Fluticasone Furoate side effects: what 12,024 FDA adverse event reports show
Drug class
Inhaled corticosteroid
Brand names
Arnuity Ellipta
Who reports
12,024 reports · 58% serious · 596 with death outcome · 66% female
Used for
ARNUITY ELLIPTA is indicated for the maintenance treatment of asthma in adult and pediatric patients aged 5 years and older. Limitations of Use ARNUITY ELLIPTA is NOT indicated for the relief of acute bronchospasm. ARNUITY ELLIPTA is an inhaled corticosteroid indicated for the maintenance treatment of asthma in adult and pediatric patients aged 5 years and older.
What it is
ARNUITY ELLIPTA is an inhalation powder drug product for delivery of fluticasone furoate (an ICS) to patients by oral inhalation. Fluticasone furoate, a synthetic trifluorinated corticosteroid.
Boxed warning
None in the current label
Causality screen of the 40 strongest signals
What the badges mean
- Labeled (related wording) The label describes this effect under different wording (e.g. 'neutropenia' for 'neutrophil count decreased'). Treated as known.
- Likely indication confounding The term appears in the label's indications: reports probably describe the disease being treated (or its progression), not a drug effect. Classic confounding by indication.
- 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.
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. 1,068 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 |
|---|---|---|---|---|---|---|
| Pituitary stalk interruption syndrome | 11 | 4,722.4 1,503.9–14,828.8ROR 4,726.7 · χ² 12,615 / p <1e-300 | 394.1 EB05 234.8 · IC025 +3.5 3/3 methods agree | Not in label — unassessed | serious n=11 | no trial arm names this drug |
| Plethysmography | 17 | 3,243.7 1,446.2–7,275.3ROR 3,248.2 · χ² 17,969 / p <1e-300 | 494.8 EB05 327.2 · IC025 +4.3 3/3 methods agree | Not in label — unassessed | serious n=17 | no trial arm names this drug |
| Sars-cov-2 sepsis | 14 | 1,092.8 559.3–2,135.2ROR 1,094.1 · χ² 8,677 / p <1e-300 | 349.0 EB05 221.0 · IC025 +3.9 3/3 methods agree | Not in label — unassessed | serious n=14 | no trial arm names this drug |
| Appendicolith | 145 | 1,082.6 880.1–1,331.7ROR 1,095.8 · χ² 95,441 / p <1e-300 | 610.5 EB05 531.6 · IC025 +7.4 3/3 methods agree | Not in label — unassessed | serious n=145 · ♀ 0% (drug 66%) · 94% clinician | no trial arm names this drug |
| Vaginal flatulence | 113 | 1,026.7 813.8–1,295.3ROR 1,036.4 · χ² 71,826 / p <1e-300 | 579.4 EB05 495.2 · IC025 +7.1 3/3 methods agree | Not in label — unassessed | serious n=113 · ♀ 100% (drug 66%) | no trial arm names this drug |
| Malignant mediastinal neoplasm | 40 | 1,025.2 693.3–1,516.1ROR 1,028.6 · χ² 24,991 / p <1e-300 | 490.8 EB05 375.9 · IC025 +5.6 3/3 methods agree | Not in label — unassessed | serious n=40 · ♀ 100% (drug 66%) | no trial arm names this drug |
| Radioallergosorbent test positive | 10 | 954.0 440.5–2,066.3ROR 954.8 · χ² 5,522 / p <1e-300 | 282.5 EB05 164.0 · IC025 +3.3 3/3 methods agree | Lab value / disease marker | serious n=10 | no trial arm names this drug |
| Hyper ige syndrome | 38 | 870.1 589.2–1,284.9ROR 872.8 · χ² 21,320 / p <1e-300 | 447.2 EB05 340.1 · IC025 +5.5 3/3 methods agree | Labeled (related wording) related wording | serious n=38 · ♀ 100% (drug 66%) | no trial arm names this drug |
| Sleep disorder therapy | 56 | 751.3 549.1–1,027.9ROR 754.8 · χ² 28,670 / p <1e-300 | 443.4 EB05 354.2 · IC025 +6.1 3/3 methods agree | Reporting / coding artifact | serious n=56 · ♀ 0% (drug 66%) · 100% clinician | no trial arm names this drug |
| Antacid therapy | 29 | 553.3 364.2–840.6ROR 554.7 · χ² 11,678 / p <1e-300 | 328.0 EB05 239.5 · IC025 +5.1 3/3 methods agree | Reporting / coding artifact | serious n=29 · ♀ 0% (drug 66%) · 100% clinician | no trial arm names this drug |
| Analgesic therapy | 58 | 406.5 305.5–540.9ROR 408.5 · χ² 18,645 / p <1e-300 | 296.7 EB05 238.0 · IC025 +6.0 3/3 methods agree | Reporting / coding artifact | serious n=58 · ♀ 0% (drug 66%) · 95% clinician | no trial arm names this drug |
| Bronchial neoplasm | 25 | 390.3 252.9–602.3ROR 391.1 · χ² 7,595 / p <1e-300 | 256.0 EB05 182.4 · IC025 +4.8 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious n=25 · ♀ 100% (drug 66%) | no trial arm names this drug |
| Drug therapy | 52 | 338.2 251.4–455.1ROR 339.7 · χ² 14,327 / p <1e-300 | 256.2 EB05 202.9 · IC025 +5.8 3/3 methods agree | Reporting / coding artifact | serious n=52 · ♀ 0% (drug 66%) · 94% clinician | no trial arm names this drug |
| Total lung capacity increased | 41 | 307.5 220.6–428.5ROR 308.5 · χ² 10,364 / p <1e-300 | 232.7 EB05 178.8 · IC025 +5.5 3/3 methods agree | Not in label — unassessed | serious n=41 · ♀ 100% (drug 66%) | no trial arm names this drug |
| Fungal disease carrier | 15 | 303.0 175.1–524.5ROR 303.4 · χ² 3,586 / p <1e-300 | 194.3 EB05 125.0 · IC025 +3.9 3/3 methods agree | Reporting / coding artifact | serious n=15 | no trial arm names this drug |
| Bacteroides infection | 32 | 245.3 169.5–355.1ROR 246.0 · χ² 6,601 / p <1e-300 | 190.5 EB05 141.3 · IC025 +5.1 3/3 methods agree | Not in label — unassessed | serious n=32 · ♀ 0% (drug 66%) · 100% clinician | no trial arm names this drug |
| Carbuncle | 34 | 238.3 166.6–341.0ROR 239.0 · χ² 6,849 / p <1e-300 | 187.5 EB05 140.3 · IC025 +5.1 3/3 methods agree | Not in label — unassessed | serious n=34 · ♀ 100% (drug 66%) | no trial arm names this drug |
| Anticoagulant therapy | 28 | 195.5 132.3–288.8ROR 195.9 · χ² 4,690 / p <1e-300 | 157.0 EB05 114.0 · IC025 +4.8 3/3 methods agree | Reporting / coding artifact | serious n=28 · ♀ 0% (drug 66%) · 100% clinician | no trial arm names this drug |
| Lung diffusion disorder | 15 | 182.7 107.3–311.0ROR 182.9 · χ² 2,288 / p <1e-300 | 136.8 EB05 88.0 · IC025 +3.8 3/3 methods agree | Not in label — unassessed | serious n=15 | no trial arm names this drug |
| Malignant melanoma stage 0 | 16 | 168.6 100.9–281.6ROR 168.8 · χ² 2,277 / p <1e-300 | 130.1 EB05 84.9 · IC025 +3.9 3/3 methods agree | Not in label — unassessed | serious n=16 | no trial arm names this drug |
| Bronchial haemorrhage | 26 | 156.7 104.9–234.0ROR 157.0 · χ² 3,544 / p <1e-300 | 130.1 EB05 93.3 · IC025 +4.6 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious n=26 · ♀ 100% (drug 66%) | no trial arm names this drug |
| Asthma-chronic obstructive pulmonary disease overlap syndrome | 41 | 148.9 108.2–204.7ROR 149.4 · χ² 5,406 / p <1e-300 | 129.0 EB05 99.1 · IC025 +5.2 3/3 methods agree | Not in label — unassessed | serious n=41 · ♀ 92% (drug 66%) | no trial arm names this drug |
| Forced expiratory volume abnormal | 11 | 142.0 76.8–262.6ROR 142.2 · χ² 1,295 / p 6e-284 | 107.3 EB05 64.0 · IC025 +3.3 3/3 methods agree | Lab value / disease marker | serious n=11 | no trial arm names this drug |
| Congenital hiatus hernia | 16 | 135.3 81.4–225.1ROR 135.5 · χ² 1,855 / p <1e-300 | 109.5 EB05 71.4 · IC025 +3.9 3/3 methods agree | Not in label — unassessed | serious n=16 | no trial arm names this drug |
| Nasal turbinate hypertrophy | 26 | 129.4 86.9–192.7ROR 129.7 · χ² 2,963 / p <1e-300 | 110.8 EB05 79.5 · IC025 +4.6 3/3 methods agree | Not in label — unassessed | serious n=26 · ♀ 100% (drug 66%) | no trial arm names this drug |
| Female genital tract fistula | 118 | 128.2 106.4–154.4ROR 129.4 · χ² 13,738 / p <1e-300 | 117.1 EB05 100.4 · IC025 +6.0 3/3 methods agree | Not in label — unassessed | serious n=118 · ♀ 100% (drug 66%) | no trial arm names this drug |
| Endometrial ablation | 24 | 126.4 83.6–191.3ROR 126.7 · χ² 2,666 / p <1e-300 | 107.9 EB05 76.3 · IC025 +4.4 3/3 methods agree | Not in label — unassessed | serious n=24 · ♀ 100% (drug 66%) | no trial arm names this drug |
| Respiratory gas exchange disorder | 24 | 120.5 79.7–182.2ROR 120.7 · χ² 2,547 / p <1e-300 | 103.6 EB05 73.3 · IC025 +4.4 3/3 methods agree | Not in label — unassessed | serious n=24 · ♀ 100% (drug 66%) · 79% consumer | no trial arm names this drug |
| Chronic sinusitis | 240 | 119.2 104.7–135.7ROR 121.6 · χ² 26,195 / p <1e-300 | 110.6 EB05 99.3 · IC025 +6.3 3/3 methods agree | Labeled (related wording) related wording | serious n=237 · ♀ 90% (drug 66%) | no trial arm names this drug |
| Secondary hypogonadism | 20 | 113.0 71.9–177.6ROR 113.2 · χ² 1,979 / p <1e-300 | 96.5 EB05 66.0 · IC025 +4.1 3/3 methods agree | Not in label — unassessed | serious n=20 | no trial arm names this drug |
| Eosinophilic bronchitis | 12 | 109.6 61.2–196.4ROR 109.7 · χ² 1,114 / p 2e-244 | 88.9 EB05 54.2 · IC025 +3.4 3/3 methods agree | Labeled (related wording) related wording | serious n=12 | no trial arm names this drug |
| Nsaid exacerbated respiratory disease | 21 | 109.6 70.5–170.3ROR 109.8 · χ² 2,024 / p <1e-300 | 94.5 EB05 65.2 · IC025 +4.2 3/3 methods agree | Labeled (related wording) related wording | serious n=21 · ♀ 100% (drug 66%) | no trial arm names this drug |
| Breast conserving surgery | 30 | 108.5 75.0–156.8ROR 108.7 · χ² 2,904 / p <1e-300 | 96.0 EB05 70.5 · IC025 +4.7 3/3 methods agree | Not in label — unassessed | serious n=30 · ♀ 100% (drug 66%) | no trial arm names this drug |
| Immune-mediated nephritis | 25 | 101.7 68.0–152.2ROR 101.9 · χ² 2,260 / p <1e-300 | 89.7 EB05 63.9 · IC025 +4.4 3/3 methods agree | Not in label — unassessed | serious n=25 · ♀ 0% (drug 66%) · 100% clinician | no trial arm names this drug |
| Macular degeneration | 635 | 98.0 90.7–106.0ROR 103.4 · χ² 57,621 / p <1e-300 | 92.5 EB05 86.6 · IC025 +6.3 3/3 methods agree | Not in label — unassessed | serious PRR 99.0 · ♀ 100% (drug 66%) | no trial arm names this drug |
| Eosinophilic pneumonia chronic | 15 | 91.3 54.4–153.5ROR 91.5 · χ² 1,188 / p 1e-260 | 78.4 EB05 50.4 · IC025 +3.7 3/3 methods agree | Not in label — unassessed | serious n=15 | no trial arm names this drug |
| Trisomy 18 | 19 | 90.6 57.2–143.7ROR 90.8 · χ² 1,516 / p <1e-300 | 79.5 EB05 53.8 · IC025 +4.0 3/3 methods agree | Not in label — unassessed | serious n=19 | no trial arm names this drug |
| Inguinal hernia repair | 15 | 81.5 48.6–136.8ROR 81.6 · χ² 1,063 / p 2e-233 | 71.1 EB05 45.7 · IC025 +3.6 3/3 methods agree | Not in label — unassessed | serious n=15 | no trial arm names this drug |
| Victim of child abuse | 11 | 81.1 44.3–148.4ROR 81.1 · χ² 756 / p 1e-166 | 68.6 EB05 40.9 · IC025 +3.1 3/3 methods agree | Reporting / coding artifact | serious n=11 | no trial arm names this drug |
| Monoclonal immunoglobulin present | 34 | 81.0 57.4–114.2ROR 81.2 · χ² 2,489 / p <1e-300 | 74.3 EB05 55.6 · IC025 +4.6 3/3 methods agree | Lab value / disease marker | serious n=34 · ♀ 100% (drug 66%) | 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 |
|---|---|---|---|---|---|---|
| Drug ineffective (drug did not work) | 2,090 | 2.8 2.7–2.9ROR 3.1 · χ² 2,510 / p <1e-300 | 2.8 EB05 2.7 · IC025 +1.4 3/3 methods agree | Reporting / coding artifact | serious PRR 4.5 | no trial arm names this drug |
| Dyspnoea (shortness of breath) | 1,589 | 4.9 4.7–5.1ROR 5.5 · χ² 5,055 / p <1e-300 | 4.9 EB05 4.7 · IC025 +2.2 3/3 methods agree | Not in label — unassessed | serious PRR 5.5 | no trial arm names this drug |
| Asthma | 1,318 | 20.7 19.7–21.8ROR 23.1 · χ² 24,536 / p <1e-300 | 20.5 EB05 19.6 · IC025 +4.3 3/3 methods agree | Likely indication confounding term in indications; also in warnings | serious PRR 26.2 | no trial arm names this drug |
| Off label use (used outside approved label) | 1,057 | 2.1 2.0–2.2ROR 2.2 · χ² 652 / p 4e-144 | 2.1 EB05 2.0 · IC025 +1.0 3/3 methods agree | Reporting / coding artifact | serious PRR 2.9 | no trial arm names this drug |
| Cough | 936 | 5.8 5.5–6.2ROR 6.2 · χ² 3,789 / p <1e-300 | 5.8 EB05 5.5 · IC025 +2.4 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 7.8 | no trial arm names this drug |
| Wheezing | 908 | 27.1 25.5–28.9ROR 29.3 · χ² 22,533 / p <1e-300 | 26.7 EB05 25.3 · IC025 +4.6 3/3 methods agree | Not in label — unassessed | serious PRR 33.9 | no trial arm names this drug |
| Therapeutic product effect incomplete | 787 | 19.6 18.3–21.0ROR 20.9 · χ² 13,753 / p <1e-300 | 19.4 EB05 18.3 · IC025 +4.1 3/3 methods agree | Reporting / coding artifact | serious PRR 34.9 | no trial arm names this drug |
| Product use in unapproved indication | 723 | 5.2 4.8–5.5ROR 5.4 · χ² 2,446 / p <1e-300 | 5.1 EB05 4.8 · IC025 +2.2 3/3 methods agree | Reporting / coding artifact | serious PRR 4.9 | no trial arm names this drug |
| Nausea | 719 | 1.6 1.5–1.7ROR 1.6 · χ² 162 / p 2e-37 | 1.6 EB05 1.5 · IC025 +0.5 | Labeled adverse reaction exact term | serious PRR 2.6 | no trial arm names this drug |
| Headache | 701 | 2.0 1.8–2.1ROR 2.0 · χ² 333 / p 9e-75 | 1.9 EB05 1.8 · IC025 +0.8 | Labeled adverse reaction exact term | serious PRR 2.9 | no trial arm names this drug |
| Pain | 696 | 2.0 1.8–2.1ROR 2.0 · χ² 341 / p 2e-76 | 2.0 EB05 1.8 · IC025 +0.9 | Labeled adverse reaction exact term | serious PRR 2.8 · ♀ 90% (drug 66%) | no trial arm names this drug |
| Pneumonia (lung infection) | 646 | 3.5 3.2–3.8ROR 3.6 · χ² 1,158 / p 5e-254 | 3.5 EB05 3.3 · IC025 +1.7 3/3 methods agree | Labeled (related wording) related wording | serious PRR 3.6 | no trial arm names this drug |
| Malaise (feeling unwell) | 644 | 2.6 2.4–2.8ROR 2.6 · χ² 619 / p 6e-137 | 2.5 EB05 2.4 · IC025 +1.2 3/3 methods agree | Not in label — unassessed | serious PRR 3.7 · ♀ 87% (drug 66%) | no trial arm names this drug |
| Macular degeneration | 635 | 98.0 90.7–106.0ROR 103.4 · χ² 57,621 / p <1e-300 | 92.5 EB05 86.6 · IC025 +6.3 3/3 methods agree | Not in label — unassessed | serious PRR 99.0 · ♀ 100% (drug 66%) | no trial arm names this drug |
| Vomiting | 591 | 2.2 2.0–2.4ROR 2.3 · χ² 392 / p 1e-87 | 2.2 EB05 2.0 · IC025 +1.0 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 3.0 | no 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.
- Appendicolith — n=145, PRR 1,082.6
- Vaginal flatulence — n=113, PRR 1,026.7
- Malignant mediastinal neoplasm — n=40, PRR 1,025.2
- Total lung capacity increased — n=41, PRR 307.5
- Bacteroides infection — n=32, PRR 245.3
- Carbuncle — n=34, PRR 238.3
- Asthma-chronic obstructive pulmonary disease overlap syndrome — n=41, PRR 148.9
- Nasal turbinate hypertrophy — n=26, PRR 129.4
- Female genital tract fistula — n=118, PRR 128.2
- Endometrial ablation — n=24, PRR 126.4
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 Fluticasone Furoate?
In FDA FAERS, the most frequently co-reported reaction terms for Fluticasone Furoate are dyspnoea, asthma, cough, wheezing, nausea, headache. 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 Fluticasone Furoate have an FDA boxed warning?
No. The FDA label retrieved for Fluticasone Furoate has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Fluticasone Furoate 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 50f193ee-1691-486d-9370-a664df63695c, effective 20231018; matched on
openfda.generic_name.exact:"FLUTICASONE FUROATE") - 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, 1,108 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
FLUTICASONE FUROATE, 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.