Betula Verrucosa side effects: what 735 FDA adverse event reports show
Drug class
No validated FDA label found
Who reports
735 reports · 92% serious · 38 with death outcome · 56% female
Used for
—
Causality screen of the 17 strongest signals
What the badges mean
- 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.
- No label text to screen No validated FDA label was retrievable for this product, so the screen could not run. Disproportionality only.
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. 1 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 |
|---|---|---|---|---|---|---|
| Eye infection | 17 | 43.3 27.1–69.3ROR 44.3 · χ² 660 / p 6e-146 | 41.4 EB05 27.4 · IC025 +3.5 3/3 methods agree | No label text to screen | serious n=17 | no trial data cached |
| Sinus bradycardia | 13 | 38.3 22.4–65.7ROR 39.0 · χ² 436 / p 4e-97 | 36.4 EB05 22.6 · IC025 +3.1 3/3 methods agree | No label text to screen | serious PRR 24.6 | no trial data cached |
| Lower respiratory tract infection | 31 | 19.5 13.8–27.6ROR 20.3 · χ² 527 / p 5e-117 | 19.3 EB05 14.2 · IC025 +3.3 3/3 methods agree | No label text to screen | serious PRR 12.9 · ♀ 29% (drug 56%) | no trial data cached |
| Breast pain | 7 | 18.7 9.0–39.2ROR 18.9 · χ² 100 / p 6e-24 | 16.3 EB05 6.7 · IC025 +1.8 3/3 methods agree | No label text to screen | serious n=7 | no trial data cached |
| Haematoma | 17 | 18.7 11.7–29.8ROR 19.1 · χ² 267 / p 3e-60 | 18.1 EB05 11.7 · IC025 +2.8 3/3 methods agree | No label text to screen | serious PRR 12.7 | no trial data cached |
| Posterior reversible encephalopathy syndrome | 6 | 18.0 8.1–39.9ROR 18.1 · χ² 80 / p 2e-19 | 14.7 EB05 5.4 · IC025 +1.5 3/3 methods agree | No label text to screen | serious PRR 11.2 | no trial data cached |
| Hyperthyroidism | 8 | 15.8 7.9–31.4ROR 15.9 · χ² 96 / p 4e-23 | 13.5 EB05 6.0 · IC025 +1.9 3/3 methods agree | No label text to screen | serious PRR 10.6 | no trial data cached |
| Nightmare | 19 | 15.6 10.0–24.3ROR 16.0 · χ² 246 / p 1e-55 | 15.0 EB05 9.7 · IC025 +2.7 3/3 methods agree | No label text to screen | serious PRR 15.7 | no trial data cached |
| Dermatitis allergic | 6 | 13.7 6.2–30.5ROR 13.8 · χ² 59 / p 9e-15 | 10.1 EB05 4.0 · IC025 +1.4 3/3 methods agree | No label text to screen | serious PRR 12.7 | no trial data cached |
| Status epilepticus | 5 | 12.6 5.3–30.2ROR 12.7 · χ² 42 / p 4e-11 | 8.3 EB05 3.2 · IC025 +1.1 3/3 methods agree | No label text to screen | serious PRR 7.9 | no trial data cached |
| Gingival bleeding | 6 | 12.5 5.6–27.8ROR 12.6 · χ² 53 / p 2e-13 | 8.9 EB05 3.7 · IC025 +1.3 3/3 methods agree | No label text to screen | serious PRR 11.7 | no trial data cached |
| Sensory disturbance | 7 | 12.4 5.9–25.9ROR 12.5 · χ² 62 / p 1e-15 | 9.3 EB05 4.1 · IC025 +1.5 3/3 methods agree | No label text to screen | serious PRR 11.9 | no trial data cached |
| Rash generalised | 10 | 10.9 5.9–20.1ROR 11.0 · χ² 80 / p 2e-19 | 8.8 EB05 4.6 · IC025 +1.8 3/3 methods agree | No label text to screen | serious PRR 11.5 | no trial data cached |
| Oral discomfort | 5 | 10.3 4.3–24.6ROR 10.3 · χ² 33 / p 5e-9 | 6.5 EB05 2.7 · IC025 +0.9 3/3 methods agree | No label text to screen | serious n=5 | no trial data cached |
| Glossodynia (burning tongue/mouth pain) | 7 | 8.9 4.3–18.7ROR 9.0 · χ² 42 / p 5e-11 | 6.4 EB05 3.1 · IC025 +1.2 3/3 methods agree | No label text to screen | serious PRR 8.1 | no trial data cached |
| Product substitution issue | 13 | 6.4 3.8–11.0ROR 6.5 · χ² 55 / p 7e-14 | 5.4 EB05 3.3 · IC025 +1.5 3/3 methods agree | Reporting / coding artifact | serious PRR 5.9 | no trial data cached |
| Palmar-plantar erythrodysaesthesia syndrome | 5 | 6.1 2.5–14.6ROR 6.1 · χ² 17 / p 2e-5 | 4.2 EB05 2.0 · IC025 +0.5 | No label text to screen | serious PRR 5.1 | 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 |
|---|---|---|---|---|---|---|
| Lower respiratory tract infection | 31 | 19.5 13.8–27.6ROR 20.3 · χ² 527 / p 5e-117 | 19.3 EB05 14.2 · IC025 +3.3 3/3 methods agree | No label text to screen | serious PRR 12.9 · ♀ 29% (drug 56%) | no trial data cached |
| Nightmare | 19 | 15.6 10.0–24.3ROR 16.0 · χ² 246 / p 1e-55 | 15.0 EB05 9.7 · IC025 +2.7 3/3 methods agree | No label text to screen | serious PRR 15.7 | no trial data cached |
| Haematoma | 17 | 18.7 11.7–29.8ROR 19.1 · χ² 267 / p 3e-60 | 18.1 EB05 11.7 · IC025 +2.8 3/3 methods agree | No label text to screen | serious PRR 12.7 | no trial data cached |
| Eye infection | 17 | 43.3 27.1–69.3ROR 44.3 · χ² 660 / p 6e-146 | 41.4 EB05 27.4 · IC025 +3.5 3/3 methods agree | No label text to screen | serious n=17 | no trial data cached |
| Product substitution issue | 13 | 6.4 3.8–11.0ROR 6.5 · χ² 55 / p 7e-14 | 5.4 EB05 3.3 · IC025 +1.5 3/3 methods agree | Reporting / coding artifact | serious PRR 5.9 | no trial data cached |
| Sinus bradycardia | 13 | 38.3 22.4–65.7ROR 39.0 · χ² 436 / p 4e-97 | 36.4 EB05 22.6 · IC025 +3.1 3/3 methods agree | No label text to screen | serious PRR 24.6 | no trial data cached |
| Rash generalised | 10 | 10.9 5.9–20.1ROR 11.0 · χ² 80 / p 2e-19 | 8.8 EB05 4.6 · IC025 +1.8 3/3 methods agree | No label text to screen | serious PRR 11.5 | no trial data cached |
| Hyperthyroidism | 8 | 15.8 7.9–31.4ROR 15.9 · χ² 96 / p 4e-23 | 13.5 EB05 6.0 · IC025 +1.9 3/3 methods agree | No label text to screen | serious PRR 10.6 | no trial data cached |
| Glossodynia (burning tongue/mouth pain) | 7 | 8.9 4.3–18.7ROR 9.0 · χ² 42 / p 5e-11 | 6.4 EB05 3.1 · IC025 +1.2 3/3 methods agree | No label text to screen | serious PRR 8.1 | no trial data cached |
| Sensory disturbance | 7 | 12.4 5.9–25.9ROR 12.5 · χ² 62 / p 1e-15 | 9.3 EB05 4.1 · IC025 +1.5 3/3 methods agree | No label text to screen | serious PRR 11.9 | no trial data cached |
| Breast pain | 7 | 18.7 9.0–39.2ROR 18.9 · χ² 100 / p 6e-24 | 16.3 EB05 6.7 · IC025 +1.8 3/3 methods agree | No label text to screen | serious n=7 | no trial data cached |
| Gingival bleeding | 6 | 12.5 5.6–27.8ROR 12.6 · χ² 53 / p 2e-13 | 8.9 EB05 3.7 · IC025 +1.3 3/3 methods agree | No label text to screen | serious PRR 11.7 | no trial data cached |
| Dermatitis allergic | 6 | 13.7 6.2–30.5ROR 13.8 · χ² 59 / p 9e-15 | 10.1 EB05 4.0 · IC025 +1.4 3/3 methods agree | No label text to screen | serious PRR 12.7 | no trial data cached |
| Posterior reversible encephalopathy syndrome | 6 | 18.0 8.1–39.9ROR 18.1 · χ² 80 / p 2e-19 | 14.7 EB05 5.4 · IC025 +1.5 3/3 methods agree | No label text to screen | serious PRR 11.2 | no trial data cached |
| Palmar-plantar erythrodysaesthesia syndrome | 5 | 6.1 2.5–14.6ROR 6.1 · χ² 17 / p 2e-5 | 4.2 EB05 2.0 · IC025 +0.5 | No label text to screen | serious PRR 5.1 | no trial data cached |
Unlabeled candidate signals
Every screened signal with n ≥ 20 was either labeled, an indication term, or an artifact pattern — no unlabeled candidate stood out in the top signals.
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 Betula Verrucosa?
In FDA FAERS, the most frequently co-reported reaction terms for Betula Verrucosa are lower respiratory tract infection, nightmare, haematoma, eye infection, sinus bradycardia, rash generalised. 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 Betula Verrucosa have an FDA boxed warning?
No validated FDA label could be retrieved for this product name, so this page cannot say.
Do FAERS signals prove that Betula Verrucosa 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
- No FDA label passed the name-validation check for this product string, so label-based screening was skipped
- 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, 18 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.