Biscodyl side effects: what 12,983 FDA adverse event reports show
Brand names
Bisacodyl
Who reports
12,983 reports · 88% serious · 2,318 with death outcome · 56% female
Used for
for relief of occasional constipation and irregularity this product generally produces bowel movement in 6-12 hours
Boxed warning
None in the current label
Causality screen of the 40 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.
- 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.
- 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. 1,137 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 |
|---|---|---|---|---|---|---|
| Hypokinetic dysarthria | 16 | 3,641.3 1,498.3–8,849.7ROR 3,645.8 · χ² 16,631 / p <1e-300 | 475.5 EB05 310.3 · IC025 +4.2 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=16 | no trial arm names this drug |
| Vaginal flatulence | 186 | 2,554.4 2,027.0–3,219.0ROR 2,591.5 · χ² 181,376 / p <1e-300 | 891.0 EB05 788.6 · IC025 +7.8 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=186 · ♀ 100% (drug 56%) | no trial arm names this drug |
| Appendicolith | 197 | 1,763.1 1,440.7–2,157.7ROR 1,790.3 · χ² 163,849 / p <1e-300 | 774.0 EB05 687.4 · IC025 +7.8 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=197 · ♀ 0% (drug 56%) · 96% clinician | no trial arm names this drug |
| Antacid therapy | 61 | 1,675.5 1,170.1–2,399.2ROR 1,683.4 · χ² 48,941 / p <1e-300 | 649.5 EB05 523.9 · IC025 +6.3 3/3 methods agree | Reporting / coding artifact | serious n=61 · ♀ 0% (drug 56%) · 100% clinician | no trial arm names this drug |
| Sleep disorder therapy | 89 | 1,492.5 1,118.3–1,991.8ROR 1,502.8 · χ² 67,721 / p <1e-300 | 660.8 EB05 553.3 · IC025 +6.8 3/3 methods agree | Reporting / coding artifact | serious n=89 · ♀ 0% (drug 56%) · 100% clinician | no trial arm names this drug |
| Total lung capacity increased | 100 | 937.1 732.4–1,199.0ROR 944.4 · χ² 58,289 / p <1e-300 | 530.2 EB05 448.5 · IC025 +6.9 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=100 · ♀ 100% (drug 56%) · 94% clinician | no trial arm names this drug |
| Analgesic therapy | 87 | 641.7 500.6–822.5ROR 646.0 · χ² 39,216 / p <1e-300 | 415.7 EB05 347.4 · IC025 +6.6 3/3 methods agree | Reporting / coding artifact | serious n=87 · ♀ 0% (drug 56%) · 97% clinician | no trial arm names this drug |
| Drug therapy | 83 | 567.5 442.0–728.6ROR 571.1 · χ² 34,192 / p <1e-300 | 381.7 EB05 317.7 · IC025 +6.5 3/3 methods agree | Reporting / coding artifact | serious n=83 · ♀ 0% (drug 56%) · 100% clinician | no trial arm names this drug |
| Congenital hiatus hernia | 55 | 534.3 393.8–724.7ROR 536.5 · χ² 21,525 / p <1e-300 | 351.3 EB05 280.1 · IC025 +6.0 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=55 · ♀ 0% (drug 56%) · 100% clinician | no trial arm names this drug |
| Malignant melanoma stage 0 | 44 | 519.2 369.6–729.3ROR 521.0 · χ² 16,775 / p <1e-300 | 334.7 EB05 259.7 · IC025 +5.7 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=44 · ♀ 0% (drug 56%) · 100% clinician | no trial arm names this drug |
| Anticoagulant therapy | 58 | 427.8 320.3–571.3ROR 429.7 · χ² 19,133 / p <1e-300 | 303.6 EB05 243.5 · IC025 +6.0 3/3 methods agree | Reporting / coding artifact | serious n=58 · ♀ 0% (drug 56%) · 100% clinician | no trial arm names this drug |
| Asthma-chronic obstructive pulmonary disease overlap syndrome | 100 | 384.8 309.5–478.4ROR 387.8 · χ² 30,525 / p <1e-300 | 292.8 EB05 247.7 · IC025 +6.6 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=100 · ♀ 100% (drug 56%) · 94% clinician | no trial arm names this drug |
| Victim of child abuse | 42 | 331.2 237.7–461.6ROR 332.3 · χ² 11,176 / p <1e-300 | 244.0 EB05 188.1 · IC025 +5.5 3/3 methods agree | Reporting / coding artifact | serious n=42 · ♀ 0% (drug 56%) · 90% clinician | no trial arm names this drug |
| Child abuse | 38 | 289.7 205.1–409.1ROR 290.5 · χ² 9,006 / p <1e-300 | 218.4 EB05 166.1 · IC025 +5.3 3/3 methods agree | Reporting / coding artifact | serious n=38 · ♀ 0% (drug 56%) | no trial arm names this drug |
| Bacteroides infection | 39 | 286.3 203.7–402.4ROR 287.2 · χ² 9,159 / p <1e-300 | 217.1 EB05 165.7 · IC025 +5.4 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=39 · ♀ 0% (drug 56%) · 100% clinician | no trial arm names this drug |
| Ivth nerve paralysis | 34 | 285.1 198.0–410.5ROR 285.8 · χ² 7,925 / p <1e-300 | 213.1 EB05 159.5 · IC025 +5.2 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=34 · ♀ 0% (drug 56%) · 100% clinician | no trial arm names this drug |
| Epidural lipomatosis | 52 | 283.7 211.3–380.9ROR 284.8 · χ² 12,195 / p <1e-300 | 221.4 EB05 175.4 · IC025 +5.7 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=52 · ♀ 0% (drug 56%) · 90% clinician | no trial arm names this drug |
| Cerebral hypoperfusion | 66 | 271.7 209.4–352.5ROR 273.1 · χ² 14,976 / p <1e-300 | 217.7 EB05 177.0 · IC025 +6.0 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=66 · ♀ 0% (drug 56%) | no trial arm names this drug |
| Sedation complication | 302 | 222.1 197.2–250.2ROR 227.4 · χ² 58,156 / p <1e-300 | 192.7 EB05 175.1 · IC025 +7.0 3/3 methods agree | Reporting / coding artifact | serious n=302 · ♀ 100% (drug 56%) | no trial arm names this drug |
| Capillaritis | 32 | 218.8 151.3–316.5ROR 219.3 · χ² 5,910 / p <1e-300 | 172.8 EB05 128.2 · IC025 +5.0 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=32 · ♀ 0% (drug 56%) | no trial arm names this drug |
| Female genital tract fistula | 196 | 207.7 179.2–240.8ROR 210.9 · χ² 35,495 / p <1e-300 | 180.7 EB05 160.4 · IC025 +6.7 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=196 · ♀ 100% (drug 56%) | no trial arm names this drug |
| Multiple drug therapy | 79 | 206.3 163.3–260.6ROR 207.6 · χ² 14,110 / p <1e-300 | 175.1 EB05 145.0 · IC025 +6.0 3/3 methods agree | Reporting / coding artifact | serious n=79 · ♀ 100% (drug 56%) | no trial arm names this drug |
| Bronchopulmonary aspergillosis allergic | 101 | 200.1 162.8–246.0ROR 201.7 · χ² 17,602 / p <1e-300 | 172.2 EB05 145.8 · IC025 +6.2 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=101 | no trial arm names this drug |
| Binocular eye movement disorder | 28 | 179.1 121.3–264.7ROR 179.5 · χ² 4,300 / p <1e-300 | 145.4 EB05 105.5 · IC025 +4.8 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=28 · ♀ 0% (drug 56%) | no trial arm names this drug |
| Total lung capacity abnormal | 37 | 173.9 123.9–244.0ROR 174.4 · χ² 5,579 / p <1e-300 | 145.2 EB05 110.0 · IC025 +5.1 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=37 · ♀ 0% (drug 56%) | no trial arm names this drug |
| Pulmonary vasculitis | 41 | 135.8 98.8–186.7ROR 136.2 · χ² 4,932 / p <1e-300 | 118.4 EB05 91.0 · IC025 +5.1 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=41 · ♀ 0% (drug 56%) | no trial arm names this drug |
| Radiculopathy | 198 | 131.2 113.6–151.5ROR 133.2 · χ² 23,512 / p <1e-300 | 119.9 EB05 106.5 · IC025 +6.3 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=198 · ♀ 100% (drug 56%) | no trial arm names this drug |
| Cerebellar stroke | 28 | 130.4 88.8–191.7ROR 130.7 · χ² 3,205 / p <1e-300 | 111.6 EB05 81.1 · IC025 +4.7 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=28 · ♀ 0% (drug 56%) | no trial arm names this drug |
| Colonic pseudo-obstruction | 20 | 123.0 78.1–193.8ROR 123.2 · χ² 2,135 / p <1e-300 | 103.3 EB05 70.6 · IC025 +4.2 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=20 | no trial arm names this drug |
| Creatinine renal clearance decreased | 282 | 121.6 107.8–137.1ROR 124.3 · χ² 31,227 / p <1e-300 | 112.2 EB05 101.6 · IC025 +6.4 3/3 methods agree | Lab value / disease marker | serious n=282 · ♀ 100% (drug 56%) | no trial arm names this drug |
| Proctitis | 192 | 118.7 102.6–137.4ROR 120.5 · χ² 20,754 / p <1e-300 | 109.4 EB05 97.0 · IC025 +6.2 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=192 · ♀ 100% (drug 56%) | no trial arm names this drug |
| Chronic sinusitis | 256 | 118.5 104.5–134.4ROR 120.8 · χ² 27,654 / p <1e-300 | 109.5 EB05 98.7 · IC025 +6.3 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=255 · ♀ 100% (drug 56%) | no trial arm names this drug |
| Creatinine renal clearance increased | 50 | 115.1 86.4–153.3ROR 115.5 · χ² 5,169 / p <1e-300 | 103.3 EB05 81.4 · IC025 +5.2 3/3 methods agree | Lab value / disease marker | serious n=50 · ♀ 100% (drug 56%) · 100% clinician | no trial arm names this drug |
| Spirometry abnormal | 39 | 114.8 83.0–158.9ROR 115.2 · χ² 4,000 / p <1e-300 | 102.0 EB05 77.8 · IC025 +5.0 3/3 methods agree | Lab value / disease marker | serious n=39 · ♀ 0% (drug 56%) | no trial arm names this drug |
| Macular degeneration | 787 | 114.2 106.5–122.6ROR 121.6 · χ² 82,375 / p <1e-300 | 106.4 EB05 100.3 · IC025 +6.5 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 75.2 · ♀ 100% (drug 56%) | no trial arm names this drug |
| Mite allergy | 42 | 113.8 83.2–155.5ROR 114.2 · χ² 4,278 / p <1e-300 | 101.5 EB05 78.2 · IC025 +5.1 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=42 · ♀ 0% (drug 56%) | no trial arm names this drug |
| Hyperphosphataemia | 125 | 101.2 84.6–121.2ROR 102.2 · χ² 11,572 / p <1e-300 | 93.9 EB05 80.9 · IC025 +5.8 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=125 · ♀ 0% (drug 56%) · 100% clinician | no trial arm names this drug |
| Antineutrophil cytoplasmic antibody positive | 42 | 98.8 72.4–134.9ROR 99.1 · χ² 3,738 / p <1e-300 | 89.4 EB05 69.0 · IC025 +5.0 3/3 methods agree | Lab value / disease marker | serious n=42 · ♀ 0% (drug 56%) | no trial arm names this drug |
| Blood phosphorus increased | 149 | 93.4 79.3–110.1ROR 94.5 · χ² 12,782 / p <1e-300 | 87.3 EB05 76.2 · IC025 +5.8 3/3 methods agree | Lab value / disease marker | serious n=148 · ♀ 0% (drug 56%) · 96% clinician | no trial arm names this drug |
| Total lung capacity decreased | 82 | 87.1 69.8–108.8ROR 87.7 · χ² 6,540 / p <1e-300 | 81.2 EB05 67.5 · IC025 +5.4 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=82 | no trial arm names this drug |
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 |
|---|---|---|---|---|---|---|
| Constipation | 1,468 | 11.0 10.5–11.6ROR 12.3 · χ² 13,421 / p <1e-300 | 10.9 EB05 10.5 · IC025 +3.4 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 11.8 | no trial arm names this drug |
| Nausea | 1,352 | 2.8 2.6–2.9ROR 3.0 · χ² 1,586 / p <1e-300 | 2.8 EB05 2.6 · IC025 +1.4 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 3.2 | no trial arm names this drug |
| Drug ineffective (drug did not work) | 1,318 | 1.6 1.5–1.7ROR 1.7 · χ² 331 / p 3e-74 | 1.6 EB05 1.5 · IC025 +0.6 | Reporting / coding artifact | serious PRR 2.8 | no trial arm names this drug |
| Off label use (used outside approved label) | 1,129 | 2.1 2.0–2.2ROR 2.2 · χ² 679 / p 5e-150 | 2.1 EB05 2.0 · IC025 +1.0 | Reporting / coding artifact | serious PRR 2.4 | no trial arm names this drug |
| Pain | 1,096 | 2.9 2.7–3.0ROR 3.1 · χ² 1,382 / p <1e-300 | 2.9 EB05 2.7 · IC025 +1.4 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 2.8 | no trial arm names this drug |
| Vomiting | 981 | 3.4 3.2–3.6ROR 3.6 · χ² 1,680 / p <1e-300 | 3.4 EB05 3.2 · IC025 +1.6 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 3.1 | no trial arm names this drug |
| Fall | 833 | 4.1 3.8–4.3ROR 4.3 · χ² 1,940 / p <1e-300 | 4.0 EB05 3.8 · IC025 +1.9 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 3.1 | no trial arm names this drug |
| Dyspnoea (shortness of breath) | 828 | 2.4 2.2–2.5ROR 2.5 · χ² 669 / p 7e-148 | 2.4 EB05 2.2 · IC025 +1.1 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 2.0 | no trial arm names this drug |
| Pneumonia (lung infection) | 803 | 4.0 3.8–4.3ROR 4.2 · χ² 1,843 / p <1e-300 | 4.0 EB05 3.8 · IC025 +1.9 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 2.7 | no trial arm names this drug |
| Macular degeneration | 787 | 114.2 106.5–122.6ROR 121.6 · χ² 82,375 / p <1e-300 | 106.4 EB05 100.3 · IC025 +6.5 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 75.2 · ♀ 100% (drug 56%) | no trial arm names this drug |
| Pyrexia (fever) | 762 | 3.6 3.3–3.8ROR 3.7 · χ² 1,421 / p <1e-300 | 3.5 EB05 3.3 · IC025 +1.7 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 2.8 | no trial arm names this drug |
| Death | 755 | 1.4 1.3–1.5ROR 1.4 · χ² 96 / p 6e-23 | 1.4 EB05 1.3 · IC025 +0.4 | Outcome field, not a reaction | serious PRR 0.9 | no trial arm names this drug |
| Abdominal pain | 754 | 5.3 4.9–5.6ROR 5.5 · χ² 2,612 / p <1e-300 | 5.2 EB05 4.9 · IC025 +2.3 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 4.4 | no trial arm names this drug |
| Fatigue (tiredness) | 724 | 1.5 1.4–1.6ROR 1.5 · χ² 127 / p 9e-30 | 1.5 EB05 1.4 · IC025 +0.5 | No label text to screen label has no adverse-reaction text | serious PRR 1.5 | no trial arm names this drug |
| Hypotension (low blood pressure) | 694 | 5.6 5.2–6.0ROR 5.9 · χ² 2,643 / p <1e-300 | 5.6 EB05 5.2 · IC025 +2.4 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 4.2 | no 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 Biscodyl?
In FDA FAERS, the most frequently co-reported reaction terms for Biscodyl are constipation, nausea, pain, vomiting, fall, dyspnoea. 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 Biscodyl have an FDA boxed warning?
No. The FDA label retrieved for Biscodyl has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Biscodyl 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 8ed281d5-b17e-e3bb-e053-2995a90a2590, effective 20240715; matched on
openfda.generic_name.exact:"BISCODYL") - 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, 1,177 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 - ClinicalTrials.gov API v2 (query
BISCODYL, results-bearing studies sorted by enrollment)
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.