Reported Reactions

Drugs › Nucleoside metabolic inhibitor

Brand name · Capecitabine

Xeloda: adverse event reports filed with FDA

32,279 reports list it as a suspect or interacting product, 2004–2026. Class: Nucleoside metabolic inhibitor. Also reported as Xeloda Tablet.

32,279
reports as suspect product
0.2% of all reports · about 1,435 a year
280
reports, 12 months to June 2026
406 in the 12 months before
73%
marked serious by the reporter
92.2% across the class
22.6%
record death among outcomes, as reported
7,285 reports · not verified by FDA

32,279 adverse event reports received by FDA list the brand name Xeloda (capecitabine) as a suspect or interacting product, from January 2004 to June 2026. A further 4,692 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, 280 reports listed it, down 31% from 406 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 1,435 reports a year and 0.2% of the 20,646,523 reports in the database, and 10.3% 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 reactions recorded most often are diarrhoea (16.1%), death (12.4%) and nausea (10.4%). A report can list several reactions, so shares add to more than 100%; 2,004 different terms appear across these reports. Diarrhoea is recorded in 16.1% of these reports, a larger share than in the median nucleoside metabolic inhibitor drug (3.4%).

73% of the reports are marked serious by the reporter (92.2% across the class); 22.6% record death among the outcomes and 25.1% record hospitalisation, as reported. 42.2% of the reports came from consumers, and the largest patient age group is 45 to 64 (26.8%). 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

09961,992Jul 2021: 1,992Aug 2021: 83Sep 2021: 64Oct 2021: 65Nov 2021: 92Dec 2021: 732022Jan 2022: 53Feb 2022: 49Mar 2022: 76Apr 2022: 71May 2022: 88Jun 2022: 580Jul 2022: 57Aug 2022: 73Sep 2022: 54Oct 2022: 57Nov 2022: 81Dec 2022: 592023Jan 2023: 49Feb 2023: 55Mar 2023: 71Apr 2023: 66May 2023: 63Jun 2023: 52Jul 2023: 32Aug 2023: 26Sep 2023: 72Oct 2023: 36Nov 2023: 47Dec 2023: 212024Jan 2024: 32Feb 2024: 34Mar 2024: 51Apr 2024: 35May 2024: 12Jun 2024: 27Jul 2024: 41Aug 2024: 29Sep 2024: 73Oct 2024: 27Nov 2024: 19Dec 2024: 462025Jan 2025: 35Feb 2025: 34Mar 2025: 24Apr 2025: 27May 2025: 28Jun 2025: 23Jul 2025: 31Aug 2025: 14Sep 2025: 18Oct 2025: 34Nov 2025: 27Dec 2025: 342026Jan 2026: 17Feb 2026: 27Mar 2026: 25Apr 2026: 20May 2026: 18Jun 2026: 15

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

02,4784,9562004: 23720042005: 3272006: 3682007: 67020072008: 7782009: 8562010: 1,26720102011: 1,3122012: 3,8582013: 2,81620132014: 1,7912015: 1,3062016: 1,16720162017: 4,9562018: 1,2952019: 1,40320192020: 2,1322021: 2,9752022: 1,29820222023: 5902024: 4262025: 32920252026: 122

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Diarrhoealoose or frequent stools16.1%5,204
  2. Deaththe patient died; cause not stated by this term12.4%4,010
  3. Nauseafeeling sick10.4%3,371
  4. Fatiguetiredness8.1%2,607
  5. Vomitingbeing sick7%2,254
  6. Disease progressionthe disease advanced6.2%2,016
  7. Off label useused for a purpose or in a way not on the label4.3%1,396
  8. Decreased appetitereduced appetite3.8%1,232
  9. Astheniaweakness or lack of energy3.6%1,165
  10. Dehydrationdehydration3.2%1,041
  11. Rashskin rash3%958
  12. Painpain, site not specified2.8%916
  13. Stomatitissore mouth2.8%909
  14. Weight decreasedweight loss2.8%899
  15. Neuropathy peripheralnerve damage in hands or feet2.8%888
  16. Dyspnoeashortness of breath2.6%847
  17. Constipationconstipation2.6%824
  18. Pyrexiafever2.5%811
  19. Drug ineffectivethe medicine did not work as expected2.5%806
  20. Abdominal painstomach or belly pain2.5%795
  21. Pain in extremitypain in an arm or leg2.4%786
  22. Erythemaskin redness2.1%693
  23. Malaisegeneral feeling of being unwell2.1%688
  24. Dry skindry skin2.1%682
  25. Paraesthesiatingling or pins and needles2.1%680
  26. Skin exfoliationpeeling skin2.1%669
  27. Dizzinesslight-headedness or unsteadiness2%654
  28. Headachehead pain1.9%623

Top 30 of 2,004 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

Death22.6%7,285
Life-threatening3.3%1,077
Hospitalisation (initial or prolonged)25.1%8,118
Disability1.6%519
Congenital anomaly0%15
Other serious34.8%11,236
Not serious27%8,718

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 20%16
2 to 110%1
12 to 170%5
18 to 445.4%1,750
45 to 6426.8%8,666
65 to 7414%4,521
75 and over8.2%2,641
Age not given45.5%14,679

Patient sex

Female61.6%19,884
Male32.9%10,615
Not given5.5%1,780

Who reported

Physician31.9%10,290
Pharmacist6.2%2,011
Other health professional15.4%4,976
Lawyer0%14
Consumer or non-health professional42.2%13,615
Not given4.3%1,373

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 54% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Breast cancer3,35710.4%
Colon cancer3,2019.9%
Breast cancer metastatic2,0956.5%
Rectal cancer1,2303.8%
Colorectal cancer1,2183.8%
Gastric cancer1,0733.3%

The indication field is filled in by the reporter and is often blank; shares are of all 32,279 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Xeloda reports
Avastin3,85611.9%
Oxaliplatin3,69811.5%
Herceptin2,3677.3%
Tykerb1,9976.2%
Fluorouracil1,0453.2%
Cisplatin9422.9%
Taxotere9052.8%
Taxol7502.3%
Tukysa7402.3%
Paclitaxel6402%

Other products listed in reports where Xeloda 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

MeasureXelodaNucleoside metabolic inhibitorAll reports
Reports as suspect product32,279313,38620,646,523
Share of that pool—10.3%0.2%
Reports, latest 12 months280—1,332,454
Marked serious73%92.2%57.4%
Death recorded among outcomes, per 1,000 reports22621091
Hospitalisation recorded, per 1,000 reports251380213
Consumer-filed share42.2%11.4%45.8%
Top term, share of reportsDiarrhoea 16.1%median 3.4%3.1%

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%
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%
Purixangeneric7672981.5%
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 Xeloda reports

How many adverse event reports has FDA received for Xeloda?

32,279 reports list Xeloda as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 280 of them arrived in the latest 12 months. Another 4,692 list it only as a concomitant medication.

What reactions are recorded in Xeloda reports?

diarrhoea (16.1%), death (12.4%), nausea (10.4%), palmar-plantar erythrodysaesthesia syndrome (8.7%) and fatigue (8.1%). 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 Xeloda was responsible.

How serious are the reports?

73% are marked serious by the reporter. Among the outcomes recorded, 22.6% of reports include death and 25.1% 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 (42.2%), physician (31.9%) and other health professional (15.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Xeloda rising?

280 reports in the 12 months to June 2026, down 31% from 406 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 Xeloda 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 Xeloda?

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 Xeloda as a suspect or interacting product; reports listing it only as a concomitant medication (4,692) 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.