Beclomethasone Dipropionate, Formoterol and Glycopyrrolate side effects: what 13,313 FDA adverse event reports show
Drug class
Corticosteroid
Who reports
13,313 reports · 96% serious · 1,146 with death outcome · 61% female
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.
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.
Boxed warning
None in the current label
Causality screen of the 22 strongest signals
What the badges mean
- Labeled adverse reaction The exact term appears in the label's warnings or adverse-reactions sections: a known, expected effect. The FAERS signal confirms the label rather than discovering anything.
- Labeled (related wording) The label describes this effect under different wording (e.g. 'neutropenia' for 'neutrophil count decreased'). Treated as known.
- Likely indication confounding The term appears in the label's indications: reports probably describe the disease being treated (or its progression), not a drug effect. Classic confounding by indication.
- Reporting / coding artifact An administrative, monitoring or exposure term (product issue, off-label use, 'test normal', overdose...). Not a biological reaction; a high PRR here reflects how reports are coded.
- Lab value / disease marker A laboratory result, investigation or disease-activity marker (antibody positive, CRP abnormal, swollen joint count) not described in the label. These usually mirror the monitored disease or testing protocol rather than a drug effect; not screened further.
- Not in label — unassessed Not found in the label text, not an artifact pattern. This is a genuine candidate for a formal causality assessment (Bradford Hill / WHO-UMC); it has NOT had one here.
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.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Hypomagnesaemia | 20 | 18.2 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 disease | 72 | 17.5 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) | 16 | 14.1 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 |
| Tendonitis | 16 | 13.0 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 fog | 12 | 10.4 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 haemorrhage | 13 | 9.7 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 |
| Epilepsy | 20 | 8.3 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) | 36 | 8.1 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 swelling | 21 | 8.0 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 eruption | 11 | 7.9 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 increased | 21 | 7.3 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) | 11 | 7.3 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 tongue | 18 | 7.3 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) | 12 | 6.9 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 |
| Lower respiratory tract infection | 24 | 6.7 4.5–10.0ROR 6.8 · χ² 111 / p 3e-26 | 6.0 EB05 4.2 · IC025 +1.9 3/3 methods agree | Labeled (related wording) related wording | – | no trial data cached |
| Hallucination, visual | 10 | 6.0 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 issue | 10 | 5.6 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 tightness | 12 | 5.6 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) | 11 | 5.5 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) | 19 | 5.4 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 |
| Anger | 14 | 5.2 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 acidosis | 13 | 5.1 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)
Most frequently reported reactions
By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Chronic obstructive pulmonary disease | 72 | 17.5 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) | 36 | 8.1 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 |
| Lower respiratory tract infection | 24 | 6.7 4.5–10.0ROR 6.8 · χ² 111 / p 3e-26 | 6.0 EB05 4.2 · IC025 +1.9 3/3 methods agree | Labeled (related wording) related wording | – | no trial data cached |
| C-reactive protein increased | 21 | 7.3 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 swelling | 21 | 8.0 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 |
| Epilepsy | 20 | 8.3 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 |
| Hypomagnesaemia | 20 | 18.2 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) | 19 | 5.4 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 tongue | 18 | 7.3 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 |
| Tendonitis | 16 | 13.0 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) | 16 | 14.1 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 |
| Anger | 14 | 5.2 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 acidosis | 13 | 5.1 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 haemorrhage | 13 | 9.7 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 tightness | 12 | 5.6 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.
- Hypomagnesaemia — n=20, PRR 18.2
- Chronic obstructive pulmonary disease — n=72, PRR 17.5
- Epilepsy — n=20, PRR 8.3
- Hyponatraemia — n=36, PRR 8.1
- Lip swelling — n=21, PRR 8.0
✓ 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
- FDA label via openFDA (set ID d853c96f-21a3-4def-931d-4d47d16acd62, effective 20200731; matched on
openfda.generic_name.exact:"BECLOMETHASONE DIPROPIONATE") - Bayesian shrinkage measures computed offline over all 1,317,300 cached pairs: BCPNN information component (IC, with Norén closed-form IC025) and MGPS empirical-Bayes geometric mean (EBGM, EB05) with a two-component gamma prior fitted by maximum marginal likelihood (α₁=0.57, β₁=0.02, α₂=1.42, β₂=0.70, w=0.17); unstratified
- FAERS pair statistics from the OpenPV build of 2026-09-14 (openFDA
count=aggregation, fieldpatient.drug.openfda.generic_name.exact, 56 reaction terms, min 3 co-reports); PRR/ROR with 95% CI, chi-square with Yates correction - Serious-only and stratified counts (serious:1, patient.patientsex, primarysource.qualification) from openFDA count queries; serious-only PRR uses the drug serious report total and the term global serious total (N_serious=11,882,979); strata shown only when n ≥ 20
- Seriousness and sex counts from openFDA
count=serious,patient.patientsex,seriousnessdeath
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.