Reported Reactions

Drugs

Product name as reported

Megestrol: adverse event reports filed with FDA

268 reports list it as a suspect or interacting product, 2004–2026.

268
reports as suspect product
0% of all reports · about 12 a year
14
reports, 12 months to June 2026
11 in the 12 months before
89.9%
marked serious by the reporter
57.4% across all reports
6%
record death among outcomes, as reported
16 reports · not verified by FDA

Between July 2004 and June 2026, 268 adverse event reports received by FDA list the product name "Megestrol" as reporters wrote it as a suspect or interacting product. Reports that mention it only as a concomitant medication (3,150) are left out of every figure here.

In the 12 months to June 2026, 14 reports listed it, up 27% from 11 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 12 reports a year and 0% of the 20,646,523 reports in the database. 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 dementia Alzheimer's type (35.8%), weight increased (3.7%) and fatigue (3.4%). A report can list several reactions, so shares add to more than 100%; 93 different terms appear across these reports. Dementia Alzheimer's type is recorded in 35.8% of these reports, against 0% of all reports in the database.

89.9% of the reports are marked serious by the reporter; 6% record death among the outcomes and 22.8% record hospitalisation, as reported. 51.9% of the reports came from other health professionals, and the largest patient age group is 75 and over (14.2%). 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

024Jul 2021: 1Aug 2021: 1Sep 2021: 1Oct 2021: 4Nov 2021: 0Dec 2021: 22022Jan 2022: 3Feb 2022: 1Mar 2022: 0Apr 2022: 0May 2022: 2Jun 2022: 1Jul 2022: 0Aug 2022: 1Sep 2022: 1Oct 2022: 1Nov 2022: 0Dec 2022: 02023Jan 2023: 4Feb 2023: 1Mar 2023: 0Apr 2023: 1May 2023: 1Jun 2023: 0Jul 2023: 0Aug 2023: 2Sep 2023: 1Oct 2023: 0Nov 2023: 0Dec 2023: 22024Jan 2024: 1Feb 2024: 1Mar 2024: 2Apr 2024: 0May 2024: 4Jun 2024: 1Jul 2024: 0Aug 2024: 0Sep 2024: 2Oct 2024: 2Nov 2024: 1Dec 2024: 02025Jan 2025: 2Feb 2025: 0Mar 2025: 0Apr 2025: 1May 2025: 3Jun 2025: 0Jul 2025: 3Aug 2025: 0Sep 2025: 2Oct 2025: 1Nov 2025: 0Dec 2025: 12026Jan 2026: 0Feb 2026: 1Mar 2026: 0Apr 2026: 2May 2026: 1Jun 2026: 3

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

0581162004: 320042005: 12006: 12007: 120072008: 12010: 52012: 120122013: 62014: 92015: 1020152016: 102017: 1162018: 520182019: 102020: 182021: 1520212022: 102023: 122024: 1420242025: 132026: 7

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Megestrol reports recording the termall reports in the database

  1. Weight increasedweight gain3.7%10
  2. Fatiguetiredness3.4%9
  3. Decreased appetitereduced appetite2.6%7
  4. Drug interactionan interaction between medicines2.6%7
  5. Adrenal insufficiencythe adrenal glands produce too little hormone2.2%6
  6. Anaemialow red blood cells2.2%6
  7. Epistaxisnosebleed2.2%6
  8. Nauseafeeling sick1.9%5
  9. Pneumonialung infection1.9%5
  10. Product use in unapproved indicationused for a purpose not on the label1.9%5
  11. Astheniaweakness or lack of energy1.5%4
  12. Dyspnoeashortness of breath1.5%4
  13. Off label useused for a purpose or in a way not on the label1.5%4
  14. Pulmonary function test decreased1.5%4
  15. Somnolencedrowsiness1.5%4
  16. Blood pressure increaseda raised blood pressure reading1.1%3
  17. Depressionlow mood1.1%3
  18. Diarrhoealoose or frequent stools1.1%3
  19. Disease progressionthe disease advanced1.1%3
  20. Lethargysluggishness1.1%3
  21. Sensitivity of teeth1.1%3
  22. Skin odour abnormal1.1%3
  23. Abdominal painstomach or belly pain0.7%2
  24. Back painback pain0.7%2
  25. Constipationconstipation0.7%2

Top 30 of 93 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 share of all reports in the database; 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%16
Life-threatening6.3%17
Hospitalisation (initial or prolonged)22.8%61
Disability1.5%4
Congenital anomaly0.4%1
Other serious71.3%191
Not serious10.1%27

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 20,646,523 reports. 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 110.7%2
12 to 170%0
18 to 448.2%22
45 to 6412.3%33
65 to 749%24
75 and over14.2%38
Age not given55.6%149

Patient sex

Female32.5%87
Male61.9%166
Not given5.6%15

Who reported

Physician16%43
Pharmacist12.7%34
Other health professional51.9%139
Lawyer0.4%1
Consumer or non-health professional16%43
Not given3%8

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 44.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Prostate cancer9635.8%
Decreased appetite83%
Ovarian cancer41.5%
Blood gonadotrophin releasing hormone20.7%
Hot flush20.7%
Increased appetite20.7%

The indication field is filled in by the reporter and is often blank; shares are of all 268 reports.

In context

MeasureMegestrolAll reports
Reports as suspect product26820,646,523
Share of that pool—0%
Reports, latest 12 months141,332,454
Marked serious89.9%57.4%
Death recorded among outcomes, per 1,000 reports6091
Hospitalisation recorded, per 1,000 reports228213
Consumer-filed share16%45.8%
Top term, share of reportsDementia Alzheimer's type 35.8%0%

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."

Questions about Megestrol reports

How many adverse event reports has FDA received for Megestrol?

268 reports list Megestrol 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 3,150 list it only as a concomitant medication.

What reactions are recorded in Megestrol reports?

dementia Alzheimer's type (35.8%), weight increased (3.7%), fatigue (3.4%), decreased appetite (2.6%) and drug interaction (2.6%). 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 Megestrol was responsible.

How serious are the reports?

89.9% are marked serious by the reporter. Among the outcomes recorded, 6% of reports include death and 22.8% 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?

other health professional (51.9%), physician (16%) and consumer or non-health professional (16%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Megestrol rising?

14 reports in the 12 months to June 2026, up 27% from 11 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 Megestrol 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 Megestrol?

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 Megestrol as a suspect or interacting product; reports listing it only as a concomitant medication (3,150) 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.