1%40
Life-threatening3.1%39
Hospitalisation (initial or prolonged)11%140
Disability3.8%48
Congenital anomaly2.8%36
Other serious15.7%199
Not serious82%1,042

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 20.1%1
2 to 110.3%4
12 to 170.2%2
18 to 443.5%44
45 to 6418.9%240
65 to 7414.3%182
75 and over18.7%238
Age not given44.1%560

Patient sex

Female58.5%743
Male37.2%473
Not given4.3%55

Who reported

Physician10%127
Pharmacist1.7%21
Other health professional10.2%130
Lawyer0.2%2
Consumer or non-health professional75.3%957
Not given2.7%34

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 87.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Onychomycosis58445.9%
Fungal infection16813.2%
Nail infection151.2%
Nail disorder110.9%
Product use in unapproved indication50.4%
Localised infection20.2%

The indication field is filled in by the reporter and is often blank; shares are of all 1,271 reports.

In context

MeasureJubliaAzole antifungalAll reports
Reports as suspect product1,27169,03520,646,523
Share of that pool—1.8%0%
Reports, latest 12 months79—1,332,454
Marked serious18%79%57.4%
Death recorded among outcomes, per 1,000 reports3117791
Hospitalisation recorded, per 1,000 reports110317213
Consumer-filed share75.3%23.9%45.8%
Top term, share of reportsDrug ineffective 26%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
Fluconazolegeneric17,1751,45890.7%
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%
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 Jublia reports

How many adverse event reports has FDA received for Jublia?

1,271 reports list Jublia as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 79 of them arrived in the latest 12 months. Another 468 list it only as a concomitant medication.

What reactions are recorded in Jublia reports?

drug ineffective (26%), pain (10.1%), headache (9%), fatigue (9%) and drug hypersensitivity (8.9%). 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 Jublia was responsible.

How serious are the reports?

18% are marked serious by the reporter. Among the outcomes recorded, 3.1% of reports include death and 11% 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 (75.3%), other health professional (10.2%) and physician (10%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Jublia rising?

79 reports in the 12 months to June 2026, up 27% from 62 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 Jublia 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 Jublia?

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 Jublia as a suspect or interacting product; reports listing it only as a concomitant medication (468) 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.