← All drugs
Drug · FAERS side-effect profile with label screen

Fluticasone and Salmeterol side effects: what 59,667 FDA adverse event reports show

Fluticasone Propionate And Salmeterol Xinafoate · 1,223 reaction terms · 304,880 drug–reaction co-reports · data 2026-09-14
Share: X Facebook Reddit Email

Drug class

Inhaled corticosteroid (ics)

FDA label, Indications wording of the closest related product

Label matched

Fluticasone Propionate (Flovent Diskus)

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

Who reports

59,667 reports · 58% serious · 3,579 with death outcome · 68% female

openFDA FAERS counts, all years, deduplication not applied

Used for

FLOVENT DISKUS is indicated for the maintenance treatment of asthma as prophylactic therapy in patients aged 4 years and older. Important Limitation of Use FLOVENT DISKUS is NOT indicated for the relief of acute bronchospasm. FLOVENT DISKUS is an inhaled corticosteroid (ICS) indicated for: • Maintenance treatment of asthma as prophylactic therapy in patients aged 4 years and older.

FDA label, Indications and Usage

What it is

FLOVENT DISKUS inhalation powder is a dry powder inhaler for oral inhalation. The active component of FLOVENT DISKUS 50 mcg, FLOVENT DISKUS 100 mcg, and FLOVENT DISKUS 250 mcg is fluticasone p.

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) 6Likely indication confounding 2Reporting / 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). 1,183 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
Heart sounds55463.6
309.4–694.6ROR 464.0 · calibrated p 1e-12 ✓
185.8 EB05 148.1 · IC025 +5.7
3/3 methods agree
Not in label — unassessedserious n=55 · ♀ 100% (drug 68%)no trial arm names this drug
Central nervous system mass47360.9
239.8–543.2ROR 361.2 · calibrated p 1e-11 ✓
165.3 EB05 129.3 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=47 · ♀ 0% (drug 68%) · 100% clinicianno trial arm names this drug
Spirometry abnormal281324.8
276.0–382.1ROR 326.3 · calibrated p 6e-12 ✓
166.0 EB05 150.4 · IC025 +6.8
3/3 methods agree
Lab value / disease markerserious n=279 · ♀ 11% (drug 68%)no trial arm names this drug
Airway remodelling58308.4
216.4–439.3ROR 308.7 · calibrated p 3e-11 ✓
155.2 EB05 124.4 · IC025 +5.7
3/3 methods agree
Not in label — unassessedserious n=58 · ♀ 0% (drug 68%)no trial arm names this drug
Mite allergy283281.8
240.9–329.7ROR 283.2 · calibrated p 2e-11 ✓
154.1 EB05 139.6 · IC025 +6.7
3/3 methods agree
Not in label — unassessedserious n=283 · ♀ 10% (drug 68%)no trial arm names this drug
Wall motion score index abnormal47262.0
179.3–382.7ROR 262.2 · calibrated p 1e-10 ✓
141.0 EB05 110.3 · IC025 +5.4
3/3 methods agree
Lab value / disease markerserious n=47 · ♀ 0% (drug 68%) · 100% clinicianno trial arm names this drug
Dust allergy320175.0
153.0–200.1ROR 175.9 · calibrated p 1e-9 ✓
115.7 EB05 105.4 · IC025 +6.4
3/3 methods agree
Not in label — unassessedserious n=320 · ♀ 16% (drug 68%)no trial arm names this drug
Prolonged expiration84164.0
126.5–212.6ROR 164.2 · calibrated p 4e-9 ✓
108.8 EB05 90.7 · IC025 +5.7
3/3 methods agree
Not in label — unassessedserious n=84no trial arm names this drug
Mycotic allergy267163.3
141.2–188.9ROR 164.0 · calibrated p 3e-9 ✓
110.4 EB05 99.7 · IC025 +6.3
3/3 methods agree
Not in label — unassessedserious n=265 · ♀ 0% (drug 68%)no trial arm names this drug
Bronchial neoplasm40145.5
100.6–210.5ROR 145.6 · calibrated p 2e-8 ✓
98.0 EB05 75.1 · IC025 +5.0
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=40 · ♀ 100% (drug 68%) · 100% clinicianno trial arm names this drug
Total lung capacity abnormal107137.5
109.9–171.9ROR 137.7 · calibrated p 1e-8 ✓
97.0 EB05 82.5 · IC025 +5.8
3/3 methods agree
Not in label — unassessedserious n=104 · ♀ 0% (drug 68%)no trial arm names this drug
Total lung capacity increased66111.8
84.7–147.6ROR 111.9 · calibrated p 8e-8 ✓
82.8 EB05 67.3 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious n=66 · ♀ 100% (drug 68%) · 100% clinicianno trial arm names this drug
Atopy66109.1
82.8–143.9ROR 109.2 · calibrated p 1e-7 ✓
81.3 EB05 66.1 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious n=65 · ♀ 0% (drug 68%)no trial arm names this drug
Capillaritis63107.8
81.2–143.0ROR 107.9 · calibrated p 1e-7 ✓
80.4 EB05 65.1 · IC025 +5.2
3/3 methods agree
Not in label — unassessedserious n=63 · ♀ 0% (drug 68%) · 100% clinicianno trial arm names this drug
Forced expiratory volume decreased62499.1
90.7–108.3ROR 100.1 · calibrated p 1e-7 ✓
77.1 EB05 72.1 · IC025 +6.1
3/3 methods agree
Lab value / disease markerserious n=622no trial arm names this drug
Temperature regulation disorder46394.5
85.3–104.6ROR 95.2 · calibrated p 2e-7 ✓
74.2 EB05 68.7 · IC025 +6.0
3/3 methods agree
Not in label — unassessedserious n=462 · ♀ 100% (drug 68%)no trial arm names this drug
Reversible airways obstruction10084.7
68.1–105.4ROR 84.8 · calibrated p 5e-7 ✓
67.4 EB05 57.0 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious n=100no trial arm names this drug
Inhalation therapy12383.8
68.9–102.1ROR 84.0 · calibrated p 5e-7 ✓
67.0 EB05 57.6 · IC025 +5.4
3/3 methods agree
Reporting / coding artifactserious n=36 · 86% consumerno trial arm names this drug
Smoke sensitivity4865.3
48.0–88.9ROR 65.4 · calibrated p 4e-6 ✓
54.0 EB05 42.3 · IC025 +4.7
3/3 methods agree
Not in label — unassessedserious n=48 · ♀ 100% (drug 68%)no trial arm names this drug
Lung diffusion test decreased6265.1
49.7–85.4ROR 65.2 · calibrated p 4e-6 ✓
54.1 EB05 43.7 · IC025 +4.8
3/3 methods agree
Not in label — unassessedserious n=61no trial arm names this drug
Bronchial haemorrhage4051.0
36.6–71.1ROR 51.0 · calibrated p 2e-5 ✓
43.7 EB05 33.5 · IC025 +4.3
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=40 · ♀ 100% (drug 68%) · 100% clinicianno trial arm names this drug
Antineutrophil cytoplasmic antibody positive9250.7
40.7–63.1ROR 50.8 · calibrated p 2e-5 ✓
44.0 EB05 36.9 · IC025 +4.8
3/3 methods agree
Lab value / disease markerserious n=92 · ♀ 0% (drug 68%)no trial arm names this drug
Eosinophilic granulomatosis with polyangiitis25450.5
44.3–57.6ROR 50.7 · calibrated p 1e-5 ✓
44.0 EB05 39.7 · IC025 +5.1
3/3 methods agree
Not in label — unassessedserious n=254 · ♀ 24% (drug 68%)no trial arm names this drug
Nasal turbinate hypertrophy4648.9
35.9–66.6ROR 48.9 · calibrated p 2e-5 ✓
42.3 EB05 33.0 · IC025 +4.4
3/3 methods agree
Not in label — unassessedserious n=45 · ♀ 100% (drug 68%) · 100% clinicianno trial arm names this drug
Blood immunoglobulin e increased29147.6
42.1–53.8ROR 47.8 · calibrated p 2e-5 ✓
41.8 EB05 37.9 · IC025 +5.1
3/3 methods agree
Lab value / disease markerserious n=283 · ♀ 39% (drug 68%)no trial arm names this drug
Forced vital capacity decreased7646.6
36.7–59.2ROR 46.6 · calibrated p 3e-5 ✓
40.8 EB05 33.6 · IC025 +4.6
3/3 methods agree
Not in label — unassessedserious n=75 · 100% clinicianno trial arm names this drug
Obstructive airways disorder1,30646.5
43.9–49.2ROR 47.5 · calibrated p 2e-5 ✓
41.1 EB05 39.2 · IC025 +5.2
3/3 methods agree
Not in label — unassessedage-adj. PRR 47.4 · serious PRR 42.1no trial arm names this drug
Endometrial ablation4044.6
32.1–62.0ROR 44.6 · calibrated p 4e-5 ✓
38.9 EB05 29.8 · IC025 +4.2
3/3 methods agree
Not in label — unassessedserious n=40 · ♀ 100% (drug 68%) · 100% clinicianno trial arm names this drug
Perfume sensitivity6344.5
34.3–57.9ROR 44.6 · calibrated p 4e-5 ✓
39.1 EB05 31.7 · IC025 +4.5
3/3 methods agree
Not in label — unassessedserious n=63 · ♀ 100% (drug 68%)no trial arm names this drug
Peak expiratory flow rate decreased4741.8
30.9–56.5ROR 41.8 · calibrated p 6e-5 ✓
36.9 EB05 28.8 · IC025 +4.3
3/3 methods agree
Lab value / disease markerserious n=40 · 100% clinicianno trial arm names this drug
Eosinophil count abnormal7740.4
31.9–51.1ROR 40.4 · calibrated p 6e-5 ✓
36.0 EB05 29.7 · IC025 +4.5
3/3 methods agree
Lab value / disease markerserious n=72 · ♀ 100% (drug 68%)no trial arm names this drug
Lung hyperinflation8638.7
31.0–48.4ROR 38.8 · calibrated p 8e-5 ✓
34.7 EB05 29.0 · IC025 +4.5
3/3 methods agree
Not in label — unassessedserious n=84no trial arm names this drug
Neuritis15138.1
32.2–45.1ROR 38.2 · calibrated p 8e-5 ✓
34.3 EB05 30.0 · IC025 +4.7
3/3 methods agree
Not in label — unassessedserious n=150 · ♀ 0% (drug 68%)no trial arm names this drug
Hoarseness4737.4
27.7–50.6ROR 37.5 · calibrated p 1e-4 ✓
33.5 EB05 26.2 · IC025 +4.2
3/3 methods agree
Labeled adverse reaction
exact term
100% consumerno 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
Serious infection6,9903.23.1–3.3signal
Interstitial lung disease5752.11.9–2.3raised
Fall / fracture2,1332.01.9–2.1raised
Opportunistic infection6761.71.6–1.9raised
Heart failure8371.61.5–1.8raised
Tendon disorder1751.61.4–1.9raised
Venous thromboembolism9911.61.5–1.7raised
Gi bleeding7931.51.4–1.6raised
Anaphylaxis / angioedema5161.41.3–1.6raised
Depression1,1161.41.3–1.5raised
Arrhythmia / qt7351.31.2–1.4raised
Hyperglycaemia / diabetes1,2461.31.2–1.3raised
Myocardial infarction6701.21.1–1.2raised
Kidney injury1,4931.11.1–1.2raised
Hyponatraemia2551.11.0–1.3no difference
Liver injury9331.11.0–1.2raised

Trial evidence (ClinicalTrials.gov)

No completed trial with posted adverse-event results was found on ClinicalTrials.gov for Fluticasone and Salmeterol (searched FLUTICASONE PROPIONATE).

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
Dyspnoea (shortness of breath)9,9666.3
6.2–6.4ROR 7.3 · calibrated p 0.086
6.2 EB05 6.1 · IC025 +2.6
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 6.0 · serious PRR 6.2no trial arm names this drug
Asthma8,11727.4
26.8–27.9ROR 31.5 · calibrated p 2e-4 ✓
25.4 EB05 25.0 · IC025 +4.6
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
age-adj. PRR 30.5 · serious PRR 31.2no trial arm names this drug
Drug ineffective (drug did not work)5,4751.5
1.4–1.5ROR 1.5 · calibrated p 0.647
1.5 EB05 1.4 · IC025 +0.5Reporting / coding artifactage-adj. PRR 1.8 · serious PRR 2.0no trial arm names this drug
Pneumonia (lung infection)4,9315.4
5.3–5.6ROR 5.8 · calibrated p 0.162
5.4 EB05 5.2 · IC025 +2.4
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 5.3 · serious PRR 5.4no trial arm names this drug
Cough4,9246.3
6.1–6.4ROR 6.7 · calibrated p 0.109
6.2 EB05 6.0 · IC025 +2.6
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 6.7 · serious PRR 7.9no trial arm names this drug
Wheezing4,18226.7
25.9–27.5ROR 28.6 · calibrated p 3e-4 ✓
24.8 EB05 24.2 · IC025 +4.6
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 27.5 · serious PRR 30.2no trial arm names this drug
Fatigue (tiredness)3,9361.8
1.7–1.8ROR 1.8 · calibrated p 0.853
1.8 EB05 1.7 · IC025 +0.8Labeled adverse reaction
exact term
age-adj. PRR 1.9 · serious PRR 2.4no trial arm names this drug
Headache3,6122.0
2.0–2.1ROR 2.1 · calibrated p 0.997
2.0 EB05 2.0 · IC025 +1.0Labeled adverse reaction
exact term
age-adj. PRR 2.2 · serious PRR 2.9no trial arm names this drug
Malaise (feeling unwell)3,6032.9
2.8–3.0ROR 3.0 · calibrated p 0.621
2.9 EB05 2.8 · IC025 +1.5
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 3.3 · serious PRR 3.7no trial arm names this drug
Pain3,3731.9
1.9–2.0ROR 2.0 · calibrated p 0.937
1.9 EB05 1.9 · IC025 +0.9Labeled adverse reaction
exact term
age-adj. PRR 2.5 · serious PRR 2.5no trial arm names this drug
Off label use (used outside approved label)2,8341.1
1.1–1.2ROR 1.2 · calibrated p 0.409
1.1 EB05 1.1 · IC025 +0.1Reporting / coding artifactage-adj. PRR 1.1 · serious PRR 1.4no trial arm names this drug
Nausea2,7341.2
1.2–1.3ROR 1.2 · calibrated p 0.459
1.2 EB05 1.2 · IC025 +0.2Labeled adverse reaction
exact term
age-adj. PRR 1.3 · serious PRR 1.5no trial arm names this drug
Diarrhoea (diarrhea)2,2101.2
1.2–1.3ROR 1.2 · calibrated p 0.451
1.2 EB05 1.2 · IC025 +0.2Not in label — unassessedage-adj. PRR 1.2 · serious PRR 1.5no trial arm names this drug
Vomiting2,1691.6
1.6–1.7ROR 1.7 · calibrated p 0.739
1.6 EB05 1.6 · IC025 +0.6Labeled adverse reaction
exact term
age-adj. PRR 1.8 · serious PRR 2.0no trial arm names this drug
Nasopharyngitis (common cold)2,1514.1
4.0–4.3ROR 4.2 · calibrated p 0.335
4.1 EB05 3.9 · IC025 +2.0
3/3 methods agree
Not in label — unassessedage-adj. PRR 4.6 · serious PRR 6.9no 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: Salmeterol Xinafoate ↔ Asthma.

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 and Salmeterol?

In FDA FAERS, the most frequently co-reported reaction terms for Fluticasone and Salmeterol are dyspnoea, asthma, pneumonia, cough, wheezing, fatigue. 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 and Salmeterol have an FDA boxed warning?

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

Do FAERS signals prove that Fluticasone and Salmeterol 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.