Reported Reactions

Drugs › Retinoid

Generic name

Tretinoin: adverse event reports filed with FDA

3,415 reports list it as a suspect or interacting product, 2004–2026. Class: Retinoid. Also reported as Tretinoin Cap 10mg, Tretinoin 10mg, Tretinoin 10mg Cap.

3,415
reports as suspect product
0% of all reports · about 152 a year
365
reports, 12 months to June 2026
343 in the 12 months before
72.4%
marked serious by the reporter
49.6% across the class
21%
record death among outcomes, as reported
716 reports · not verified by FDA

Between January 2004 and June 2026, 3,415 adverse event reports received by FDA list tretinoin, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (2,995) are left out of every figure here.

In the 12 months to June 2026, 365 reports listed it, close to the 343 of 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 152 reports a year and 0% of the 20,646,523 reports in the database, and 5.2% of the reports for the retinoid class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded off label use (18.7%), drug ineffective (13.7%) and product use in unapproved indication (10.7%). A report can list several reactions, so shares add to more than 100%; 722 different terms appear across these reports. Off label use is recorded in 18.7% of these reports, a larger share than in the median retinoid drug (0.8%).

72.4% of the reports are marked serious by the reporter (49.6% across the class); 21% record death among the outcomes and 23.5% record hospitalisation, as reported. 44.8% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (28.5%). 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

03060Jul 2021: 12Aug 2021: 18Sep 2021: 25Oct 2021: 15Nov 2021: 23Dec 2021: 192022Jan 2022: 30Feb 2022: 44Mar 2022: 21Apr 2022: 28May 2022: 10Jun 2022: 14Jul 2022: 14Aug 2022: 12Sep 2022: 11Oct 2022: 18Nov 2022: 60Dec 2022: 232023Jan 2023: 11Feb 2023: 19Mar 2023: 45Apr 2023: 22May 2023: 19Jun 2023: 28Jul 2023: 41Aug 2023: 35Sep 2023: 26Oct 2023: 22Nov 2023: 11Dec 2023: 302024Jan 2024: 19Feb 2024: 22Mar 2024: 45Apr 2024: 32May 2024: 16Jun 2024: 27Jul 2024: 35Aug 2024: 28Sep 2024: 18Oct 2024: 22Nov 2024: 16Dec 2024: 382025Jan 2025: 38Feb 2025: 23Mar 2025: 47Apr 2025: 30May 2025: 14Jun 2025: 34Jul 2025: 57Aug 2025: 39Sep 2025: 33Oct 2025: 34Nov 2025: 16Dec 2025: 382026Jan 2026: 37Feb 2026: 11Mar 2026: 27Apr 2026: 30May 2026: 21Jun 2026: 22

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

02024032004: 2220042005: 202006: 112007: 2120072008: 952009: 502010: 6120102011: 542012: 982013: 5220132014: 912015: 1152016: 15420162017: 2262018: 3022019: 17720192020: 1752021: 2282022: 28520222023: 3092024: 3182025: 40320252026: 148

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Tretinoin reports recording the termmedian drug in retinoid

  1. Off label useused for a purpose or in a way not on the label18.7%640
  2. Drug ineffectivethe medicine did not work as expected13.7%469
  3. Product use in unapproved indicationused for a purpose not on the label10.7%364
  4. Vomitingbeing sick9.3%316
  5. Paraesthesiatingling or pins and needles8.9%305
  6. Maternal exposure during pregnancythe mother took the medicine during pregnancy8.9%303
  7. Painpain, site not specified8.9%303
  8. Abdominal pain upperupper stomach pain8.6%294
  9. Drug intolerancethe medicine was not tolerated8.4%287
  10. Epilepsy8.3%283
  11. Hypoaesthesianumbness7.8%268
  12. Memory impairmentmemory problems7.7%262
  13. Differentiation syndrome6.6%225
  14. Migrainemigraine6.4%217
  15. Rashskin rash6.4%217
  16. Treatment failurethe treatment did not work5.7%196
  17. Pneumonialung infection5.7%193
  18. Product use issuea problem in how the product was used5.6%192
  19. Product quality issuea problem with the product itself5.6%191
  20. Condition aggravatedthe condition being treated got worse5.5%188
  21. Diarrhoealoose or frequent stools5.1%175
  22. Pericarditisinflammation of the sac around the heart5.1%174
  23. Weight increasedweight gain5.1%173
  24. Arthralgiajoint pain4.8%164
  25. Alopeciahair loss4.8%163

Top 30 of 722 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 11 drugs in the retinoid 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

Death21%716
Life-threatening10.6%363
Hospitalisation (initial or prolonged)23.5%803
Disability6.9%234
Congenital anomaly6.3%214
Other serious50.6%1,727
Not serious27.6%942

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 65,827 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 20.4%13
2 to 113.2%108
12 to 173.6%122
18 to 4428.5%973
45 to 6415.3%522
65 to 747.5%257
75 and over4%138
Age not given37.5%1,282

Patient sex

Female51.9%1,771
Male24.5%837
Not given23.6%807

Who reported

Physician22%751
Pharmacist3.7%127
Other health professional44.8%1,530
Lawyer0%0
Consumer or non-health professional25.3%864
Not given4.2%143

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 46.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Acute promyelocytic leukaemia1,13933.4%
Acne2818.2%
Acute myeloid leukaemia1414.1%
Skin wrinkling1103.2%
Psoriasis290.8%
Off label use200.6%

The indication field is filled in by the reporter and is often blank; shares are of all 3,415 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Tretinoin reports
Methotrexate45813.4%
Ergocalciferol39311.5%
Cytarabine37911.1%
Topiramate37611%
Botulinum toxin type a36010.5%
Myrbetriq35210.3%
Desoximetasone34910.2%
Trazodone34810.2%
Aimovig34510.1%
Idarubicin3319.7%

Other products listed in reports where Tretinoin 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

MeasureTretinoinRetinoidAll reports
Reports as suspect product3,41565,82720,646,523
Share of that pool—5.2%0%
Reports, latest 12 months365—1,332,454
Marked serious72.4%49.6%57.4%
Death recorded among outcomes, per 1,000 reports2102591
Hospitalisation recorded, per 1,000 reports23586213
Consumer-filed share25.3%34.4%45.8%
Top term, share of reportsOff label use 18.7%median 0.8%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 retinoid class

DrugName typeReportsLatest 12 monthsMarked serious
Isotretinoingeneric14,8522,17753.4%
Accutanebrand12,31740677%
Zenatanebrand7,23978325.6%
Claravisbrand7,01921766.4%
Amnesteembrand6,0354945.4%
Differinbrand4,892703%
Adapalenegeneric4,7202,9641.7%
Absoricabrand2,5181837.8%
Acitretingeneric2,21110783.9%
Targretinbrand6091079.3%

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 Tretinoin reports

How many adverse event reports has FDA received for Tretinoin?

3,415 reports list Tretinoin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 365 of them arrived in the latest 12 months. Another 2,995 list it only as a concomitant medication.

What reactions are recorded in Tretinoin reports?

off label use (18.7%), drug ineffective (13.7%), product use in unapproved indication (10.7%), vomiting (9.3%) and paraesthesia (8.9%). 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 Tretinoin was responsible.

How serious are the reports?

72.4% are marked serious by the reporter. Among the outcomes recorded, 21% of reports include death and 23.5% 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?

other health professional (44.8%), consumer or non-health professional (25.3%) and physician (22%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Tretinoin rising?

365 reports in the 12 months to June 2026, close to the 343 of 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 Tretinoin 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 Tretinoin?

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 Tretinoin as a suspect or interacting product; reports listing it only as a concomitant medication (2,995) 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.