Reported Reactions

Drugs › Histamine-1 receptor antagonist

Brand name · Alcaftadine

Lastacaft: adverse event reports filed with FDA

737 reports list it as a suspect or interacting product, 2011–2026. Class: Histamine-1 receptor antagonist.

737
reports as suspect product
0% of all reports · about 48 a year
14
reports, 12 months to June 2026
41 in the 12 months before
5.8%
marked serious by the reporter
57.7% across the class
0%
record death among outcomes, as reported
0 reports · not verified by FDA

737 adverse event reports received by FDA list the brand name Lastacaft (alcaftadine) as a suspect or interacting product, from April 2011 to May 2026. A further 153 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, 14 reports listed it, down 66% from 41 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 48 reports a year and 0% of the 20,646,523 reports in the database, and 0.5% of the reports for the histamine-1 receptor antagonist class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are ocular hyperaemia (38.3%), eye irritation (20.8%) and eye pruritus (12.8%). A report can list several reactions, so shares add to more than 100%; 105 different terms appear across these reports. Ocular hyperaemia is recorded in 38.3% of these reports, with no counterpart in the median histamine-1 receptor antagonist drug (0%).

5.8% of the reports are marked serious by the reporter (57.7% across the class); 0% record death among the outcomes and 0.4% record hospitalisation, as reported. 67.2% of the reports came from consumers, and the largest patient age group is 45 to 64 (19.5%). 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

01631Jul 2021: 0Aug 2021: 1Sep 2021: 0Oct 2021: 1Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 0May 2022: 0Jun 2022: 1Jul 2022: 0Aug 2022: 12Sep 2022: 2Oct 2022: 1Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 31Apr 2023: 0May 2023: 0Jun 2023: 22Jul 2023: 4Aug 2023: 12Sep 2023: 9Oct 2023: 5Nov 2023: 6Dec 2023: 42024Jan 2024: 3Feb 2024: 7Mar 2024: 3Apr 2024: 9May 2024: 12Jun 2024: 3Jul 2024: 7Aug 2024: 5Sep 2024: 1Oct 2024: 1Nov 2024: 4Dec 2024: 22025Jan 2025: 3Feb 2025: 2Mar 2025: 3Apr 2025: 8May 2025: 2Jun 2025: 3Jul 2025: 0Aug 2025: 2Sep 2025: 1Oct 2025: 1Nov 2025: 2Dec 2025: 12026Jan 2026: 1Feb 2026: 0Mar 2026: 0Apr 2026: 5May 2026: 1Jun 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

0761522011: 6020112012: 1362013: 5820132014: 1522015: 5820152016: 282017: 720172018: 62019: 820192020: 182021: 520212022: 162023: 9320232024: 572025: 2820252026: 7

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Lastacaft reports recording the termmedian drug in histamine-1 receptor antagonist

  1. Ocular hyperaemiaa red eye38.3%282
  2. Eye irritationeye irritation20.8%153
  3. Eye paineye pain12.1%89
  4. Eye swellinga swollen eye9.8%72
  5. Hypersensitivityan allergic-type reaction7.5%55
  6. Lacrimation increasedwatery eyes6.8%50
  7. Drug ineffectivethe medicine did not work as expected5.6%41
  8. Eyelid oedemaa swollen eyelid5.4%40
  9. Scleral hyperaemia4.7%35
  10. Conjunctivitispink eye4.6%34
  11. Headachehead pain3.9%29
  12. Vision blurredblurred vision3.4%25
  13. Drug hypersensitivityan allergic-type reaction to a medicine3.3%24
  14. Somnolencedrowsiness3%22
  15. Off label useused for a purpose or in a way not on the label2.8%21
  16. Dry eyedry eye2.6%19
  17. Erythemaskin redness2.6%19
  18. Instillation site pain1.9%14
  19. Treatment failurethe treatment did not work1.9%14
  20. Swelling facea swollen face1.8%13
  21. Conjunctival hyperaemia1.6%12
  22. Eyelid margin crusting1.6%12
  23. Conjunctival oedema1.5%11

Top 30 of 105 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 34 drugs in the histamine-1 receptor antagonist 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%0
Life-threatening0.1%1
Hospitalisation (initial or prolonged)0.4%3
Disability0.3%2
Congenital anomaly0.1%1
Other serious4.9%36
Not serious94.2%694

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 135,666 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 110.9%7
12 to 170.7%5
18 to 4412.1%89
45 to 6419.5%144
65 to 748.7%64
75 and over5.4%40
Age not given52.5%387

Patient sex

Female72.3%533
Male19.7%145
Not given8%59

Who reported

Physician21.8%161
Pharmacist1.2%9
Other health professional7.5%55
Lawyer0.3%2
Consumer or non-health professional67.2%495
Not given2%15

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 98.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Conjunctivitis allergic8511.5%
Eye allergy8010.9%
Hypersensitivity608.1%
Eye pruritus456.1%
Seasonal allergy364.9%
Dry eye212.8%

The indication field is filled in by the reporter and is often blank; shares are of all 737 reports.

In context

MeasureLastacaftHistamine-1 receptor antagonistAll reports
Reports as suspect product737135,66620,646,523
Share of that pool—0.5%0%
Reports, latest 12 months14—1,332,454
Marked serious5.8%57.7%57.4%
Death recorded among outcomes, per 1,000 reports019091
Hospitalisation recorded, per 1,000 reports4203213
Consumer-filed share67.2%50.8%45.8%
Top term, share of reportsOcular hyperaemia 38.3%median 0%0.2%

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 histamine-1 receptor antagonist class

DrugName typeReportsLatest 12 monthsMarked serious
Zyrtecbrand20,34292916.7%
Cetirizine hydrochloridegeneric19,0922,04377.5%
Diphenhydraminegeneric15,3391,15796%
Cetirizinegeneric12,5221,54891.7%
Benadrylbrand9,61243266.6%
Allegra Allergybrand7,8683043.6%
Diphenhydramine hydrochloridegeneric5,55653894.6%
Xyzal Allergy 24HRbrand5,3021473.3%
Cetirizine hydrochloride, pseudoephedrine hydrochloridegeneric4,91490999.3%
Xyzalbrand3,82418144.6%
Fexofenadinegeneric3,14233562.5%
Diphenhydramine hclgeneric2,741091%
Desloratadinegeneric2,69919093.6%
Azelastine hydrochloridegeneric2,5021515.7%
Aleve PMbrand1,877136.4%

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 Lastacaft reports

How many adverse event reports has FDA received for Lastacaft?

737 reports list Lastacaft as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 14 of them arrived in the latest 12 months. Another 153 list it only as a concomitant medication.

What reactions are recorded in Lastacaft reports?

ocular hyperaemia (38.3%), eye irritation (20.8%), eye pruritus (12.8%), eye pain (12.1%) and eye swelling (9.8%). 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 Lastacaft was responsible.

How serious are the reports?

5.8% are marked serious by the reporter. Among the outcomes recorded, 0% of reports include death and 0.4% 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 (67.2%), physician (21.8%) and other health professional (7.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Lastacaft rising?

14 reports in the 12 months to June 2026, down 66% from 41 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 Lastacaft 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 Lastacaft?

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 Lastacaft as a suspect or interacting product; reports listing it only as a concomitant medication (153) 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.