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Drug · FAERS side-effect profile with label screen

Cortisone side effects: what 12,273 FDA adverse event reports show

Cortisone Acetate · 1,006 reaction terms · 369,737 drug–reaction co-reports · data 2026-09-14
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Drug class

Not stated in label

Label matched

Cortisone Acetate (Cortisone Acetate)

closest FDA label found for this product string; brand list suppressed because the label is a related product, not an exact match

Who reports

12,273 reports · 96% serious · 3,750 with death outcome · 91% female

openFDA FAERS counts, all years, deduplication not applied

Used for

When oral therapy is not feasible: 1. Endocrine Disorders Primary or secondary adrenocortical insufficiency (hydrocortisone or cortisone is the first choice; synthetic analogs may be used in conjunction with mineralocorticoids where applicable; in infancy mineralocorticoid supplementation is of particular importance). Congenital adrenal hyperplasia Nonsuppurative thyroiditis Hypercalcemia associated with cancer 2.

FDA label, Indications and Usage

What it is

DESCRIPTION: Glucocorticoids are adrenocortical steroids, both naturally occurring and synthetic, which are readily absorbed from the gastrointestinal tract. Cortisone acetate is a white or practically white, odorless, crystalline powder. It is stable in air. It is insoluble in water.

FDA label, Description section

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

Labeled adverse reaction 1Labeled (related wording) 1Likely indication confounding 7Reporting / coding artifact 1Lab value / disease marker 7Not in label — unassessed 23
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). 966 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
Anti-cyclic citrullinated peptide antibody4202,960.9
2,528.6–3,467.1ROR 3,065.8 · calibrated p 3e-23 ✓
1,023.9 EB05 944.3 · IC025 +8.7
3/3 methods agree
Lab value / disease markerserious n=420 · 95% clinicianno trial arm names this drug
Swollen joint count increased1,7832,318.0
2,162.8–2,484.4ROR 2,711.8 · calibrated p 8e-23 ✓
966.1 EB05 929.0 · IC025 +9.5
3/3 methods agree
Lab value / disease markerserious n=1,782 · 95% clinicianno trial arm names this drug
Rheumatic fever2,4312,177.6
2,055.8–2,306.5ROR 2,715.1 · calibrated p 8e-23 ✓
943.3 EB05 912.3 · IC025 +9.6
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=2,430 · 94% clinicianno trial arm names this drug
Anti-cyclic citrullinated peptide antibody positive3,8972,105.9
2,015.9–2,199.8ROR 3,085.0 · calibrated p 1e-23 ✓
932.2 EB05 907.9 · IC025 +9.7
3/3 methods agree
Lab value / disease markerserious PRR 565.6 · 92% clinicianno trial arm names this drug
Deep vein thrombosis postoperative1,0161,860.7
1,704.9–2,030.7ROR 2,028.5 · calibrated p 4e-21 ✓
870.1 EB05 826.1 · IC025 +9.2
3/3 methods agree
Not in label — unassessedserious n=1,016 · 93% clinicianno trial arm names this drug
Lupus vulgaris6111,825.3
1,630.2–2,043.8ROR 1,920.9 · calibrated p 1e-20 ✓
853.1 EB05 797.8 · IC025 +8.9
3/3 methods agree
Not in label — unassessedserious n=611 · 96% clinicianno trial arm names this drug
C-reactive protein4641,809.7
1,589.3–2,060.6ROR 1,880.8 · calibrated p 1e-20 ✓
842.5 EB05 780.1 · IC025 +8.7
3/3 methods agree
Lab value / disease markerserious n=464 · 96% clinicianno trial arm names this drug
Pemphigus6,1611,699.2
1,648.0–1,752.1ROR 3,410.8 · calibrated p 3e-24 ✓
844.3 EB05 826.7 · IC025 +9.6
3/3 methods agree
Likely indication confounding
term in indications
serious PRR 511.2no trial arm names this drug
Rheumatoid factor positive2,8061,636.5
1,558.5–1,718.4ROR 2,121.2 · calibrated p 2e-21 ✓
825.9 EB05 800.6 · IC025 +9.4
3/3 methods agree
Lab value / disease markerserious n=2,804 · 93% clinicianno trial arm names this drug
Facet joint syndrome1,3541,297.7
1,211.6–1,389.9ROR 1,458.5 · calibrated p 3e-19 ✓
725.9 EB05 694.1 · IC025 +9.1
3/3 methods agree
Not in label — unassessedserious n=1,354 · 94% clinicianno trial arm names this drug
Hand deformity5,1391,113.8
1,080.4–1,148.3ROR 1,915.3 · calibrated p 8e-21 ✓
669.3 EB05 654.0 · IC025 +9.3
3/3 methods agree
Not in label — unassessedserious PRR 439.3 · 92% clinicianno trial arm names this drug
Helicobacter infection3,453880.3
848.2–913.6ROR 1,224.5 · calibrated p 2e-18 ✓
576.7 EB05 560.7 · IC025 +9.0
3/3 methods agree
Not in label — unassessedserious PRR 368.1 · 93% clinicianno trial arm names this drug
Adjustment disorder with depressed mood635789.6
719.8–866.2ROR 832.6 · calibrated p 2e-16 ✓
529.3 EB05 495.7 · IC025 +8.4
3/3 methods agree
Not in label — unassessedserious n=635 · 95% clinicianno trial arm names this drug
Swollen joint count75752.2
573.3–986.9ROR 756.8 · calibrated p 2e-15 ✓
459.1 EB05 378.3 · IC025 +6.5
3/3 methods agree
Not in label — unassessedserious n=75 · 95% clinicianno trial arm names this drug
Retinitis478688.4
619.8–764.5ROR 716.2 · calibrated p 1e-15 ✓
479.6 EB05 444.5 · IC025 +8.2
3/3 methods agree
Likely indication confounding
term in indications
serious n=478 · 96% clinicianno trial arm names this drug
Hepatic enzyme40687.7
476.3–993.0ROR 690.0 · calibrated p 1e-14 ✓
395.9 EB05 303.2 · IC025 +5.6
3/3 methods agree
Not in label — unassessedserious n=40 · 100% clinicianno trial arm names this drug
Dislocation of vertebra608645.1
588.5–707.1ROR 678.7 · calibrated p 2e-15 ✓
460.0 EB05 430.1 · IC025 +8.3
3/3 methods agree
Not in label — unassessedserious n=608 · 94% clinicianno trial arm names this drug
Pericarditis4,474629.6
611.3–648.4ROR 990.2 · calibrated p 3e-17 ✓
457.7 EB05 446.6 · IC025 +8.7
3/3 methods agree
Not in label — unassessedserious PRR 278.4 · 93% clinicianno trial arm names this drug
Muscle injury2,148608.0
580.6–636.6ROR 736.7 · calibrated p 8e-16 ✓
445.2 EB05 429.7 · IC025 +8.6
3/3 methods agree
Not in label — unassessedserious PRR 291.6 · 94% clinicianno trial arm names this drug
X-ray abnormal454584.8
526.4–649.8ROR 607.2 · calibrated p 8e-15 ✓
426.6 EB05 394.6 · IC025 +8.0
3/3 methods agree
Lab value / disease markerserious n=454 · 96% clinicianno trial arm names this drug
Glossodynia (burning tongue/mouth pain)5,549566.1
552.3–580.3ROR 1,032.4 · calibrated p 2e-17 ✓
423.4 EB05 414.1 · IC025 +8.6
3/3 methods agree
Not in label — unassessedserious PRR 369.5 · 92% clinicianno trial arm names this drug
Synovitis4,441559.6
543.6–576.1ROR 876.3 · calibrated p 1e-16 ✓
419.6 EB05 409.3 · IC025 +8.6
3/3 methods agree
Likely indication confounding
term in indications
serious PRR 265.0 · 93% clinicianno trial arm names this drug
Seronegative arthritis273550.9
481.1–630.8ROR 563.4 · calibrated p 2e-14 ✓
403.6 EB05 365.0 · IC025 +7.7
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=273 · 95% clinicianno trial arm names this drug
Peripheral venous disease951535.7
499.1–575.0ROR 580.6 · calibrated p 1e-14 ✓
403.4 EB05 382.3 · IC025 +8.3
3/3 methods agree
Not in label — unassessedserious n=951 · 95% clinicianno trial arm names this drug
Sleep disorder due to general medical condition, insomnia type1,503521.9
494.0–551.5ROR 594.6 · calibrated p 9e-15 ✓
396.7 EB05 380.2 · IC025 +8.4
3/3 methods agree
Not in label — unassessedserious n=1,503 · 94% clinicianno trial arm names this drug
Folliculitis2,393516.8
495.4–539.1ROR 641.7 · calibrated p 4e-15 ✓
394.5 EB05 381.4 · IC025 +8.4
3/3 methods agree
Not in label — unassessedserious PRR 280.1 · 93% clinicianno trial arm names this drug
Grip strength51482.8
353.8–658.7ROR 484.8 · calibrated p 3e-13 ✓
329.1 EB05 260.0 · IC025 +5.9
3/3 methods agree
Not in label — unassessedserious n=51 · 92% clinicianno trial arm names this drug
C-reactive protein abnormal1,294433.5
408.8–459.6ROR 484.4 · calibrated p 8e-14 ✓
343.2 EB05 327.8 · IC025 +8.2
3/3 methods agree
Lab value / disease markerserious n=1,294 · 94% clinicianno trial arm names this drug
Hypocholesterolaemia61423.0
319.6–559.7ROR 425.1 · calibrated p 8e-13 ✓
305.8 EB05 246.7 · IC025 +6.1
3/3 methods agree
Not in label — unassessedserious n=61 · 97% clinicianno trial arm names this drug
Wound4,979373.5
364.3–383.0ROR 627.8 · calibrated p 5e-15 ✓
305.6 EB05 298.5 · IC025 +8.2
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 299.3 · serious PRR 219.3 · 92% clinicianno trial arm names this drug
Systemic lupus erythematosus6,277369.3
361.7–377.1ROR 754.9 · calibrated p 6e-16 ✓
302.8 EB05 296.6 · IC025 +8.2
3/3 methods agree
Likely indication confounding
term in indications
age-adj. PRR 280.1 · serious PRR 187.3no trial arm names this drug
Breast cancer stage iii1,055335.6
314.9–357.7ROR 367.1 · calibrated p 1e-12 ✓
278.6 EB05 264.8 · IC025 +7.8
3/3 methods agree
Not in label — unassessedserious n=1,055 · 95% clinicianno trial arm names this drug
Polyglandular disorder11331.0
173.4–631.5ROR 331.3 · calibrated p 2e-10 ✓
187.4 EB05 111.6 · IC025 +3.4
3/3 methods agree
Not in label — unassessedserious n=11no trial arm names this drug
Onychomadesis643313.3
288.5–340.2ROR 330.6 · calibrated p 4e-12 ✓
262.3 EB05 245.7 · IC025 +7.6
3/3 methods agree
Not in label — unassessedserious n=643 · 91% clinicianno trial arm names this drug
Ankle arthroplasty55309.9
232.6–413.0ROR 311.3 · calibrated p 2e-11 ✓
240.1 EB05 191.4 · IC025 +5.8
3/3 methods agree
Not in label — unassessedserious n=55 · 100% clinicianno trial arm names this drug
Cerebral salt-wasting syndrome15304.5
175.7–527.6ROR 304.9 · calibrated p 2e-10 ✓
194.5 EB05 125.1 · IC025 +3.9
3/3 methods agree
Not in label — unassessedserious n=15no trial arm names this drug
Contraindicated product administered4,543303.4
295.6–311.5ROR 481.2 · calibrated p 8e-14 ✓
257.0 EB05 250.8 · IC025 +7.9
3/3 methods agree
Reporting / coding artifactage-adj. PRR 246.9 · serious PRR 192.9 · 91% clinicianno trial arm names this drug
Sleep disorder due to general medical condition, hypersomnia type15300.9
173.7–521.0ROR 301.2 · calibrated p 2e-10 ✓
193.0 EB05 124.2 · IC025 +3.9
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=15no trial arm names this drug
Lip dry1,339300.6
284.4–317.7ROR 337.3 · calibrated p 3e-12 ✓
254.3 EB05 243.1 · IC025 +7.8
3/3 methods agree
Not in label — unassessedserious n=1,339 · 95% clinicianno trial arm names this drug

Clinical concept groups

MedDRA splits one clinical problem across several terms (e.g. "neutropenia", "neutrophil count decreased", "agranulocytosis"), which dilutes term-level signals. These rows count reports with any term in a concept group (an exact union, not a sum), compared with all other drugs. Groups are hand-built and listed in the methods.

ConceptReportsPRR 95% CIReading
Liver injury5,11829.528.9–30.1signal
Interstitial lung disease99217.816.8–18.9signal
Hyperglycaemia / diabetes2,81414.013.6–14.5signal
Serious infection3,4367.67.4–7.9signal
Depression1,1236.86.5–7.2signal
Pancreatitis1392.92.5–3.5signal
Osteonecrosis862.52.1–3.1signal
Arrhythmia / qt2342.11.8–2.3raised
Fall / fracture4422.01.8–2.2raised
Gi bleeding1821.71.5–2.0raised
Thrombocytopenia1941.51.3–1.7raised
Anaphylaxis / angioedema1011.41.1–1.7raised
Rhabdomyolysis / myopathy651.41.1–1.7raised
Tendon disorder251.10.8–1.7no difference
Severe cutaneous reaction360.80.6–1.1no difference
Venous thromboembolism870.70.6–0.8lower than other drugs

Trial evidence (ClinicalTrials.gov)

ClinicalTrials.gov returned results-bearing trials mentioning Cortisone only as a background or rescue medication (NCT02883049, NCT00075725); 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
Systemic lupus erythematosus6,277369.3
361.7–377.1ROR 754.9 · calibrated p 6e-16 ✓
302.8 EB05 296.6 · IC025 +8.2
3/3 methods agree
Likely indication confounding
term in indications
age-adj. PRR 280.1 · serious PRR 187.3no trial arm names this drug
Pain6,21117.4
17.1–17.7ROR 34.2 · calibrated p 1e-4 ✓
17.2 EB05 16.9 · IC025 +4.1
3/3 methods agree
Not in label — unassessedage-adj. PRR 13.8 · serious PRR 16.4no trial arm names this drug
Pemphigus6,1611,699.2
1,648.0–1,752.1ROR 3,410.8 · calibrated p 3e-24 ✓
844.3 EB05 826.7 · IC025 +9.6
3/3 methods agree
Likely indication confounding
term in indications
serious PRR 511.2no trial arm names this drug
Drug ineffective (drug did not work)6,1308.0
7.8–8.1ROR 15.0 · calibrated p 0.007 ✓
8.0 EB05 7.8 · IC025 +2.9
3/3 methods agree
Reporting / coding artifactage-adj. PRR 8.3 · serious PRR 13.4no trial arm names this drug
Alopecia (hair loss)6,06154.3
53.3–55.3ROR 106.3 · calibrated p 7e-8 ✓
52.6 EB05 51.5 · IC025 +5.7
3/3 methods agree
Not in label — unassessedage-adj. PRR 40.4 · serious PRR 67.8no trial arm names this drug
Rheumatoid arthritis6,02196.1
94.3–97.9ROR 187.7 · calibrated p 7e-10 ✓
90.9 EB05 89.0 · IC025 +6.5
3/3 methods agree
Likely indication confounding
term in indications
age-adj. PRR 72.3 · serious PRR 67.0no trial arm names this drug
Abdominal discomfort5,95863.1
62.0–64.3ROR 121.8 · calibrated p 2e-8 ✓
60.9 EB05 59.6 · IC025 +5.9
3/3 methods agree
Not in label — unassessedage-adj. PRR 50.1 · serious PRR 82.3no trial arm names this drug
Fatigue (tiredness)5,67312.6
12.3–12.8ROR 22.5 · calibrated p 0.001 ✓
12.5 EB05 12.2 · IC025 +3.6
3/3 methods agree
Not in label — unassessedage-adj. PRR 10.1 · serious PRR 14.3 · 90% clinicianno trial arm names this drug
Glossodynia (burning tongue/mouth pain)5,549566.1
552.3–580.3ROR 1,032.4 · calibrated p 2e-17 ✓
423.4 EB05 414.1 · IC025 +8.6
3/3 methods agree
Not in label — unassessedserious PRR 369.5 · 92% clinicianno trial arm names this drug
Swelling5,415105.2
103.0–107.4ROR 187.4 · calibrated p 7e-10 ✓
99.0 EB05 96.8 · IC025 +6.6
3/3 methods agree
Not in label — unassessedage-adj. PRR 82.2 · serious PRR 96.7 · 92% clinicianno trial arm names this drug
Hand deformity5,1391,113.8
1,080.4–1,148.3ROR 1,915.3 · calibrated p 8e-21 ✓
669.3 EB05 654.0 · IC025 +9.3
3/3 methods agree
Not in label — unassessedserious PRR 439.3 · 92% clinicianno trial arm names this drug
Wound4,979373.5
364.3–383.0ROR 627.8 · calibrated p 5e-15 ✓
305.6 EB05 298.5 · IC025 +8.2
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 299.3 · serious PRR 219.3 · 92% clinicianno trial arm names this drug
Rash4,95419.7
19.3–20.2ROR 32.4 · calibrated p 2e-4 ✓
19.5 EB05 19.1 · IC025 +4.2
3/3 methods agree
Not in label — unassessedage-adj. PRR 17.6 · serious PRR 26.2 · 92% clinicianno trial arm names this drug
Arthropathy4,802161.0
157.2–164.9ROR 263.9 · calibrated p 3e-11 ✓
147.0 EB05 143.5 · IC025 +7.1
3/3 methods agree
Not in label — unassessedage-adj. PRR 141.6 · serious PRR 107.9 · 92% clinicianno trial arm names this drug
Contraindicated product administered4,543303.4
295.6–311.5ROR 481.2 · calibrated p 8e-14 ✓
257.0 EB05 250.8 · IC025 +7.9
3/3 methods agree
Reporting / coding artifactage-adj. PRR 246.9 · serious PRR 192.9 · 91% clinicianno trial arm names this drug

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.

✓ A hand-written Bradford Hill causality assessment exists for this drug: Medroxyprogesterone acetate ↔ Meningioma.

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 Cortisone?

In FDA FAERS, the most frequently co-reported reaction terms for Cortisone are systemic lupus erythematosus, pain, pemphigus, alopecia, rheumatoid arthritis, abdominal discomfort. 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 Cortisone have an FDA boxed warning?

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

Do FAERS signals prove that Cortisone 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.