Reported Reactions

Drugs › Nucleoside metabolic inhibitor

Generic name

Purixan: adverse event reports filed with FDA

767 reports list it as a suspect or interacting product, 2015–2026. Class: Nucleoside metabolic inhibitor.

767
reports as suspect product
0% of all reports · about 68 a year
29
reports, 12 months to June 2026
52 in the 12 months before
81.5%
marked serious by the reporter
92.2% across the class
3.5%
record death among outcomes, as reported
27 reports · not verified by FDA

767 adverse event reports received by FDA list purixan, a generic name as a suspect or interacting product, from April 2015 to May 2026. A further 10 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, 29 reports listed it, down 44% from 52 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 68 reports a year and 0% of the 20,646,523 reports in the database, and 0.2% of the reports for the nucleoside metabolic inhibitor 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 off label use (34.6%), pyrexia (5.2%) and vomiting (4.8%). A report can list several reactions, so shares add to more than 100%; 164 different terms appear across these reports. Off label use is recorded in 34.6% of these reports, a larger share than in the median nucleoside metabolic inhibitor drug (6.1%).

81.5% of the reports are marked serious by the reporter (92.2% across the class); 3.5% record death among the outcomes and 39% record hospitalisation, as reported. 40.7% of the reports came from physicians, and the largest patient age group is 2 to 11 (40.2%). 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

0713Jul 2021: 12Aug 2021: 13Sep 2021: 2Oct 2021: 1Nov 2021: 4Dec 2021: 32022Jan 2022: 2Feb 2022: 7Mar 2022: 3Apr 2022: 2May 2022: 1Jun 2022: 4Jul 2022: 4Aug 2022: 3Sep 2022: 3Oct 2022: 4Nov 2022: 1Dec 2022: 22023Jan 2023: 2Feb 2023: 5Mar 2023: 11Apr 2023: 3May 2023: 1Jun 2023: 9Jul 2023: 13Aug 2023: 7Sep 2023: 6Oct 2023: 5Nov 2023: 3Dec 2023: 32024Jan 2024: 7Feb 2024: 7Mar 2024: 3Apr 2024: 2May 2024: 4Jun 2024: 5Jul 2024: 8Aug 2024: 2Sep 2024: 5Oct 2024: 6Nov 2024: 13Dec 2024: 22025Jan 2025: 5Feb 2025: 4Mar 2025: 2Apr 2025: 3May 2025: 0Jun 2025: 2Jul 2025: 7Aug 2025: 3Sep 2025: 0Oct 2025: 3Nov 2025: 1Dec 2025: 12026Jan 2026: 5Feb 2026: 0Mar 2026: 1Apr 2026: 7May 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

0751502015: 4320152016: 632017: 9720172018: 1502019: 5720192020: 402021: 10420212022: 362023: 6820232024: 642025: 3120252026: 14

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Purixan reports recording the termmedian drug in nucleoside metabolic inhibitor

  1. Off label useused for a purpose or in a way not on the label34.6%265
  2. Pyrexiafever5.2%40
  3. Vomitingbeing sick4.8%37
  4. Febrile bone marrow aplasia3.9%30
  5. Abdominal painstomach or belly pain3.3%25
  6. Nauseafeeling sick3.1%24
  7. Febrile neutropeniafever with low white blood cells3%23
  8. Hypoglycaemialow blood sugar2.9%22
  9. Hepatotoxicityliver injury2.6%20
  10. Neutropenialow neutrophils, a type of white blood cell2.5%19
  11. Pancytopenialow counts of all blood cells2.5%19
  12. Rashskin rash2%15
  13. Alanine aminotransferase increasedraised liver enzyme (ALT)1.6%12
  14. Drug ineffectivethe medicine did not work as expected1.6%12
  15. Thrombocytopenialow platelets1.6%12
  16. Pneumonialung infection1.4%11
  17. Decreased appetitereduced appetite1.3%10
  18. Fatiguetiredness1.3%10
  19. Sepsisa severe body-wide response to infection1.3%10
  20. Stomatitissore mouth1.3%10
  21. Central hypothyroidism1.2%9
  22. Exposure during pregnancythe medicine was taken during pregnancy1.2%9
  23. Myelodysplastic syndrome transformation1.2%9
  24. Diarrhoealoose or frequent stools1%8
  25. Foetal exposure during pregnancythe unborn baby was exposed to the medicine1%8
  26. Pancreatitisinflammation of the pancreas1%8

Top 30 of 164 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 19 drugs in the nucleoside metabolic inhibitor 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

Death3.5%27
Life-threatening4.6%35
Hospitalisation (initial or prolonged)39%299
Disability1%8
Congenital anomaly0.1%1
Other serious59.1%453
Not serious18.5%142

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 313,386 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 24.2%32
2 to 1140.2%308
12 to 179%69
18 to 4418.8%144
45 to 649.3%71
65 to 743.7%28
75 and over1%8
Age not given14%107

Patient sex

Female44.7%343
Male48.4%371
Not given6.9%53

Who reported

Physician40.7%312
Pharmacist6%46
Other health professional37.8%290
Lawyer0%0
Consumer or non-health professional8.9%68
Not given6.6%51

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 43.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Acute lymphocytic leukaemia29137.9%
Crohn's disease10714%
Colitis ulcerative557.2%
Acute promyelocytic leukaemia111.4%
Inflammatory bowel disease111.4%
B-cell type acute leukaemia101.3%

The indication field is filled in by the reporter and is often blank; shares are of all 767 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Purixan reports
Methotrexate30439.6%
Cytarabine15920.7%
Dexamethasone14218.5%
Vincristine sulfate13317.3%
Cyclophosphamide11915.5%
Pegaspargase11915.5%
Vincristine9312.1%
Prednisolone658.5%
Prednisone648.3%
Hydrocortisone628.1%

Other products listed in reports where Purixan 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

MeasurePurixanNucleoside metabolic inhibitorAll reports
Reports as suspect product767313,38620,646,523
Share of that pool—0.2%0%
Reports, latest 12 months29—1,332,454
Marked serious81.5%92.2%57.4%
Death recorded among outcomes, per 1,000 reports3521091
Hospitalisation recorded, per 1,000 reports390380213
Consumer-filed share8.9%11.4%45.8%
Top term, share of reportsOff label use 34.6%median 6.1%4.1%

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 nucleoside metabolic inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Fluorouracilgeneric60,4515,31596.1%
Capecitabinegeneric51,7833,28183.3%
Cytarabinegeneric50,7413,54597.9%
Gemcitabinegeneric33,1982,92097.9%
Xelodabrand32,27928073%
Fludarabinebrand20,2601,90098.7%
Azacitidinegeneric14,9691,83098%
Gemcitabine hydrochloridegeneric12,3991,16497.1%
Mercaptopurinegeneric10,54050795.8%
Vidazabrand9,08735896.9%
Fludarabine phosphategeneric8,42641998.5%
Decitabinegeneric3,02625896.8%
Clofarabinegeneric2,0207796.5%
Onuregbrand7556949.8%
Pentostatingeneric6971691.7%

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 Purixan reports

How many adverse event reports has FDA received for Purixan?

767 reports list Purixan as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 29 of them arrived in the latest 12 months. Another 10 list it only as a concomitant medication.

What reactions are recorded in Purixan reports?

off label use (34.6%), pyrexia (5.2%), vomiting (4.8%), febrile bone marrow aplasia (3.9%) and abdominal pain (3.3%). 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 Purixan was responsible.

How serious are the reports?

81.5% are marked serious by the reporter. Among the outcomes recorded, 3.5% of reports include death and 39% 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?

physician (40.7%), other health professional (37.8%) and consumer or non-health professional (8.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Purixan rising?

29 reports in the 12 months to June 2026, down 44% from 52 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 Purixan 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 Purixan?

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 Purixan as a suspect or interacting product; reports listing it only as a concomitant medication (10) 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.