Reported Reactions

Drugs › Insulin analog

Brand name · Insulin glargine

Lantus: adverse event reports filed with FDA

39,128 reports list it as a suspect or interacting product, 2004–2026. Class: Insulin analog. Also reported as Lantus /01483501/, Lantus Xr, Lantus Inj.

39,128
reports as suspect product
0.2% of all reports · about 1,739 a year
3,718
reports, 12 months to June 2026
1,554 in the 12 months before
63.8%
marked serious by the reporter
42.7% across the class
6.4%
record death among outcomes, as reported
2,521 reports · not verified by FDA

39,128 adverse event reports received by FDA list the brand name Lantus (insulin glargine) as a suspect or interacting product, from January 2004 to June 2026. A further 89,614 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, 3,718 reports listed it, up 139% from 1,554 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 1,739 reports a year and 0.2% of the 20,646,523 reports in the database, and 13.5% of the reports for the insulin analog class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded blood glucose increased (16.2%), hypoglycaemia (8.5%) and off label use (6.2%). A report can list several reactions, so shares add to more than 100%; 1,780 different terms appear across these reports. Blood glucose increased is recorded in 16.2% of these reports, a smaller share than in the median insulin analog drug (23%).

63.8% of the reports are marked serious by the reporter (42.7% across the class); 6.4% record death among the outcomes and 25.4% record hospitalisation, as reported. 72.1% of the reports came from consumers, and the largest patient age group is 45 to 64 (22.3%). 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

0466932Jul 2021: 94Aug 2021: 62Sep 2021: 74Oct 2021: 74Nov 2021: 95Dec 2021: 922022Jan 2022: 93Feb 2022: 89Mar 2022: 100Apr 2022: 81May 2022: 68Jun 2022: 94Jul 2022: 82Aug 2022: 77Sep 2022: 88Oct 2022: 58Nov 2022: 53Dec 2022: 582023Jan 2023: 51Feb 2023: 51Mar 2023: 62Apr 2023: 52May 2023: 51Jun 2023: 46Jul 2023: 61Aug 2023: 74Sep 2023: 39Oct 2023: 73Nov 2023: 53Dec 2023: 572024Jan 2024: 56Feb 2024: 44Mar 2024: 41Apr 2024: 50May 2024: 38Jun 2024: 34Jul 2024: 41Aug 2024: 41Sep 2024: 172Oct 2024: 152Nov 2024: 216Dec 2024: 1302025Jan 2025: 112Feb 2025: 106Mar 2025: 197Apr 2025: 121May 2025: 161Jun 2025: 105Jul 2025: 117Aug 2025: 119Sep 2025: 109Oct 2025: 88Nov 2025: 133Dec 2025: 1072026Jan 2026: 136Feb 2026: 180Mar 2026: 275Apr 2026: 787May 2026: 932Jun 2026: 735

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

01,8683,7362004: 29220042005: 5092006: 5802007: 89720072008: 8272009: 1,3692010: 2,58620102011: 3,0582012: 1,8602013: 2,42220132014: 3,7362015: 2,8662016: 1,51720162017: 1,3842018: 3,1702019: 1,75420192020: 1,8422021: 1,3122022: 94120222023: 6702024: 1,0152025: 1,47520252026: 3,045

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Lantus reports recording the termmedian drug in insulin analog

  1. Blood glucose increasedraised blood sugar reading16.2%6,355
  2. Hypoglycaemialow blood sugar8.5%3,319
  3. Off label useused for a purpose or in a way not on the label6.2%2,443
  4. Device malfunctionthe device did not work properly5.3%2,082
  5. Blood glucose decreasedlow blood sugar reading5.2%2,030
  6. Hyperglycaemiahigh blood sugar4.5%1,759
  7. Drug ineffectivethe medicine did not work as expected4%1,580
  8. Inappropriate schedule of product administrationthe product was taken at the wrong times3.2%1,259
  9. Product quality issuea problem with the product itself3.2%1,256
  10. Visual impairmentreduced vision3%1,176
  11. Product storage errorthe product was stored wrongly2.9%1,147
  12. Malaisegeneral feeling of being unwell2.6%1,017
  13. Falla fall2.6%1,013
  14. Glycosylated haemoglobin increaseda raised HbA1c, the long-term sugar measure2.4%925
  15. Weight decreasedweight loss2.2%860
  16. Dizzinesslight-headedness or unsteadiness2.2%854
  17. Injection site painpain where the injection was given2.1%818
  18. Deaththe patient died; cause not stated by this term2%789
  19. Diabetes mellitus inadequate controldiabetes not well controlled2%783
  20. Headachehead pain1.9%734
  21. Weight increasedweight gain1.8%714
  22. Hyperhidrosisexcessive sweating1.8%703
  23. Dyspnoeashortness of breath1.8%685
  24. Loss of consciousnesspassing out1.7%684
  25. Nauseafeeling sick1.7%681
  26. Astheniaweakness or lack of energy1.7%675
  27. Myocardial infarctionheart attack1.7%668

Top 30 of 1,780 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 26 drugs in the insulin analog 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

Death6.4%2,521
Life-threatening2.6%1,011
Hospitalisation (initial or prolonged)25.4%9,956
Disability2.4%921
Congenital anomaly0.3%112
Other serious39.8%15,588
Not serious36.2%14,167

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 289,293 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 20.3%121
2 to 110.6%236
12 to 170.8%316
18 to 446.4%2,516
45 to 6422.3%8,735
65 to 7417.1%6,704
75 and over13.9%5,425
Age not given38.5%15,075

Patient sex

Female48.2%18,870
Male39.2%15,328
Not given12.6%4,930

Who reported

Physician10.8%4,232
Pharmacist5.7%2,243
Other health professional8.1%3,179
Lawyer0%16
Consumer or non-health professional72.1%28,230
Not given3.1%1,228

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 69.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Type 2 diabetes mellitus10,65427.2%
Diabetes mellitus8,01820.5%
Type 1 diabetes mellitus2,4936.4%
Blood glucose increased1,2353.2%
Diabetes mellitus non-insulin-dependent4671.2%
Diabetes mellitus insulin-dependent3841%

The indication field is filled in by the reporter and is often blank; shares are of all 39,128 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Lantus reports
Humalog3,99510.2%
Novolog2,6936.9%
Metformin2,1975.6%
Novorapid1,6864.3%
Apidra1,6374.2%
Aspirin1,2203.1%
Furosemide7501.9%
Metformin hcl7481.9%
Lasix6691.7%
Simvastatin6621.7%

Other products listed in reports where Lantus 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

MeasureLantusInsulin analogAll reports
Reports as suspect product39,128289,29320,646,523
Share of that pool—13.5%0.2%
Reports, latest 12 months3,718—1,332,454
Marked serious63.8%42.7%57.4%
Death recorded among outcomes, per 1,000 reports643591
Hospitalisation recorded, per 1,000 reports254186213
Consumer-filed share72.1%78.7%45.8%
Top term, share of reportsBlood glucose increased 16.2%median 23%0.9%

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 insulin analog class

DrugName typeReportsLatest 12 monthsMarked serious
Humalogbrand71,1742,31234.4%
Lantus Solostarbrand45,7154,23024.6%
Insulin glarginegeneric27,9941,92342.8%
Toujeobrand15,4911,33224.7%
Novologbrand14,4771,57661.8%
Levemirbrand13,65267154.8%
Tresibabrand10,3731,26355.1%
Insulin lisprogeneric8,2091,11645.6%
Humalog Mix75/25brand8,13914023.8%
Insulingeneric8,13552288.9%
Apidrabrand3,6218669.2%
Insulin aspartgeneric3,23255388.6%
Sterile diluentgeneric3,22160019.4%
Humalog Kwikpenbrand3,04016927.5%
NovoLog Mix 70/30brand2,10123065.5%

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 Lantus reports

How many adverse event reports has FDA received for Lantus?

39,128 reports list Lantus as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 3,718 of them arrived in the latest 12 months. Another 89,614 list it only as a concomitant medication.

What reactions are recorded in Lantus reports?

blood glucose increased (16.2%), hypoglycaemia (8.5%), off label use (6.2%), device malfunction (5.3%) and blood glucose decreased (5.2%). 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 Lantus was responsible.

How serious are the reports?

63.8% are marked serious by the reporter. Among the outcomes recorded, 6.4% of reports include death and 25.4% 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 (72.1%), physician (10.8%) and other health professional (8.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Lantus rising?

3,718 reports in the 12 months to June 2026, up 139% from 1,554 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 Lantus 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 Lantus?

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 Lantus as a suspect or interacting product; reports listing it only as a concomitant medication (89,614) 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.