Reported Reactions

Drugs › Endothelin receptor antagonist

Brand name · Ambrisentan

Letairis: adverse event reports filed with FDA

49,743 reports list it as a suspect or interacting product, 2007–2026. Class: Endothelin receptor antagonist.

49,743
reports as suspect product
0.2% of all reports · about 2,630 a year
58
reports, 12 months to June 2026
74 in the 12 months before
46.6%
marked serious by the reporter
72.7% across the class
10.8%
record death among outcomes, as reported
5,397 reports · not verified by FDA

49,743 adverse event reports received by FDA list the brand name Letairis (ambrisentan) as a suspect or interacting product, from August 2007 to June 2026. A further 13,149 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, 58 reports listed it, down 22% from 74 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 2,630 reports a year and 0.2% of the 20,646,523 reports in the database, and 25.8% of the reports for the endothelin receptor antagonist 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 (15.7%), headache (6.7%) and death (6.3%). A report can list several reactions, so shares add to more than 100%; 1,597 different terms appear across these reports. Dyspnoea is recorded in 15.7% of these reports, about the same share as in the median endothelin receptor antagonist drug (15%).

46.6% of the reports are marked serious by the reporter (72.7% across the class); 10.8% record death among the outcomes and 30.8% record hospitalisation, as reported. 58.8% of the reports came from consumers, and the largest patient age group is 45 to 64 (26.1%). 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

02039Jul 2021: 39Aug 2021: 28Sep 2021: 16Oct 2021: 14Nov 2021: 18Dec 2021: 252022Jan 2022: 14Feb 2022: 18Mar 2022: 22Apr 2022: 28May 2022: 16Jun 2022: 18Jul 2022: 15Aug 2022: 12Sep 2022: 9Oct 2022: 15Nov 2022: 11Dec 2022: 112023Jan 2023: 3Feb 2023: 10Mar 2023: 17Apr 2023: 11May 2023: 10Jun 2023: 7Jul 2023: 15Aug 2023: 16Sep 2023: 10Oct 2023: 11Nov 2023: 8Dec 2023: 72024Jan 2024: 14Feb 2024: 14Mar 2024: 16Apr 2024: 7May 2024: 4Jun 2024: 10Jul 2024: 7Aug 2024: 9Sep 2024: 4Oct 2024: 3Nov 2024: 6Dec 2024: 52025Jan 2025: 10Feb 2025: 3Mar 2025: 7Apr 2025: 10May 2025: 6Jun 2025: 4Jul 2025: 6Aug 2025: 7Sep 2025: 8Oct 2025: 5Nov 2025: 8Dec 2025: 42026Jan 2026: 1Feb 2026: 2Mar 2026: 4Apr 2026: 9May 2026: 2Jun 2026: 2

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

012,60425,2072007: 5920072008: 5512009: 82020092010: 1,4482011: 2,54920112012: 3,7812013: 8,52920132014: 25,2072015: 2,07520152016: 9962017: 1,04620172018: 9622019: 51620192020: 3642021: 32920212022: 1892023: 12520232024: 992025: 7820252026: 20

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Letairis reports recording the termmedian drug in endothelin receptor antagonist

  1. Dyspnoeashortness of breath15.7%7,802
  2. Headachehead pain6.7%3,344
  3. Deaththe patient died; cause not stated by this term6.3%3,136
  4. Dizzinesslight-headedness or unsteadiness5.2%2,585
  5. Fluid retentionthe body holding extra fluid4.7%2,354
  6. Fatiguetiredness4.7%2,351
  7. Oedema peripheralswelling of the legs, ankles or hands4.4%2,180
  8. Pneumonialung infection4.3%2,141
  9. Oedemaswelling from fluid4.1%2,048
  10. Malaisegeneral feeling of being unwell4%1,999
  11. Nasal congestiona blocked nose3.9%1,961
  12. Nauseafeeling sick3.7%1,826
  13. Coughcough3.7%1,822
  14. Unevaluable eventthe event could not be assessed3.5%1,752
  15. Diarrhoealoose or frequent stools3.4%1,672
  16. Peripheral swellingswelling of the arms or legs3.2%1,577
  17. Chest painchest pain2.5%1,255
  18. Swellingswelling2.4%1,200
  19. Nasopharyngitisa cold2.4%1,173
  20. Hypotensionlow blood pressure2.1%1,068
  21. Syncopefainting2.1%1,048
  22. Vomitingbeing sick2.1%1,039
  23. Astheniaweakness or lack of energy2%983
  24. Weight increasedweight gain1.8%904
  25. Cardiac failure congestivecongestive heart failure1.7%865
  26. Flushingsudden reddening or warmth of the skin1.7%861
  27. Anaemialow red blood cells1.7%840
  28. Pain in extremitypain in an arm or leg1.7%825
  29. Painpain, site not specified1.6%815

Top 30 of 1,597 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 6 drugs in the endothelin 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

Death10.8%5,397
Life-threatening0.5%259
Hospitalisation (initial or prolonged)30.8%15,331
Disability0.4%197
Congenital anomaly0%2
Other serious16.4%8,152
Not serious53.4%26,553

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 192,634 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%14
2 to 110.5%258
12 to 170.6%306
18 to 448.6%4,276
45 to 6426.1%12,966
65 to 7416.9%8,423
75 and over13.7%6,807
Age not given33.6%16,693

Patient sex

Female75.2%37,420
Male23.7%11,809
Not given1%514

Who reported

Physician15%7,486
Pharmacist11.8%5,880
Other health professional12.9%6,438
Lawyer0%1
Consumer or non-health professional58.8%29,246
Not given1.4%692

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Pulmonary arterial hypertension13,62627.4%
Pulmonary hypertension8,52417.1%
Cor pulmonale chronic9902%
Scleroderma4450.9%
Portopulmonary hypertension2810.6%
Connective tissue disorder2030.4%

The indication field is filled in by the reporter and is often blank; shares are of all 49,743 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Letairis reports
Adcirca7,13914.4%
Revatio6,19512.5%
Tyvaso4,4008.8%
Remodulin3,6997.4%
Coumadin2,3944.8%
Lasix2,3604.7%
Warfarin1,7043.4%
Furosemide1,6213.3%
Aspirin1,5093%
Oxygen1,3192.7%

Other products listed in reports where Letairis 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

MeasureLetairisEndothelin receptor antagonistAll reports
Reports as suspect product49,743192,63420,646,523
Share of that pool—25.8%0.2%
Reports, latest 12 months58—1,332,454
Marked serious46.6%72.7%57.4%
Death recorded among outcomes, per 1,000 reports10820391
Hospitalisation recorded, per 1,000 reports308460213
Consumer-filed share58.8%39%45.8%
Top term, share of reportsDyspnoea 15.7%median 15%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 endothelin receptor antagonist class

DrugName typeReportsLatest 12 monthsMarked serious
Ambrisentangeneric54,5111,45982.5%
Opsumitbrand41,0721,54274.2%
Tracleerbrand33,2545694.1%
Bosentangeneric8,30862157.6%
Macitentangeneric5,74610393.8%

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 Letairis reports

How many adverse event reports has FDA received for Letairis?

49,743 reports list Letairis as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 58 of them arrived in the latest 12 months. Another 13,149 list it only as a concomitant medication.

What reactions are recorded in Letairis reports?

dyspnoea (15.7%), headache (6.7%), death (6.3%), dizziness (5.2%) and fluid retention (4.7%). 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 Letairis was responsible.

How serious are the reports?

46.6% are marked serious by the reporter. Among the outcomes recorded, 10.8% of reports include death and 30.8% 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 (58.8%), physician (15%) and other health professional (12.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Letairis rising?

58 reports in the 12 months to June 2026, down 22% from 74 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 Letairis 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 Letairis?

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 Letairis as a suspect or interacting product; reports listing it only as a concomitant medication (13,149) 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.