Finerenone side effects: what 510 FDA adverse event reports show

Finerenone · 32 reaction terms · 1,625 drug–reaction co-reports · data 2026-09-14

Drug class

No validated FDA label found

Who reports

510 reports · 94% serious · 47 with death outcome · 42% female

openFDA FAERS counts, all years, deduplication not applied

Used for

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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 19 strongest signals

Reporting / coding artifact 2Lab value / disease marker 9No label text to screen 8

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. 13 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show: hide coding/lab/outcome terms hide indication terms unlabeled only hide PRR-only

Reaction	Reports	PRR 95% CI · ROR · χ²/p	EBGM EB05 · IC025	Label screen	Serious-only & strata	Trial cross-check
Glomerular filtration rate decreased	308	184.8 166.0–205.8ROR 206.2 · χ² 54,714 / p <1e-300	178.1 EB05 162.0 · IC025 +6.9 3/3 methods agree	Lab value / disease marker	–	no trial data cached
Blood potassium increased	180	79.5 68.9–91.6ROR 84.5 · χ² 13,722 / p <1e-300	78.0 EB05 68.9 · IC025 +5.8 3/3 methods agree	Lab value / disease marker	–	no trial data cached
Hyperkalaemia (high potassium)	261	53.4 47.5–60.0ROR 58.4 · χ² 13,281 / p <1e-300	52.8 EB05 47.6 · IC025 +5.4 3/3 methods agree	No label text to screen	–	no trial data cached
Blood creatinine increased	226	24.6 21.7–27.8ROR 26.5 · χ² 5,081 / p <1e-300	24.4 EB05 21.9 · IC025 +4.3 3/3 methods agree	Lab value / disease marker	–	no trial data cached
Product prescribing issue	47	16.4 12.3–21.8ROR 16.6 · χ² 663 / p 1e-146	16.2 EB05 12.6 · IC025 +3.3 3/3 methods agree	Reporting / coding artifact	–	no trial data cached
Renal impairment	140	11.9 10.1–14.0ROR 12.4 · χ² 1,386 / p <1e-300	11.8 EB05 10.2 · IC025 +3.2 3/3 methods agree	No label text to screen	–	no trial data cached
Blood pressure systolic increased	23	8.3 5.5–12.5ROR 8.4 · χ² 141 / p 8e-33	7.4 EB05 5.1 · IC025 +2.1 3/3 methods agree	Lab value / disease marker	–	no trial data cached
Proteinuria	22	8.3 5.5–12.5ROR 8.3 · χ² 133 / p 4e-31	7.3 EB05 5.0 · IC025 +2.1 3/3 methods agree	No label text to screen	–	no trial data cached
Renal pain	10	6.7 3.6–12.5ROR 6.7 · χ² 43 / p 3e-11	5.3 EB05 3.1 · IC025 +1.3 3/3 methods agree	No label text to screen	–	no trial data cached
Blood urea increased	15	6.3 3.8–10.5ROR 6.3 · χ² 62 / p 2e-15	5.4 EB05 3.4 · IC025 +1.6 3/3 methods agree	Lab value / disease marker	–	no trial data cached
Hyponatraemia (low sodium)	44	5.5 4.1–7.4ROR 5.6 · χ² 160 / p 6e-37	5.3 EB05 4.1 · IC025 +1.9 3/3 methods agree	No label text to screen	–	no trial data cached
Glycosylated haemoglobin increased	19	5.3 3.4–8.4ROR 5.4 · χ² 63 / p 1e-15	4.8 EB05 3.2 · IC025 +1.5 3/3 methods agree	Lab value / disease marker	–	no trial data cached
Dialysis	10	5.0 2.7–9.3ROR 5.0 · χ² 28 / p 6e-8	4.1 EB05 2.4 · IC025 +1.0 3/3 methods agree	No label text to screen	–	no trial data cached
Acute kidney injury (sudden kidney damage)	104	4.8 4.0–5.8ROR 5.0 · χ² 315 / p 9e-71	4.7 EB05 4.0 · IC025 +1.9 3/3 methods agree	No label text to screen	–	no trial data cached
Blood sodium decreased	11	4.1 2.3–7.5ROR 4.2 · χ² 23 / p 7e-7	3.6 EB05 2.2 · IC025 +0.8 3/3 methods agree	Lab value / disease marker	–	no trial data cached
Contraindicated product administered	16	3.8 2.3–6.1ROR 3.8 · χ² 30 / p 2e-8	3.4 EB05 2.3 · IC025 +1.0 3/3 methods agree	Reporting / coding artifact	–	no trial data cached
Cardiac failure (heart failure)	42	3.7 2.7–5.0ROR 3.7 · χ² 81 / p 1e-19	3.6 EB05 2.8 · IC025 +1.3 3/3 methods agree	No label text to screen	–	no trial data cached
Blood glucose decreased	16	2.4 1.4–3.8ROR 2.4 · χ² 11 / p 4e-4	2.3 EB05 1.5 · IC025 +0.3	Lab value / disease marker	–	no trial data cached
Blood glucose increased	55	2.1 1.6–2.7ROR 2.1 · χ² 29 / p 3e-8	2.0 EB05 1.6 · IC025 +0.6	Lab value / disease marker	–	no trial data cached

Trial evidence (ClinicalTrials.gov)

Trial cross-check not yet run for this drug (ClinicalTrials.gov pull covers the 800 most-reported drugs first).

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
Glomerular filtration rate decreased	308	184.8 166.0–205.8ROR 206.2 · χ² 54,714 / p <1e-300	178.1 EB05 162.0 · IC025 +6.9 3/3 methods agree	Lab value / disease marker	–	no trial data cached
Hyperkalaemia (high potassium)	261	53.4 47.5–60.0ROR 58.4 · χ² 13,281 / p <1e-300	52.8 EB05 47.6 · IC025 +5.4 3/3 methods agree	No label text to screen	–	no trial data cached
Blood creatinine increased	226	24.6 21.7–27.8ROR 26.5 · χ² 5,081 / p <1e-300	24.4 EB05 21.9 · IC025 +4.3 3/3 methods agree	Lab value / disease marker	–	no trial data cached
Blood potassium increased	180	79.5 68.9–91.6ROR 84.5 · χ² 13,722 / p <1e-300	78.0 EB05 68.9 · IC025 +5.8 3/3 methods agree	Lab value / disease marker	–	no trial data cached
Renal impairment	140	11.9 10.1–14.0ROR 12.4 · χ² 1,386 / p <1e-300	11.8 EB05 10.2 · IC025 +3.2 3/3 methods agree	No label text to screen	–	no trial data cached
Acute kidney injury (sudden kidney damage)	104	4.8 4.0–5.8ROR 5.0 · χ² 315 / p 9e-71	4.7 EB05 4.0 · IC025 +1.9 3/3 methods agree	No label text to screen	–	no trial data cached
Blood glucose increased	55	2.1 1.6–2.7ROR 2.1 · χ² 29 / p 3e-8	2.0 EB05 1.6 · IC025 +0.6	Lab value / disease marker	–	no trial data cached
Product prescribing issue	47	16.4 12.3–21.8ROR 16.6 · χ² 663 / p 1e-146	16.2 EB05 12.6 · IC025 +3.3 3/3 methods agree	Reporting / coding artifact	–	no trial data cached
Hyponatraemia (low sodium)	44	5.5 4.1–7.4ROR 5.6 · χ² 160 / p 6e-37	5.3 EB05 4.1 · IC025 +1.9 3/3 methods agree	No label text to screen	–	no trial data cached
Cardiac failure (heart failure)	42	3.7 2.7–5.0ROR 3.7 · χ² 81 / p 1e-19	3.6 EB05 2.8 · IC025 +1.3 3/3 methods agree	No label text to screen	–	no trial data cached
Blood pressure systolic increased	23	8.3 5.5–12.5ROR 8.4 · χ² 141 / p 8e-33	7.4 EB05 5.1 · IC025 +2.1 3/3 methods agree	Lab value / disease marker	–	no trial data cached
Proteinuria	22	8.3 5.5–12.5ROR 8.3 · χ² 133 / p 4e-31	7.3 EB05 5.0 · IC025 +2.1 3/3 methods agree	No label text to screen	–	no trial data cached
Glycosylated haemoglobin increased	19	5.3 3.4–8.4ROR 5.4 · χ² 63 / p 1e-15	4.8 EB05 3.2 · IC025 +1.5 3/3 methods agree	Lab value / disease marker	–	no trial data cached
Blood glucose decreased	16	2.4 1.4–3.8ROR 2.4 · χ² 11 / p 4e-4	2.3 EB05 1.5 · IC025 +0.3	Lab value / disease marker	–	no trial data cached
Contraindicated product administered	16	3.8 2.3–6.1ROR 3.8 · χ² 30 / p 2e-8	3.4 EB05 2.3 · IC025 +1.0 3/3 methods agree	Reporting / coding artifact	–	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 Finerenone?

In FDA FAERS, the most frequently co-reported reaction terms for Finerenone are glomerular filtration rate decreased, hyperkalaemia, blood creatinine increased, blood potassium increased, renal impairment, acute kidney injury. 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 Finerenone 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 Finerenone 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, field patient.drug.openfda.generic_name.exact, 32 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.