Brand name · Lotilaner ophthalmic solution
Xdemvy: adverse event reports filed with FDA
2,901 reports list it as a suspect or interacting product, 2023–2026.
- 2,901
- reports as suspect product
- 0% of all reports · about 996 a year
- 1,644
- reports, 12 months to June 2026
- 937 in the 12 months before
- 7.4%
- marked serious by the reporter
- 57.4% across all reports
- 0.8%
- record death among outcomes, as reported
- 24 reports · not verified by FDA
2,901 adverse event reports received by FDA list the brand name Xdemvy (lotilaner ophthalmic solution) as a suspect or interacting product, from August 2023 to June 2026. A further 197 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, 1,644 reports listed it, up 75% from 937 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 996 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 eye irritation (13.5%), ocular hyperaemia (9%) and off label use (8%). A report can list several reactions, so shares add to more than 100%; 298 different terms appear across these reports. Eye irritation is recorded in 13.5% of these reports, against 0.3% of all reports in the database.
7.4% of the reports are marked serious by the reporter; 0.8% record death among the outcomes and 1.4% record hospitalisation, as reported. 42% of the reports came from pharmacists, and the largest patient age group is 75 and over (16.5%). 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
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
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Xdemvy reports recording the termall reports in the database
- Eye irritationeye irritation13.5%393
- Ocular hyperaemiaa red eye9%262
- Off label useused for a purpose or in a way not on the label8%233
- Product use issuea problem in how the product was used7.8%227
- Vision blurredblurred vision7.7%223
- Eye paineye pain7.2%208
- Condition aggravatedthe condition being treated got worse6.9%201
- Wrong technique in product usage processthe product was used in the wrong way6.5%190
- Therapy interrupted6%173
- Eye pruritus5.9%170
- Drug ineffectivethe medicine did not work as expected4.7%137
- Instillation site irritation4.5%131
- Lacrimation increasedwatery eyes3.9%113
- Eye swellinga swollen eye3.7%106
- Drug hypersensitivityan allergic-type reaction to a medicine3.4%99
- Headachehead pain3.1%89
- Swelling of eyelid3.1%89
- Dry eyedry eye2.9%83
- Suspected product contamination2.8%81
- Erythema of eyelid2.4%70
- Pruritusitching2.4%69
- Eye discharge2.3%67
- Erythemaskin redness2.3%66
- Hordeolum2.2%65
- Dizzinesslight-headedness or unsteadiness2.2%63
- Product storage errorthe product was stored wrongly2.1%61
- Visual impairmentreduced vision2%58
Top 30 of 298 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
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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 100% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Ocular demodicosis | 479 | 16.5% |
| Demodex blepharitis | 373 | 12.9% |
| Arthropod infestation | 240 | 8.3% |
| Blepharitis | 224 | 7.7% |
| Acariasis | 47 | 1.6% |
| Dry eye | 30 | 1% |
The indication field is filled in by the reporter and is often blank; shares are of all 2,901 reports.
In context
| Measure | Xdemvy | All reports |
|---|---|---|
| Reports as suspect product | 2,901 | 20,646,523 |
| Share of that pool | — | 0% |
| Reports, latest 12 months | 1,644 | 1,332,454 |
| Marked serious | 7.4% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 8 | 91 |
| Hospitalisation recorded, per 1,000 reports | 14 | 213 |
| Consumer-filed share | 30.5% | 45.8% |
| Top term, share of reports | Eye irritation 13.5% | 0.3% |
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 Xdemvy reports
How many adverse event reports has FDA received for Xdemvy?
2,901 reports list Xdemvy as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,644 of them arrived in the latest 12 months. Another 197 list it only as a concomitant medication.
What reactions are recorded in Xdemvy reports?
eye irritation (13.5%), ocular hyperaemia (9%), off label use (8%), product use issue (7.8%) and vision blurred (7.7%). 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 Xdemvy was responsible.
How serious are the reports?
7.4% are marked serious by the reporter. Among the outcomes recorded, 0.8% of reports include death and 1.4% 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?
pharmacist (42%), consumer or non-health professional (30.5%) and physician (19.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Xdemvy rising?
1,644 reports in the 12 months to June 2026, up 75% from 937 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 Xdemvy 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 Xdemvy?
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 Xdemvy as a suspect or interacting product; reports listing it only as a concomitant medication (197) 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.