Halobetasol Propionate and Tazarotene side effects: what 198 FDA adverse event reports show
Drug class
Corticosteroid
Label matched
Halobetasol Propionate (Halobetasol Propionate)
Who reports
198 reports · 33% serious · 1 with death outcome · 66% female
Used for
Halobetasol Propionate Topical Foam is indicated for the topical treatment of plaque psoriasis in patients 12 years of age and older. Halobetasol Propionate Topical Foam is a corticosteroid indicated for the topical treatment of plaque psoriasis in patients twelve (12) years of age and older. ( 1 )
What it is
Halobetasol Propionate Topical Foam is a hydroethanolic aerosol foam that contains a corticosteroid, halobetasol propionate.
Boxed warning
None in the current label
Causality screen of the 6 strongest signals
What the badges mean
- Labeled adverse reaction The exact term appears in the label's warnings or adverse-reactions sections: a known, expected effect. The FAERS signal confirms the label rather than discovering anything.
- 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.
- 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. 3 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 |
|---|---|---|---|---|---|---|
| Application site irritation | 8 | 68.1 34.5–134.3ROR 70.9 · χ² 464 / p 3e-103 | 59.0 EB05 32.0 · IC025 +2.6 3/3 methods agree | Labeled (related wording) related wording | – | no trial data cached |
| Application site pain | 10 | 48.1 26.3–88.0ROR 50.6 · χ² 416 / p 1e-92 | 44.3 EB05 25.7 · IC025 +2.8 3/3 methods agree | Labeled adverse reaction exact term | serious n=1 | no trial data cached |
| Psoriasis | 50 | 40.5 31.9–51.5ROR 53.9 · χ² 1,899 / p <1e-300 | 39.9 EB05 31.5 · IC025 +4.4 3/3 methods agree | Likely indication confounding term in indications; also in warnings | serious PRR 61.2 | no trial data cached |
| Application site erythema | 8 | 32.2 16.3–63.5ROR 33.5 · χ² 212 / p 3e-48 | 29.9 EB05 16.0 · IC025 +2.3 3/3 methods agree | Labeled (related wording) related wording | serious n=1 | no trial data cached |
| Skin burning sensation | 10 | 14.9 8.1–27.2ROR 15.6 · χ² 116 / p 2e-27 | 13.2 EB05 6.5 · IC025 +2.1 3/3 methods agree | Not in label — unassessed | serious PRR 59.6 | no trial data cached |
| Dermatitis atopic | 6 | 12.7 5.8–28.0ROR 13.1 · χ² 54 / p 1e-13 | 9.1 EB05 3.7 · IC025 +1.3 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
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 |
|---|---|---|---|---|---|---|
| Psoriasis | 50 | 40.5 31.9–51.5ROR 53.9 · χ² 1,899 / p <1e-300 | 39.9 EB05 31.5 · IC025 +4.4 3/3 methods agree | Likely indication confounding term in indications; also in warnings | serious PRR 61.2 | no trial data cached |
| Skin burning sensation | 10 | 14.9 8.1–27.2ROR 15.6 · χ² 116 / p 2e-27 | 13.2 EB05 6.5 · IC025 +2.1 3/3 methods agree | Not in label — unassessed | serious PRR 59.6 | no trial data cached |
| Application site pain | 10 | 48.1 26.3–88.0ROR 50.6 · χ² 416 / p 1e-92 | 44.3 EB05 25.7 · IC025 +2.8 3/3 methods agree | Labeled adverse reaction exact term | serious n=1 | no trial data cached |
| Application site erythema | 8 | 32.2 16.3–63.5ROR 33.5 · χ² 212 / p 3e-48 | 29.9 EB05 16.0 · IC025 +2.3 3/3 methods agree | Labeled (related wording) related wording | serious n=1 | no trial data cached |
| Application site irritation | 8 | 68.1 34.5–134.3ROR 70.9 · χ² 464 / p 3e-103 | 59.0 EB05 32.0 · IC025 +2.6 3/3 methods agree | Labeled (related wording) related wording | – | no trial data cached |
| Dermatitis atopic | 6 | 12.7 5.8–28.0ROR 13.1 · χ² 54 / p 1e-13 | 9.1 EB05 3.7 · IC025 +1.3 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Application site pruritus | 4 | 18.7 7.1–49.2ROR 19.0 · χ² 50 / p 6e-13 | 12.7 EB05 3.6 · IC025 +0.9 3/3 methods agree | Labeled (related wording) related wording | – | no trial data cached |
| Squamous cell carcinoma | 4 | 45.0 17.0–118.6ROR 45.9 · χ² 131 / p 1e-30 | 36.1 EB05 13.1 · IC025 +1.2 3/3 methods agree | Not in label — unassessed | serious PRR 80.0 | no trial data cached |
| Application site rash | 3 | 23.0 7.5–70.8ROR 23.4 · χ² 43 / p 3e-11 | 13.8 EB05 3.0 · IC025 +0.4 3/3 methods agree | Labeled (related wording) related wording | – | 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 Halobetasol Propionate and Tazarotene?
In FDA FAERS, the most frequently co-reported reaction terms for Halobetasol Propionate and Tazarotene are psoriasis, skin burning sensation, application site pain, application site erythema, application site irritation, dermatitis atopic. 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 Halobetasol Propionate and Tazarotene have an FDA boxed warning?
No. The FDA label retrieved for Halobetasol Propionate and Tazarotene has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Halobetasol Propionate and Tazarotene 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 24c41e6d-a314-4984-b45f-e5aa1fffa9b6, effective 20231130; matched on
openfda.generic_name.exact:"HALOBETASOL PROPIONATE") - 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, 9 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.