Reported Reactions

Drugs › Corticosteroid

Brand name · Budesonide

Pulmicort Respules: adverse event reports filed with FDA

1,710 reports list it as a suspect or interacting product, 2004–2026. Class: Corticosteroid.

1,710
reports as suspect product
0% of all reports · about 76 a year
30
reports, 12 months to June 2026
37 in the 12 months before
40.1%
marked serious by the reporter
77.7% across the class
3%
record death among outcomes, as reported
51 reports · not verified by FDA

1,710 adverse event reports received by FDA list the brand name Pulmicort Respules (budesonide) as a suspect or interacting product, from January 2004 to June 2026. A further 182 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, 30 reports listed it, down 19% from 37 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 76 reports a year and 0% of the 20,646,523 reports in the database, and 0.2% of the reports for the corticosteroid class. 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 dyspnoea (16.4%), off label use (10.9%) and asthma (8.5%). A report can list several reactions, so shares add to more than 100%; 305 different terms appear across these reports. Dyspnoea is recorded in 16.4% of these reports, a larger share than in the median corticosteroid drug (8.1%).

40.1% of the reports are marked serious by the reporter (77.7% across the class); 3% record death among the outcomes and 15.7% record hospitalisation, as reported. 49.2% of the reports came from consumers, and the largest patient age group is 75 and over (18.8%). 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

0611Jul 2021: 5Aug 2021: 1Sep 2021: 2Oct 2021: 3Nov 2021: 1Dec 2021: 12022Jan 2022: 1Feb 2022: 0Mar 2022: 1Apr 2022: 0May 2022: 1Jun 2022: 1Jul 2022: 0Aug 2022: 0Sep 2022: 0Oct 2022: 1Nov 2022: 1Dec 2022: 02023Jan 2023: 0Feb 2023: 1Mar 2023: 5Apr 2023: 0May 2023: 0Jun 2023: 1Jul 2023: 4Aug 2023: 1Sep 2023: 1Oct 2023: 5Nov 2023: 1Dec 2023: 02024Jan 2024: 1Feb 2024: 2Mar 2024: 2Apr 2024: 6May 2024: 0Jun 2024: 3Jul 2024: 0Aug 2024: 0Sep 2024: 1Oct 2024: 1Nov 2024: 0Dec 2024: 52025Jan 2025: 1Feb 2025: 11Mar 2025: 7Apr 2025: 5May 2025: 3Jun 2025: 3Jul 2025: 3Aug 2025: 2Sep 2025: 3Oct 2025: 0Nov 2025: 2Dec 2025: 42026Jan 2026: 1Feb 2026: 3Mar 2026: 4Apr 2026: 3May 2026: 2Jun 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

01392782004: 1820042005: 62006: 242007: 22320072008: 2782009: 2662010: 21720102011: 262012: 782013: 5020132014: 542015: 472016: 3420162017: 472018: 362019: 6820192020: 912021: 412022: 620222023: 192024: 212025: 4420252026: 16

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Pulmicort Respules reports recording the termmedian drug in corticosteroid

  1. Dyspnoeashortness of breath16.4%281
  2. Off label useused for a purpose or in a way not on the label10.9%186
  3. Asthmaasthma8.5%146
  4. Coughcough7.4%126
  5. Wheezingwheezing5.3%91
  6. Drug ineffectivethe medicine did not work as expected5.2%89
  7. Chest discomfortchest discomfort4.3%73
  8. Drug dose omissiona dose was missed3.3%56
  9. Medication errora mistake in prescribing, dispensing or taking a medicine3.2%55
  10. Product use issuea problem in how the product was used3.2%54
  11. Dysphoniaa hoarse voice3%51
  12. Pneumonialung infection3%51
  13. Tremorshaking2.9%49
  14. Malaisegeneral feeling of being unwell2.8%48
  15. Insomniadifficulty sleeping2.7%46
  16. Intentional product misusedeliberate use not as intended2.7%46
  17. Heart rate increaseda fast heart rate reading2.6%44
  18. Palpitationsawareness of the heartbeat2.6%44
  19. Dizzinesslight-headedness or unsteadiness2.3%39
  20. Rashskin rash2%34
  21. Weight decreasedweight loss1.9%33
  22. Chronic obstructive pulmonary diseaseCOPD, a long-term lung disease1.8%31
  23. Rhinorrhoeaa runny nose1.8%31
  24. Headachehead pain1.8%30
  25. Vomitingbeing sick1.8%30
  26. Nasopharyngitisa cold1.7%29
  27. Deaththe patient died; cause not stated by this term1.5%26

Top 30 of 305 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 74 drugs in the corticosteroid 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

Death3%51
Life-threatening3.2%55
Hospitalisation (initial or prolonged)15.7%268
Disability0.6%10
Congenital anomaly0.1%2
Other serious23.7%405
Not serious59.9%1,025

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 808,789 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 28.1%138
2 to 1118.5%316
12 to 171.6%27
18 to 444.4%75
45 to 6411.5%196
65 to 7412.5%213
75 and over18.8%322
Age not given24.7%423

Patient sex

Female50.7%867
Male43.9%750
Not given5.4%93

Who reported

Physician14.3%245
Pharmacist3%52
Other health professional15.6%266
Lawyer0%0
Consumer or non-health professional49.2%842
Not given17.8%305

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 75.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Asthma47027.5%
Chronic obstructive pulmonary disease21112.3%
Emphysema422.5%
Pneumonia271.6%
Bronchitis261.5%
Cough251.5%

The indication field is filled in by the reporter and is often blank; shares are of all 1,710 reports.

In context

MeasurePulmicort RespulesCorticosteroidAll reports
Reports as suspect product1,710808,78920,646,523
Share of that pool—0.2%0%
Reports, latest 12 months30—1,332,454
Marked serious40.1%77.7%57.4%
Death recorded among outcomes, per 1,000 reports3014691
Hospitalisation recorded, per 1,000 reports157336213
Consumer-filed share49.2%29.1%45.8%
Top term, share of reportsDyspnoea 16.4%median 8.1%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 corticosteroid class

DrugName typeReportsLatest 12 monthsMarked serious
Prednisonegeneric183,86715,61491.4%
Dexamethasonegeneric129,6779,21695.1%
Prednisolonegeneric87,8066,62497.6%
Methylprednisolonegeneric49,5374,43095.2%
Symbicortbrand39,1191,17750.6%
Breo Elliptabrand22,22062831.7%
Hydrocortisonegeneric21,2632,38689.5%
Advair Diskusbrand20,51812029%
Advair Hfabrand19,62258954.9%
Budesonidegeneric14,7141,08382.2%
Desoximetasonegeneric12,2091,52599.2%
Floventbrand10,77217142.1%
Methylprednisolone sodium succinategeneric10,7721,63097.8%
Solu-medrolgeneric10,28843288.8%
Ciprobrand9,79110857.3%

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 Pulmicort Respules reports

How many adverse event reports has FDA received for Pulmicort Respules?

1,710 reports list Pulmicort Respules as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 30 of them arrived in the latest 12 months. Another 182 list it only as a concomitant medication.

What reactions are recorded in Pulmicort Respules reports?

dyspnoea (16.4%), off label use (10.9%), asthma (8.5%), cough (7.4%) and wheezing (5.3%). 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 Pulmicort Respules was responsible.

How serious are the reports?

40.1% are marked serious by the reporter. Among the outcomes recorded, 3% of reports include death and 15.7% 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 (49.2%), not given (17.8%) and other health professional (15.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Pulmicort Respules rising?

30 reports in the 12 months to June 2026, down 19% from 37 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 Pulmicort Respules 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 Pulmicort Respules?

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 Pulmicort Respules as a suspect or interacting product; reports listing it only as a concomitant medication (182) 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.