Beclomethasone Dipropionate Hfa side effects: what 13,313 FDA adverse event reports show
Drug class
Corticosteroid
Brand names
Qvar Redihaler
Who reports
13,313 reports · 96% serious · 1,146 with death outcome · 61% female
Used for
QVAR REDIHALER is indicated in the maintenance treatment of asthma as prophylactic therapy in adults and pediatric patients 4 years of age and older. Limitations of Use: QVAR REDIHALER is not indicated for the relief of acute bronchospasm. QVAR REDIHALER is a corticosteroid indicated for maintenance treatment of asthma as prophylactic therapy in adults and pediatric patients 4 years of age and older.
What it is
The active component of QVAR REDIHALER 40 mcg Inhalation Aerosol and QVAR REDIHALER 80 mcg Inhalation Aerosol is beclomethasone dipropionate, USP, a corticosteroid having the chemical name 9-chloro-11ß,17,21-trihydroxy-16ß-methylpregna-1,4-diene-3,20-dione 17,21-dipropionate.
Boxed warning
None in the current label
Causality screen of the 40 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.
- 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. 86 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 |
|---|---|---|---|---|---|---|
| Device delivery system issue | 192 | 55.6 48.4–63.7ROR 59.6 · χ² 10,169 / p <1e-300 | 54.9 EB05 48.7 · IC025 +5.4 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Device malfunction | 254 | 28.5 25.3–32.0ROR 31.2 · χ² 6,704 / p <1e-300 | 28.3 EB05 25.5 · IC025 +4.5 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Product taste abnormal | 50 | 28.0 21.3–36.9ROR 28.5 · χ² 1,271 / p 9e-279 | 27.7 EB05 21.8 · IC025 +4.0 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Impaired quality of life | 47 | 24.6 18.5–32.7ROR 25.0 · χ² 1,038 / p 5e-228 | 24.3 EB05 19.0 · IC025 +3.8 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Asthma | 339 | 22.8 20.6–25.2ROR 25.8 · χ² 7,051 / p <1e-300 | 22.7 EB05 20.7 · IC025 +4.3 3/3 methods agree | Likely indication confounding term in indications; also in warnings | – | no trial data cached |
| Device defective | 43 | 20.0 14.9–26.9ROR 20.3 · χ² 756 / p 1e-166 | 19.8 EB05 15.3 · IC025 +3.5 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Candida infection (yeast infection) | 43 | 19.4 14.4–26.1ROR 19.7 · χ² 731 / p 3e-161 | 19.2 EB05 14.8 · IC025 +3.5 3/3 methods agree | Labeled (related wording) related wording | – | no trial data cached |
| Incorrect dose administered by device | 56 | 16.6 12.8–21.5ROR 16.9 · χ² 804 / p 4e-177 | 16.4 EB05 13.1 · IC025 +3.4 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Pharyngeal swelling | 21 | 16.5 10.8–25.3ROR 16.6 · χ² 290 / p 2e-65 | 16.0 EB05 10.8 · IC025 +2.9 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Device issue | 178 | 15.3 13.3–17.7ROR 16.3 · χ² 2,378 / p <1e-300 | 15.3 EB05 13.5 · IC025 +3.6 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Product substitution issue | 97 | 12.7 10.4–15.4ROR 13.1 · χ² 1,032 / p 8e-227 | 12.5 EB05 10.5 · IC025 +3.2 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Infusion site pain | 21 | 12.4 8.1–18.9ROR 12.5 · χ² 208 / p 2e-47 | 11.6 EB05 7.5 · IC025 +2.6 3/3 methods agree | Labeled (related wording) related wording | – | no trial data cached |
| Throat irritation | 69 | 11.6 9.2–14.7ROR 11.9 · χ² 658 / p 2e-145 | 11.4 EB05 9.2 · IC025 +3.0 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Dry throat | 15 | 11.1 6.7–18.4ROR 11.2 · χ² 128 / p 6e-30 | 9.8 EB05 5.8 · IC025 +2.2 3/3 methods agree | Labeled (related wording) related wording | – | no trial data cached |
| Inability to afford medication | 13 | 9.9 5.8–17.1ROR 10.0 · χ² 96 / p 7e-23 | 8.3 EB05 4.8 · IC025 +2.0 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Product odour abnormal | 13 | 9.4 5.5–16.2ROR 9.5 · χ² 89 / p 2e-21 | 7.8 EB05 4.6 · IC025 +1.9 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Drug prescribing error | 24 | 9.3 6.2–13.8ROR 9.3 · χ² 169 / p 8e-39 | 8.4 EB05 5.7 · IC025 +2.3 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Choking | 23 | 8.9 5.9–13.4ROR 9.0 · χ² 153 / p 2e-35 | 8.0 EB05 5.4 · IC025 +2.2 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Wrong technique in device usage process | 54 | 8.9 6.8–11.6ROR 9.0 · χ² 370 / p 1e-82 | 8.5 EB05 6.7 · IC025 +2.6 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Seasonal allergy | 16 | 8.5 5.2–13.9ROR 8.6 · χ² 99 / p 1e-23 | 7.3 EB05 4.6 · IC025 +2.0 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Wheezing | 67 | 8.5 6.7–10.8ROR 8.7 · χ² 437 / p 2e-97 | 8.2 EB05 6.6 · IC025 +2.6 3/3 methods agree | Labeled adverse reaction exact term | – | no trial data cached |
| Oral candidiasis (oral thrush) | 14 | 8.1 4.8–13.6ROR 8.1 · χ² 80 / p 2e-19 | 6.7 EB05 4.1 · IC025 +1.8 3/3 methods agree | Labeled adverse reaction exact term | – | no trial data cached |
| Product prescribing error | 25 | 7.9 5.4–11.7ROR 8.0 · χ² 145 / p 1e-33 | 7.1 EB05 5.0 · IC025 +2.1 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Expired product administered | 33 | 7.5 5.3–10.5ROR 7.6 · χ² 179 / p 5e-41 | 6.9 EB05 5.1 · IC025 +2.2 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Dermatitis contact | 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 |
| Cough | 262 | 7.0 6.3–7.9ROR 7.7 · χ² 1,368 / p 1e-299 | 7.0 EB05 6.3 · IC025 +2.6 3/3 methods agree | Labeled adverse reaction exact term | – | no trial data cached |
| Dysphonia | 50 | 6.4 4.9–8.5ROR 6.5 · χ² 224 / p 5e-51 | 6.1 EB05 4.8 · IC025 +2.1 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Dermatitis atopic | 40 | 6.0 4.4–8.2ROR 6.1 · χ² 163 / p 2e-37 | 5.6 EB05 4.3 · IC025 +2.0 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Product prescribing issue | 16 | 5.9 3.6–9.6ROR 5.9 · χ² 60 / p 4e-15 | 5.1 EB05 3.3 · IC025 +1.5 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Respiratory tract infection | 20 | 5.8 3.7–9.0ROR 5.8 · χ² 74 / p 3e-18 | 5.2 EB05 3.5 · IC025 +1.6 3/3 methods agree | Labeled adverse reaction exact term | – | no trial data cached |
| Product dose omission in error | 20 | 5.6 3.6–8.7ROR 5.6 · χ² 71 / p 2e-17 | 5.0 EB05 3.4 · IC025 +1.6 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Sleep disorder due to a general medical condition | 12 | 5.6 3.2–9.8ROR 5.6 · χ² 41 / p 9e-11 | 4.7 EB05 2.9 · IC025 +1.3 3/3 methods agree | Labeled (related wording) related wording | – | no trial data cached |
| Insurance issue | 11 | 5.6 3.1–10.0ROR 5.6 · χ² 37 / p 7e-10 | 4.6 EB05 2.8 · IC025 +1.2 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Illness | 74 | 5.5 4.4–6.9ROR 5.7 · χ² 271 / p 3e-61 | 5.4 EB05 4.4 · IC025 +2.0 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Middle insomnia | 13 | 5.2 3.1–9.0ROR 5.3 · χ² 41 / p 9e-11 | 4.5 EB05 2.8 · IC025 +1.2 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Oropharyngeal pain (sore throat) | 63 | 5.1 4.0–6.5ROR 5.2 · χ² 205 / p 9e-47 | 4.9 EB05 4.0 · IC025 +1.9 3/3 methods agree | Labeled adverse reaction exact term | – | no trial data cached |
| Chest discomfort | 69 | 5.1 4.0–6.4ROR 5.2 · χ² 223 / p 9e-51 | 4.9 EB05 4.0 · IC025 +1.9 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Upper respiratory tract infection (cold/sinus infection) | 31 | 5.0 3.6–7.2ROR 5.1 · χ² 97 / p 4e-23 | 4.7 EB05 3.5 · IC025 +1.6 3/3 methods agree | Labeled adverse reaction exact term | – | no trial data cached |
| Sinus disorder | 12 | 4.5 2.6–8.0ROR 4.6 · χ² 30 / p 2e-8 | 3.9 EB05 2.4 · IC025 +1.0 3/3 methods agree | Labeled (related wording) related wording | – | no trial data cached |
| Product physical issue | 12 | 4.5 2.6–8.0ROR 4.5 · χ² 29 / p 3e-8 | 3.9 EB05 2.4 · IC025 +1.0 3/3 methods agree | Reporting / coding artifact | – | 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 |
|---|---|---|---|---|---|---|
| Asthma | 339 | 22.8 20.6–25.2ROR 25.8 · χ² 7,051 / p <1e-300 | 22.7 EB05 20.7 · IC025 +4.3 3/3 methods agree | Likely indication confounding term in indications; also in warnings | – | no trial data cached |
| Dyspnoea (shortness of breath) | 318 | 4.2 3.8–4.7ROR 4.6 · χ² 800 / p 2e-176 | 4.2 EB05 3.8 · IC025 +1.9 3/3 methods agree | Labeled (related wording) related wording | – | no trial data cached |
| Cough | 262 | 7.0 6.3–7.9ROR 7.7 · χ² 1,368 / p 1e-299 | 7.0 EB05 6.3 · IC025 +2.6 3/3 methods agree | Labeled adverse reaction exact term | – | no trial data cached |
| Device malfunction | 254 | 28.5 25.3–32.0ROR 31.2 · χ² 6,704 / p <1e-300 | 28.3 EB05 25.5 · IC025 +4.5 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Device delivery system issue | 192 | 55.6 48.4–63.7ROR 59.6 · χ² 10,169 / p <1e-300 | 54.9 EB05 48.7 · IC025 +5.4 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Device issue | 178 | 15.3 13.3–17.7ROR 16.3 · χ² 2,378 / p <1e-300 | 15.3 EB05 13.5 · IC025 +3.6 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Product use in unapproved indication | 122 | 3.8 3.2–4.5ROR 3.9 · χ² 246 / p 9e-56 | 3.7 EB05 3.2 · IC025 +1.6 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Wrong technique in product usage process | 111 | 4.1 3.4–5.0ROR 4.3 · χ² 262 / p 3e-59 | 4.1 EB05 3.5 · IC025 +1.7 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Product dose omission issue | 106 | 2.8 2.3–3.4ROR 2.9 · χ² 122 / p 1e-28 | 2.8 EB05 2.4 · IC025 +1.1 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Product substitution issue | 97 | 12.7 10.4–15.4ROR 13.1 · χ² 1,032 / p 8e-227 | 12.5 EB05 10.5 · IC025 +3.2 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Covid-19 | 96 | 4.1 3.3–5.0ROR 4.2 · χ² 221 / p 2e-50 | 4.0 EB05 3.4 · IC025 +1.7 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Illness | 74 | 5.5 4.4–6.9ROR 5.7 · χ² 271 / p 3e-61 | 5.4 EB05 4.4 · IC025 +2.0 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Chest discomfort | 69 | 5.1 4.0–6.4ROR 5.2 · χ² 223 / p 9e-51 | 4.9 EB05 4.0 · IC025 +1.9 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Throat irritation | 69 | 11.6 9.2–14.7ROR 11.9 · χ² 658 / p 2e-145 | 11.4 EB05 9.2 · IC025 +3.0 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Inappropriate schedule of product administration | 67 | 2.8 2.2–3.6ROR 2.9 · χ² 79 / p 3e-19 | 2.8 EB05 2.3 · IC025 +1.1 3/3 methods agree | Reporting / coding artifact | – | 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.
- Impaired quality of life — n=47, PRR 24.6
- Pharyngeal swelling — n=21, PRR 16.5
- Throat irritation — n=69, PRR 11.6
- Choking — n=23, PRR 8.9
- Dysphonia — n=50, PRR 6.4
- Dermatitis atopic — n=40, PRR 6.0
- Chest discomfort — n=69, PRR 5.1
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 Hfa?
In FDA FAERS, the most frequently co-reported reaction terms for Beclomethasone Dipropionate Hfa are asthma, dyspnoea, cough, covid-19, chest discomfort, throat irritation. 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 Hfa have an FDA boxed warning?
No. The FDA label retrieved for Beclomethasone Dipropionate Hfa has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Beclomethasone Dipropionate Hfa 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 2814cf81-392e-4dd4-9816-ae7e6e5ec84f, effective 20230920; matched on
openfda.generic_name.exact:"BECLOMETHASONE DIPROPIONATE HFA") - 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, 126 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.