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Drug · FAERS side-effect profile with label screen

Biotin side effects: what 30,995 FDA adverse event reports show

Biotin · 1,190 reaction terms · 142,875 drug–reaction co-reports · data 2026-09-14
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Drug class

Arteriolar Vasodilator

FDA label (Established Pharmacologic Class) · compare the class

Who reports

30,995 reports · 47% serious · 966 with death outcome · 90% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Apply twice daly(moring and night as a man and once as a woman.Afer apicaion, proeed with an acive masage for 3-5 minutes unthe product is fuy absorbed

FDA label, Indications and Usage

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 40 strongest signals

Reporting / coding artifact 6Lab value / disease marker 4No label text to screen 30
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, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,150 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
Fractional exhaled nitric oxide increased1181,482.9
1,072.6–2,050.2ROR 1,488.6 · calibrated p 1e-18 ✓
428.2 EB05 367.2 · IC025 +7.0
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=118 · ♀ 0% (drug 90%)no trial arm names this drug
Antacid therapy49466.2
323.7–671.6ROR 467.0 · calibrated p 6e-13 ✓
248.1 EB05 195.1 · IC025 +5.7
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
Reporting / coding artifactserious n=49 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Sleep disorder therapy69399.6
296.6–538.5ROR 400.5 · calibrated p 2e-12 ✓
234.0 EB05 191.2 · IC025 +6.1
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
Reporting / coding artifactserious n=69 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Appendicolith94222.8
176.5–281.3ROR 223.5 · calibrated p 2e-10 ✓
161.8 EB05 136.1 · IC025 +6.1
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=94 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Analgesic therapy71203.8
156.3–265.8ROR 204.3 · calibrated p 6e-10 ✓
150.1 EB05 123.0 · IC025 +5.8
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
Reporting / coding artifactserious n=71 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Drug therapy68182.6
139.7–238.8ROR 183.0 · calibrated p 2e-9 ✓
138.1 EB05 112.6 · IC025 +5.7
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
Reporting / coding artifactserious n=68 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Presbyacusis64175.4
133.2–231.0ROR 175.8 · calibrated p 2e-9 ✓
133.6 EB05 108.3 · IC025 +5.7
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=64 · 100% clinicianno trial arm names this drug
Congenital hiatus hernia43162.7
116.6–227.1ROR 163.0 · calibrated p 6e-9 ✓
123.9 EB05 95.8 · IC025 +5.2
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=43 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Anticoagulant therapy50148.7
109.4–202.0ROR 148.9 · calibrated p 1e-8 ✓
116.4 EB05 91.8 · IC025 +5.3
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
Reporting / coding artifactserious n=50 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Malignant melanoma stage 032145.0
98.9–212.5ROR 145.1 · calibrated p 2e-8 ✓
111.5 EB05 82.7 · IC025 +4.8
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=32 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Pleural thickening6672.4
56.2–93.3ROR 72.6 · calibrated p 2e-6 ✓
64.3 EB05 52.3 · IC025 +5.1
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=66no trial arm names this drug
Bacteroides infection2468.9
45.3–104.9ROR 69.0 · calibrated p 4e-6 ✓
59.7 EB05 42.2 · IC025 +4.1
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=24 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Gait spastic3268.5
47.6–98.6ROR 68.6 · calibrated p 3e-6 ✓
60.1 EB05 44.6 · IC025 +4.4
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=31 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Obstructive sleep apnoea syndrome11862.4
51.7–75.3ROR 62.6 · calibrated p 4e-6 ✓
56.6 EB05 48.6 · IC025 +5.2
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=118 · ♀ 0% (drug 90%)no trial arm names this drug
Myoglobin blood increased11956.8
47.1–68.5ROR 57.0 · calibrated p 7e-6 ✓
52.0 EB05 44.6 · IC025 +5.1
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
Lab value / disease markerserious n=119 · ♀ 0% (drug 90%)no trial arm names this drug
Blood magnesium increased6653.2
41.4–68.4ROR 53.3 · calibrated p 1e-5 ✓
48.7 EB05 39.6 · IC025 +4.8
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
Lab value / disease markerserious n=65no trial arm names this drug
Pleural fibrosis6646.2
36.0–59.3ROR 46.3 · calibrated p 3e-5 ✓
42.8 EB05 34.8 · IC025 +4.6
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=66no trial arm names this drug
Needle fatigue2945.7
31.4–66.5ROR 45.7 · calibrated p 4e-5 ✓
41.7 EB05 30.5 · IC025 +4.0
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=28 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Relapsing-remitting multiple sclerosis3932.0
23.2–44.0ROR 32.0 · calibrated p 3e-4 ✓
30.1 EB05 23.0 · IC025 +3.9
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=39 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Hyperphosphataemia9230.6
24.9–37.7ROR 30.7 · calibrated p 3e-4 ✓
29.2 EB05 24.5 · IC025 +4.3
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 13.1 (7.5–23.1)
No label text to screen
label has no adverse-reaction text
serious n=92 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Bronchopulmonary aspergillosis allergic3627.6
19.8–38.5ROR 27.6 · calibrated p 6e-4 ✓
26.2 EB05 19.8 · IC025 +3.7
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=36 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Brain natriuretic peptide increased12027.4
22.8–32.8ROR 27.5 · calibrated p 5e-4 ✓
26.2 EB05 22.5 · IC025 +4.3
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 20.0 (11.1–36.2)
Lab value / disease markerserious n=120 · ♀ 0% (drug 90%)no trial arm names this drug
Plantar fasciitis12826.7
22.4–31.8ROR 26.8 · calibrated p 5e-4 ✓
25.6 EB05 22.1 · IC025 +4.3
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=124 · ♀ 0% (drug 90%)no trial arm names this drug
Bone cyst3324.6
17.4–34.8ROR 24.6 · calibrated p 0.001 ✓
23.4 EB05 17.5 · IC025 +3.6
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=33 · 100% clinicianno trial arm names this drug
Blood phosphorus increased8622.0
17.8–27.3ROR 22.1 · calibrated p 0.001 ✓
21.2 EB05 17.7 · IC025 +3.9
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 9.6 (5.8–15.9)
Lab value / disease markerserious n=86 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Wrong patient received medication8421.1
17.0–26.2ROR 21.2 · calibrated p 0.002 ✓
20.4 EB05 17.0 · IC025 +3.8
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 15.3 (8.1–28.6)
Reporting / coding artifact100% consumerno trial arm names this drug
Total lung capacity decreased4519.5
14.5–26.2ROR 19.5 · calibrated p 0.003 ✓
18.8 EB05 14.6 · IC025 +3.5
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=44 · ♀ 0% (drug 90%) · 100% clinicianno trial arm names this drug
Periorbital pain2219.0
12.5–29.1ROR 19.0 · calibrated p 0.004 ✓
18.2 EB05 12.5 · IC025 +3.0
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
–no trial arm names this drug
Trichorrhexis7017.4
13.7–22.0ROR 17.4 · calibrated p 0.004 ✓
16.9 EB05 13.8 · IC025 +3.5
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 0.5 (0.4–0.7)
No label text to screen
label has no adverse-reaction text
serious n=16 · 100% consumerno trial arm names this drug
Deafness neurosensory7716.2
13.0–20.4ROR 16.3 · calibrated p 0.005 ✓
15.8 EB05 13.0 · IC025 +3.5
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=76no trial arm names this drug
Osteosclerosis3716.2
11.7–22.5ROR 16.2 · calibrated p 0.006 ✓
15.6 EB05 11.7 · IC025 +3.2
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=37 · 100% clinicianno trial arm names this drug
Infusion site discharge3915.8
11.5–21.6ROR 15.8 · calibrated p 0.007 ✓
15.2 EB05 11.5 · IC025 +3.2
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=32 · 100% consumerno trial arm names this drug
Eyelid pain4014.2
10.4–19.4ROR 14.2 · calibrated p 0.010 ✓
13.7 EB05 10.3 · IC025 +3.1
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
100% consumerno trial arm names this drug
Hypertonic bladder5613.4
10.3–17.4ROR 13.4 · calibrated p 0.012 ✓
13.0 EB05 10.3 · IC025 +3.1
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=46 · ♀ 40% (drug 90%)no trial arm names this drug
Exostosis17413.1
11.3–15.2ROR 13.2 · calibrated p 0.012 ✓
12.8 EB05 11.3 · IC025 +3.4
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious PRR 18.7 · ♀ 41% (drug 90%)no trial arm names this drug
Onychoclasis13013.0
10.9–15.5ROR 13.1 · calibrated p 0.013 ✓
12.7 EB05 11.0 · IC025 +3.3
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 37.1 (17.4–79.4)
No label text to screen
label has no adverse-reaction text
serious n=61no trial arm names this drug
Epigastric discomfort7212.6
10.0–15.9ROR 12.7 · calibrated p 0.015 ✓
12.2 EB05 10.0 · IC025 +3.1
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=67no trial arm names this drug
Hair growth abnormal12512.4
10.4–14.8ROR 12.5 · calibrated p 0.015 ✓
12.1 EB05 10.4 · IC025 +3.2
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 0.3 (0.3–0.4)
No label text to screen
label has no adverse-reaction text
serious n=23 · 93% consumerno trial arm names this drug
Iron deficiency7812.1
9.6–15.1ROR 12.1 · calibrated p 0.018 ✓
11.7 EB05 9.6 · IC025 +3.1
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 13.0 (7.1–23.9)
No label text to screen
label has no adverse-reaction text
serious n=74 · ♀ 30% (drug 90%)no trial arm names this drug
Infusion site haemorrhage5611.9
9.1–15.5ROR 11.9 · calibrated p 0.019 ✓
11.4 EB05 9.0 · IC025 +3.0
3/3 methods agree
vs other Arteriolar Vasodilators: only this drug
No label text to screen
label has no adverse-reaction text
serious n=39 · 71% consumerno trial arm names this drug

Trial evidence (ClinicalTrials.gov)

ClinicalTrials.gov returned results-bearing trials mentioning Biotin only as a background or rescue medication (NCT06605768, NCT00064753); no trial listing it as the tested intervention was cached, so no trial cross-check is shown.

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
Fatigue (tiredness)3,1772.8
2.7–2.9ROR 3.0 · calibrated p 0.635
2.8 EB05 2.7 · IC025 +1.4
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 8.5 (7.9–9.2)
No label text to screen
label has no adverse-reaction text
serious PRR 3.4no trial arm names this drug
Nausea2,3522.0
1.9–2.1ROR 2.1 · calibrated p 0.998
2.0 EB05 1.9 · IC025 +0.9
vs other Arteriolar Vasodilators: PRR 5.8 (5.4–6.3)
No label text to screen
label has no adverse-reaction text
serious PRR 2.7no trial arm names this drug
Headache2,2492.4
2.3–2.5ROR 2.5 · calibrated p 0.794
2.4 EB05 2.3 · IC025 +1.2
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 1.9 (1.8–2.0)
No label text to screen
label has no adverse-reaction text
serious PRR 3.0no trial arm names this drug
Alopecia (hair loss)2,2457.8
7.5–8.1ROR 8.3 · calibrated p 0.059
7.7 EB05 7.4 · IC025 +2.9
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 1.0 (0.9–1.0)
No label text to screen
label has no adverse-reaction text
serious PRR 7.1 · 78% consumerno trial arm names this drug
Drug ineffective (drug did not work)2,0381.0
1.0–1.1ROR 1.0 · calibrated p 0.339
1.0 EB05 1.0 · IC025 -0.0
PRR-only: not supported by EBGM or IC
vs other Arteriolar Vasodilators: PRR 0.3 (0.3–0.3)
Reporting / coding artifactserious PRR 1.5no trial arm names this drug
Diarrhoea (diarrhea)1,9832.1
2.0–2.2ROR 2.2 · calibrated p 0.971
2.1 EB05 2.0 · IC025 +1.0
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 7.9 (7.2–8.8)
No label text to screen
label has no adverse-reaction text
serious PRR 2.3no trial arm names this drug
Pain1,7772.0
1.9–2.0ROR 2.0 · calibrated p 0.951
2.0 EB05 1.9 · IC025 +0.9
vs other Arteriolar Vasodilators: PRR 6.8 (6.2–7.5)
No label text to screen
label has no adverse-reaction text
serious PRR 2.2no trial arm names this drug
Dizziness1,6522.2
2.1–2.4ROR 2.3 · calibrated p 0.895
2.2 EB05 2.2 · IC025 +1.1
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 2.3 (2.1–2.5)
No label text to screen
label has no adverse-reaction text
serious PRR 2.7no trial arm names this drug
Off label use (used outside approved label)1,5561.2
1.2–1.3ROR 1.2 · calibrated p 0.456
1.2 EB05 1.2 · IC025 +0.2
vs other Arteriolar Vasodilators: PRR 0.8 (0.8–0.9)
Reporting / coding artifactserious PRR 1.3no trial arm names this drug
Dyspnoea (shortness of breath)1,4831.8
1.7–1.9ROR 1.8 · calibrated p 0.838
1.8 EB05 1.7 · IC025 +0.7
vs other Arteriolar Vasodilators: PRR 3.8 (3.5–4.2)
No label text to screen
label has no adverse-reaction text
serious PRR 2.2no trial arm names this drug
Arthralgia (joint pain)1,4772.4
2.3–2.5ROR 2.5 · calibrated p 0.819
2.4 EB05 2.3 · IC025 +1.2
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 7.8 (7.0–8.7)
No label text to screen
label has no adverse-reaction text
serious PRR 3.2no trial arm names this drug
Pruritus (itching)1,3482.4
2.3–2.5ROR 2.5 · calibrated p 0.822
2.4 EB05 2.3 · IC025 +1.2
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 1.9 (1.8–2.0)
No label text to screen
label has no adverse-reaction text
serious PRR 2.6no trial arm names this drug
Fall1,2272.5
2.4–2.6ROR 2.6 · calibrated p 0.787
2.5 EB05 2.4 · IC025 +1.2
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 13.6 (11.6–15.8)
No label text to screen
label has no adverse-reaction text
serious PRR 2.7no trial arm names this drug
Asthenia (weakness)1,1242.0
1.9–2.1ROR 2.1 · calibrated p 0.978
2.0 EB05 1.9 · IC025 +0.9
vs other Arteriolar Vasodilators: PRR 6.3 (5.6–7.1)
No label text to screen
label has no adverse-reaction text
serious PRR 2.3no trial arm names this drug
Pain in extremity1,1032.5
2.4–2.7ROR 2.6 · calibrated p 0.776
2.5 EB05 2.4 · IC025 +1.2
3/3 methods agree
vs other Arteriolar Vasodilators: PRR 10.6 (9.1–12.2)
No label text to screen
label has no adverse-reaction text
serious PRR 3.3no trial arm names this drug

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 Biotin?

In FDA FAERS, the most frequently co-reported reaction terms for Biotin are fatigue, nausea, headache, alopecia, diarrhoea, pain. 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 Biotin have an FDA boxed warning?

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

Do FAERS signals prove that Biotin 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 2026-10-14. 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.