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Beclomethasone Dipropionate, Formoterol and Glycopyrrolate side effects: what 13,313 FDA adverse event reports show

Beclomethasone Dipropionate/Formoterol Fumarate/Glycopyrrolate · 56 reaction terms · 618 drug–reaction co-reports · data 2026-09-14
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Drug class

Corticosteroid

FDA label, Indications wording

Who reports

13,313 reports · 96% serious · 1,146 with death outcome · 61% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Beclomethasone dipropionate HFA inhalation aerosol is indicated in the maintenance treatment of asthma as prophylactic therapy in patients 5 years of age and older. Important Limitations of Use: Beclomethasone dipropionate HFA inhalation aerosol is NOT indicated for the relief of acute bronchospasm.

FDA label, Indications and Usage

What it is

The active component of beclomethasone dipropionate HFA inhalation aerosol 40 mcg inhalation aerosol and beclomethasone dipropionate HFA inhalation aerosol 80 mcg inhalation aerosol is beclome.

FDA label, Description section

Boxed warning

None in the current label

How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 22 strongest signals

Labeled adverse reaction 1Labeled (related wording) 1Likely indication confounding 1Reporting / coding artifact 1Lab value / disease marker 1Not in label — unassessed 17
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only and flags pairs whose reports are unusually skewed by sex or come mostly from consumers rather than clinicians. 34 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Hypomagnesaemia2018.2
11.8–28.2ROR 18.4 · χ² 309 / p 2e-69
17.8 EB05 11.9 · IC025 +2.9
3/3 methods agree
Not in label — unassessed–no trial data cached
Chronic obstructive pulmonary disease7217.5
13.9–21.9ROR 18.2 · χ² 1,103 / p 5e-242
17.4 EB05 14.2 · IC025 +3.6
3/3 methods agree
Not in label — unassessed–no trial data cached
Bronchospasm (airway tightening)1614.1
8.7–23.0ROR 14.3 · χ² 182 / p 8e-42
13.2 EB05 8.0 · IC025 +2.5
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
–no trial data cached
Tendonitis1613.0
8.0–21.2ROR 13.1 · χ² 165 / p 4e-38
12.0 EB05 7.2 · IC025 +2.4
3/3 methods agree
Not in label — unassessed–no trial data cached
Brain fog1210.4
5.9–18.3ROR 10.5 · χ² 93 / p 3e-22
8.6 EB05 4.9 · IC025 +1.9
3/3 methods agree
Not in label — unassessed–no trial data cached
Upper gastrointestinal haemorrhage139.7
5.7–16.7ROR 9.8 · χ² 93 / p 2e-22
8.1 EB05 4.7 · IC025 +1.9
3/3 methods agree
Not in label — unassessed–no trial data cached
Epilepsy208.3
5.4–12.8ROR 8.4 · χ² 121 / p 2e-28
7.3 EB05 4.9 · IC025 +2.1
3/3 methods agree
Not in label — unassessed–no trial data cached
Hyponatraemia (low sodium)368.1
5.9–11.2ROR 8.3 · χ² 217 / p 2e-49
7.5 EB05 5.6 · IC025 +2.3
3/3 methods agree
Not in label — unassessed–no trial data cached
Lip swelling218.0
5.2–12.2ROR 8.1 · χ² 122 / p 1e-28
7.1 EB05 4.8 · IC025 +2.0
3/3 methods agree
Not in label — unassessed–no trial data cached
Drug eruption117.9
4.4–14.2ROR 7.9 · χ² 59 / p 6e-15
6.3 EB05 3.6 · IC025 +1.6
3/3 methods agree
Not in label — unassessed–no trial data cached
C-reactive protein increased217.3
4.8–11.2ROR 7.4 · χ² 108 / p 1e-25
6.4 EB05 4.4 · IC025 +1.9
3/3 methods agree
Lab value / disease marker–no trial data cached
Cholestasis (bile flow blockage)117.3
4.0–13.1ROR 7.3 · χ² 53 / p 1e-13
5.8 EB05 3.4 · IC025 +1.5
3/3 methods agree
Not in label — unassessed–no trial data cached
Swollen tongue187.3
4.6–11.5ROR 7.3 · χ² 91 / p 6e-22
6.3 EB05 4.2 · IC025 +1.8
3/3 methods agree
Not in label — unassessed–no trial data cached
Melaena (black stool)126.9
3.9–12.1ROR 6.9 · χ² 55 / p 8e-14
5.6 EB05 3.4 · IC025 +1.5
3/3 methods agree
Not in label — unassessed–no trial data cached
Hallucination, visual106.0
3.2–11.2ROR 6.1 · χ² 37 / p 6e-10
4.8 EB05 2.8 · IC025 +1.2
3/3 methods agree
Not in label — unassessed–no trial data cached
Product availability issue105.6
3.0–10.5ROR 5.7 · χ² 34 / p 3e-9
4.6 EB05 2.7 · IC025 +1.1
3/3 methods agree
Reporting / coding artifact–no trial data cached
Throat tightness125.6
3.2–9.9ROR 5.6 · χ² 41 / p 7e-11
4.7 EB05 2.9 · IC025 +1.3
3/3 methods agree
Not in label — unassessed–no trial data cached
Haematemesis (vomiting blood)115.5
3.0–9.9ROR 5.5 · χ² 36 / p 1e-9
4.5 EB05 2.7 · IC025 +1.2
3/3 methods agree
Not in label — unassessed–no trial data cached
Angioedema (deep swelling of face/throat)195.4
3.5–8.5ROR 5.5 · χ² 65 / p 5e-16
4.8 EB05 3.3 · IC025 +1.5
3/3 methods agree
Labeled adverse reaction
exact term
–no trial data cached
Anger145.2
3.1–8.8ROR 5.2 · χ² 44 / p 2e-11
4.5 EB05 2.9 · IC025 +1.3
3/3 methods agree
Not in label — unassessed–no trial data cached
Lactic acidosis135.1
3.0–8.8ROR 5.2 · χ² 39 / p 2e-10
4.4 EB05 2.8 · IC025 +1.2
3/3 methods agree
Not in label — unassessed–no trial data cached

Trial evidence (ClinicalTrials.gov)

Trial cross-check not yet run for this drug (ClinicalTrials.gov pull covers the 800 most-reported drugs first).

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Chronic obstructive pulmonary disease7217.5
13.9–21.9ROR 18.2 · χ² 1,103 / p 5e-242
17.4 EB05 14.2 · IC025 +3.6
3/3 methods agree
Not in label — unassessed–no trial data cached
Hyponatraemia (low sodium)368.1
5.9–11.2ROR 8.3 · χ² 217 / p 2e-49
7.5 EB05 5.6 · IC025 +2.3
3/3 methods agree
Not in label — unassessed–no trial data cached
C-reactive protein increased217.3
4.8–11.2ROR 7.4 · χ² 108 / p 1e-25
6.4 EB05 4.4 · IC025 +1.9
3/3 methods agree
Lab value / disease marker–no trial data cached
Lip swelling218.0
5.2–12.2ROR 8.1 · χ² 122 / p 1e-28
7.1 EB05 4.8 · IC025 +2.0
3/3 methods agree
Not in label — unassessed–no trial data cached
Epilepsy208.3
5.4–12.8ROR 8.4 · χ² 121 / p 2e-28
7.3 EB05 4.9 · IC025 +2.1
3/3 methods agree
Not in label — unassessed–no trial data cached
Hypomagnesaemia2018.2
11.8–28.2ROR 18.4 · χ² 309 / p 2e-69
17.8 EB05 11.9 · IC025 +2.9
3/3 methods agree
Not in label — unassessed–no trial data cached
Angioedema (deep swelling of face/throat)195.4
3.5–8.5ROR 5.5 · χ² 65 / p 5e-16
4.8 EB05 3.3 · IC025 +1.5
3/3 methods agree
Labeled adverse reaction
exact term
–no trial data cached
Swollen tongue187.3
4.6–11.5ROR 7.3 · χ² 91 / p 6e-22
6.3 EB05 4.2 · IC025 +1.8
3/3 methods agree
Not in label — unassessed–no trial data cached
Tendonitis1613.0
8.0–21.2ROR 13.1 · χ² 165 / p 4e-38
12.0 EB05 7.2 · IC025 +2.4
3/3 methods agree
Not in label — unassessed–no trial data cached
Bronchospasm (airway tightening)1614.1
8.7–23.0ROR 14.3 · χ² 182 / p 8e-42
13.2 EB05 8.0 · IC025 +2.5
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
–no trial data cached
Anger145.2
3.1–8.8ROR 5.2 · χ² 44 / p 2e-11
4.5 EB05 2.9 · IC025 +1.3
3/3 methods agree
Not in label — unassessed–no trial data cached
Lactic acidosis135.1
3.0–8.8ROR 5.2 · χ² 39 / p 2e-10
4.4 EB05 2.8 · IC025 +1.2
3/3 methods agree
Not in label — unassessed–no trial data cached
Upper gastrointestinal haemorrhage139.7
5.7–16.7ROR 9.8 · χ² 93 / p 2e-22
8.1 EB05 4.7 · IC025 +1.9
3/3 methods agree
Not in label — unassessed–no trial data cached
Throat tightness125.6
3.2–9.9ROR 5.6 · χ² 41 / p 7e-11
4.7 EB05 2.9 · IC025 +1.3
3/3 methods agree
Not in label — unassessed–no trial data cached

Unlabeled candidate signals

These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.

✓ A hand-written Bradford Hill causality assessment exists for this drug: Tenofovir disoproxil fumarate ↔ Bone loss.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Beclomethasone Dipropionate?

In FDA FAERS, the most frequently co-reported reaction terms for Beclomethasone Dipropionate are chronic obstructive pulmonary disease, hyponatraemia, lower respiratory tract infection, c-reactive protein increased, lip swelling, epilepsy. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Beclomethasone Dipropionate have an FDA boxed warning?

No. The FDA label retrieved for Beclomethasone Dipropionate has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Beclomethasone Dipropionate causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-08. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.