Reported Reactions

Drugs › Estrogen

Brand name · Conjugated estrogens and medroxyprogesterone acetate

Premphase: adverse event reports filed with FDA

627 reports list it as a suspect or interacting product, 2004–2024. Class: Estrogen.

627
reports as suspect product
0% of all reports · about 28 a year
0
reports, 12 months to June 2026
1 in the 12 months before
89.8%
marked serious by the reporter
57.2% across the class
2.2%
record death among outcomes, as reported
14 reports · not verified by FDA

627 adverse event reports received by FDA list the brand name Premphase (conjugated estrogens and medroxyprogesterone acetate) as a suspect or interacting product, from February 2004 to November 2024. A further 66 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, 0 reports listed it, against 1 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 28 reports a year and 0% of the 20,646,523 reports in the database, and 0.5% of the reports for the estrogen 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 breast cancer female (50.1%), breast cancer (21.9%) and breast cancer metastatic (4.5%). A report can list several reactions, so shares add to more than 100%; 122 different terms appear across these reports. Breast cancer female is recorded in 50.1% of these reports, a larger share than in the median estrogen drug (1.1%).

89.8% of the reports are marked serious by the reporter (57.2% across the class); 2.2% record death among the outcomes and 6.5% record hospitalisation, as reported. 43.7% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (33.8%). 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

012Jul 2021: 0Aug 2021: 1Sep 2021: 1Oct 2021: 0Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 2May 2022: 1Jun 2022: 0Jul 2022: 0Aug 2022: 0Sep 2022: 1Oct 2022: 0Nov 2022: 0Dec 2022: 12023Jan 2023: 1Feb 2023: 0Mar 2023: 0Apr 2023: 0May 2023: 0Jun 2023: 1Jul 2023: 0Aug 2023: 0Sep 2023: 1Oct 2023: 0Nov 2023: 0Dec 2023: 02024Jan 2024: 0Feb 2024: 1Mar 2024: 0Apr 2024: 0May 2024: 0Jun 2024: 0Jul 2024: 0Aug 2024: 0Sep 2024: 0Oct 2024: 0Nov 2024: 1Dec 2024: 02025Jan 2025: 0Feb 2025: 0Mar 2025: 0Apr 2025: 0May 2025: 0Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 0Oct 2025: 0Nov 2025: 0Dec 2025: 02026Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 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

0551102004: 9720042005: 742006: 852007: 3820072008: 152009: 112010: 11020102011: 842012: 352013: 420132014: 152015: 72016: 620162017: 72018: 62019: 820192020: 102021: 52022: 520222023: 32024: 2

Reactions recorded in the reports

share of Premphase reports recording the termmedian drug in estrogen

  1. Breast cancerbreast cancer21.9%137
  2. Oestrogen receptor assay positive2.4%15
  3. Anxietyanxiety2.2%14
  4. Progesterone receptor assay positive1.9%12
  5. Painpain, site not specified1.8%11
  6. Breast cancer in situ1.6%10
  7. Depressionlow mood1.1%7
  8. Invasive ductal breast carcinoma1.1%7
  9. Insomniadifficulty sleeping0.8%5
  10. Breast cyst0.6%4
  11. Injurya physical injury0.6%4
  12. Marital problem0.6%4
  13. Alopeciahair loss0.5%3
  14. Cryingcrying0.5%3
  15. Deep vein thrombosisa blood clot in a deep vein0.5%3
  16. Depressed moodlow mood0.5%3
  17. Fatiguetiredness0.5%3
  18. Mastectomy0.5%3
  19. Abdominal discomfortstomach discomfort0.3%2
  20. Astheniaweakness or lack of energy0.3%2

Top 30 of 122 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 25 drugs in the estrogen 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

Death2.2%14
Life-threatening0.3%2
Hospitalisation (initial or prolonged)6.5%41
Disability2.1%13
Congenital anomaly0%0
Other serious88%552
Not serious10.2%64

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 127,523 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%0
2 to 110%0
12 to 170%0
18 to 441.3%8
45 to 6433.8%212
65 to 744.8%30
75 and over1.4%9
Age not given58.7%368

Patient sex

Female98.2%616
Male0%0
Not given1.8%11

Who reported

Physician2.1%13
Pharmacist0.6%4
Other health professional1.3%8
Lawyer43.7%274
Consumer or non-health professional19.6%123
Not given32.7%205

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 81.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hormone replacement therapy36958.9%
Menopausal symptoms203.2%
Menopause71.1%
Hot flush20.3%
Off label use20.3%

The indication field is filled in by the reporter and is often blank; shares are of all 627 reports.

In context

MeasurePremphaseEstrogenAll reports
Reports as suspect product627127,52320,646,523
Share of that pool—0.5%0%
Reports, latest 12 months0—1,332,454
Marked serious89.8%57.2%57.4%
Death recorded among outcomes, per 1,000 reports221791
Hospitalisation recorded, per 1,000 reports65105213
Consumer-filed share19.6%49%45.8%
Top term, share of reportsBreast cancer female 50.1%median 1.1%0.1%

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 estrogen class

DrugName typeReportsLatest 12 monthsMarked serious
Premarinbrand34,40115877.8%
Premprobrand19,8323690.4%
Nuvaringbrand18,6435549.2%
Estradiolgeneric15,4792,77743%
Estradiol Transdermal Systembrand5,9891,3083.2%
Estracebrand4,6492558.9%
Estringbrand3,81311530.5%
CombiPatch (estradiol/norethindrone acetate transdermal system)brand3,60838419.5%
Climarabrand3,1463725.9%
Minivellebrand2,823334%
Climara Probrand1,94911511%
Xulanebrand1,5376510.3%
Vivelle-Dotbrand1,4886232.1%
EstroGelbrand1,3129474.9%
Conjugated estrogensgeneric1,1671298.7%

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 Premphase reports

How many adverse event reports has FDA received for Premphase?

627 reports list Premphase as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 0 of them arrived in the latest 12 months. Another 66 list it only as a concomitant medication.

What reactions are recorded in Premphase reports?

breast cancer female (50.1%), breast cancer (21.9%), breast cancer metastatic (4.5%), oestrogen receptor assay positive (2.4%) and anxiety (2.2%). 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 Premphase was responsible.

How serious are the reports?

89.8% are marked serious by the reporter. Among the outcomes recorded, 2.2% of reports include death and 6.5% 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?

lawyer (43.7%), not given (32.7%) and consumer or non-health professional (19.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Premphase rising?

0 reports in the 12 months to June 2026, against 1 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 Premphase 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 Premphase?

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 Premphase as a suspect or interacting product; reports listing it only as a concomitant medication (66) 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.