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Evolocumab vs Rosuvastatin: side effects in FDA adverse event reports

How to read this page. FAERS report counts have no denominator; the comparison is of reporting patterns, not of risk. Signals are screened against each FDA label (badges) but not causally assessed. Not medical advice.

At a glance

EvolocumabRosuvastatin
Drug classPCSK9 Inhibitor–
Brand namesRepatha–
FAERS reports161,20982,998
Serious17%77%
Death outcome2,0355,613
Boxed warningNoNo

Signals both drugs share

ReactionEvolocumabRosuvastatinLabel screen (A / B)
Obstructive sleep apnoea syndrome129 · PRR 13.2174 · PRR 14.6Not in label — unassessed / Not in label — unassessed

Labeled signals distinctive to Evolocumab

Labeled signals distinctive to Rosuvastatin

  • Rhabdomyolysis — n=3,730, PRR 10.1 Labeled adverse reaction
  • Myopathy — n=745, PRR 9.6 Labeled adverse reaction

Common questions

Which has more reported side effects, Evolocumab or Rosuvastatin?

Evolocumab has 161,209 FAERS reports and Rosuvastatin 82,998. More reports does not mean more dangerous: volume follows how widely and how long a drug has been used, prescription vs over-the-counter status, and publicity. The seriousness share (17% vs 77%) is a better like-for-like signal of the kind of problems reported.

Which side effects do Evolocumab and Rosuvastatin share?

Both drugs carry disproportionality signals for obstructive sleep apnoea syndrome. Shared signals often reflect a shared drug class or the condition both are used for.

Is Evolocumab or Rosuvastatin safer?

FAERS cannot answer that: it has no denominator and no comparator. Use this page to see which risks are already on each label and which signals are unlabeled, then check the prescribing information and your clinician for your situation.

Sources: openFDA FAERS pair statistics (OpenPV build 2026-09-14), FDA labels via openFDA, openFDA count queries for seriousness and deaths. Pair chosen because it is a commonly searched comparison. Generated 2026-10-08.