Isopropyl Alcohol Spray side effects: what 3,540 FDA adverse event reports show
Drug class
Not stated in label
Brand names
Isopropyl Alcohol
Who reports
3,540 reports · 99% serious · 2,327 with death outcome · 98% female
Used for
(s) • First aid to help prevent infection in minor cuts, scrapes, and burns.
Boxed warning
None in the current label
Causality screen of the 40 strongest signals
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, 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). 159 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 |
|---|---|---|---|---|---|---|
| Helicobacter infection | 1,501 | 1,024.7 980.7–1,070.6ROR 1,778.3 · calibrated p 2e-20 ✓ | 862.3 EB05 826.3 · IC025 +9.3 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 534.6 · 96% clinician | no trial arm names this drug |
| Folliculitis | 1,473 | 987.0 944.2–1,031.7ROR 1,689.7 · calibrated p 4e-20 ✓ | 835.3 EB05 800.1 · IC025 +9.3 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 575.9 · 96% clinician | no trial arm names this drug |
| Pemphigus | 1,529 | 832.0 797.5–867.9ROR 1,463.8 · calibrated p 3e-19 ✓ | 721.8 EB05 691.9 · IC025 +9.1 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 423.8 · 97% clinician | no trial arm names this drug |
| Hand deformity | 1,508 | 772.8 740.7–806.2ROR 1,345.5 · calibrated p 7e-19 ✓ | 676.7 EB05 648.5 · IC025 +9.0 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 430.7 · 96% clinician | no trial arm names this drug |
| Pericarditis | 1,485 | 580.1 556.2–604.9ROR 998.5 · calibrated p 3e-17 ✓ | 524.2 EB05 502.2 · IC025 +8.7 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 308.7 · 96% clinician | no trial arm names this drug |
| Hypercholesterolaemia | 772 | 520.3 487.2–555.7ROR 665.2 · calibrated p 3e-15 ✓ | 472.3 EB05 445.0 · IC025 +8.4 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 294.7 · 94% clinician | no trial arm names this drug |
| Synovitis | 1,407 | 501.3 480.0–523.5ROR 831.2 · calibrated p 2e-16 ✓ | 458.8 EB05 439.1 · IC025 +8.5 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 280.6 · 97% clinician | no trial arm names this drug |
| Joint range of motion decreased | 1,027 | 493.4 467.2–521.0ROR 694.6 · calibrated p 2e-15 ✓ | 451.2 EB05 428.5 · IC025 +8.4 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 336.6 · 94% clinician | no trial arm names this drug |
| Irritable bowel syndrome | 1,489 | 444.0 426.2–462.7ROR 765.7 · calibrated p 6e-16 ✓ | 410.6 EB05 393.4 · IC025 +8.4 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 304.0 · 96% clinician | no trial arm names this drug |
| Glossodynia (burning tongue/mouth pain) | 1,527 | 434.6 417.4–452.4ROR 763.4 · calibrated p 6e-16 ✓ | 402.5 EB05 385.8 · IC025 +8.4 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 339.8 · 96% clinician | no trial arm names this drug |
| Wound infection | 727 | 424.9 397.1–454.6ROR 534.4 · calibrated p 3e-14 ✓ | 392.1 EB05 368.7 · IC025 +8.2 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 246.5 · 93% clinician | no trial arm names this drug |
| Autoimmune disorder | 521 | 341.1 314.3–370.3ROR 399.8 · calibrated p 6e-13 ✓ | 318.6 EB05 296.3 · IC025 +7.8 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 200.0 · 97% clinician | no trial arm names this drug |
| Bursitis | 655 | 340.2 316.7–365.4ROR 417.2 · calibrated p 4e-13 ✓ | 318.5 EB05 298.6 · IC025 +7.9 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 219.6 · 94% clinician | no trial arm names this drug |
| Wound | 1,461 | 328.7 315.4–342.5ROR 559.0 · calibrated p 2e-14 ✓ | 310.0 EB05 296.9 · IC025 +8.0 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 215.1 · 96% clinician | no trial arm names this drug |
| Fibromyalgia | 1,137 | 291.0 277.0–305.8ROR 428.3 · calibrated p 3e-13 ✓ | 276.0 EB05 262.8 · IC025 +7.9 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 211.6 · 95% clinician | no trial arm names this drug |
| Impaired healing | 1,488 | 281.3 270.2–292.8ROR 484.5 · calibrated p 8e-14 ✓ | 267.5 EB05 256.3 · IC025 +7.9 3/3 methods agree | Reporting / coding artifact | serious PRR 188.3 · 96% clinician | no trial arm names this drug |
| Systemic lupus erythematosus | 1,490 | 260.6 250.3–271.2ROR 449.2 · calibrated p 2e-13 ✓ | 248.7 EB05 238.3 · IC025 +7.8 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 148.5 · 96% clinician | no trial arm names this drug |
| Liver injury | 1,017 | 260.1 246.6–274.4ROR 364.6 · calibrated p 1e-12 ✓ | 247.9 EB05 235.4 · IC025 +7.7 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 149.9 · 95% clinician | no trial arm names this drug |
| Type 2 diabetes mellitus | 1,289 | 235.1 224.8–245.9ROR 369.2 · calibrated p 1e-12 ✓ | 225.3 EB05 215.2 · IC025 +7.6 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 138.2 · 96% clinician | no trial arm names this drug |
| Sciatica | 554 | 214.4 198.3–231.9ROR 254.0 · calibrated p 5e-11 ✓ | 205.4 EB05 191.5 · IC025 +7.3 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 161.3 · 97% clinician | no trial arm names this drug |
| Pulmonary fibrosis | 666 | 213.9 199.5–229.4ROR 263.3 · calibrated p 3e-11 ✓ | 205.2 EB05 192.4 · IC025 +7.4 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 121.0 · 97% clinician | no trial arm names this drug |
| Obesity | 554 | 213.1 197.1–230.4ROR 252.5 · calibrated p 5e-11 ✓ | 204.2 EB05 190.3 · IC025 +7.3 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 138.5 · 94% clinician | no trial arm names this drug |
| Laryngitis | 336 | 189.2 170.6–209.8ROR 208.9 · calibrated p 3e-10 ✓ | 181.4 EB05 165.7 · IC025 +7.0 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious n=336 · 98% clinician | no trial arm names this drug |
| Contraindicated product administered | 926 | 187.6 177.3–198.6ROR 253.8 · calibrated p 5e-11 ✓ | 181.2 EB05 171.6 · IC025 +7.3 3/3 methods agree | Reporting / coding artifact | serious PRR 131.4 · 94% clinician | no trial arm names this drug |
| Psoriatic arthropathy | 1,223 | 185.8 177.4–194.6ROR 283.4 · calibrated p 2e-11 ✓ | 179.6 EB05 171.3 · IC025 +7.3 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 131.6 · 96% clinician | no trial arm names this drug |
| Lower limb fracture | 550 | 175.7 162.5–190.0ROR 207.8 · calibrated p 3e-10 ✓ | 169.6 EB05 158.0 · IC025 +7.1 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 108.7 · 96% clinician | no trial arm names this drug |
| Foot deformity | 317 | 174.2 156.6–193.8ROR 191.2 · calibrated p 7e-10 ✓ | 167.5 EB05 152.6 · IC025 +6.9 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 114.1 · 97% clinician | no trial arm names this drug |
| Red blood cell sedimentation rate increased | 315 | 173.2 155.6–192.7ROR 190.0 · calibrated p 7e-10 ✓ | 166.5 EB05 151.7 · IC025 +6.9 3/3 methods agree | Lab value / disease marker | serious PRR 110.7 · 97% clinician | no trial arm names this drug |
| Lower respiratory tract infection | 1,253 | 168.5 161.0–176.3ROR 260.2 · calibrated p 4e-11 ✓ | 163.4 EB05 155.9 · IC025 +7.2 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 100.5 · 96% clinician | no trial arm names this drug |
| Hip arthroplasty | 405 | 162.3 147.9–178.2ROR 183.2 · calibrated p 9e-10 ✓ | 156.8 EB05 144.4 · IC025 +6.9 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 94.5 · 98% clinician | no trial arm names this drug |
| Joint dislocation | 280 | 161.8 144.4–181.4ROR 175.6 · calibrated p 1e-9 ✓ | 155.8 EB05 141.1 · IC025 +6.7 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 102.9 · 98% clinician | no trial arm names this drug |
| Prescribed overdose | 510 | 160.3 147.8–174.0ROR 187.2 · calibrated p 7e-10 ✓ | 155.2 EB05 144.2 · IC025 +6.9 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 154.5 · 95% clinician | no trial arm names this drug |
| Gait inability | 784 | 143.7 135.0–153.0ROR 184.3 · calibrated p 8e-10 ✓ | 139.8 EB05 131.8 · IC025 +6.9 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 101.3 · 94% clinician | no trial arm names this drug |
| Blister | 1,302 | 140.9 134.9–147.3ROR 222.4 · calibrated p 2e-10 ✓ | 137.4 EB05 131.2 · IC025 +6.9 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 132.2 · 96% clinician | no trial arm names this drug |
| Arthropathy | 1,278 | 138.9 132.8–145.2ROR 216.8 · calibrated p 2e-10 ✓ | 135.4 EB05 129.3 · IC025 +6.9 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 96.0 · 96% clinician | no trial arm names this drug |
| Infusion related reaction (reaction during infusion) | 1,494 | 137.1 131.8–142.6ROR 236.5 · calibrated p 9e-11 ✓ | 133.7 EB05 128.1 · IC025 +6.9 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 98.1 · 96% clinician | no trial arm names this drug |
| Blood cholesterol increased | 1,037 | 134.7 127.9–141.9ROR 190.1 · calibrated p 6e-10 ✓ | 131.4 EB05 124.8 · IC025 +6.9 3/3 methods agree | Lab value / disease marker | serious PRR 115.9 · 96% clinician | no trial arm names this drug |
| Hepatic enzyme increased | 1,457 | 129.8 124.7–135.1ROR 219.9 · calibrated p 2e-10 ✓ | 126.8 EB05 121.4 · IC025 +6.8 3/3 methods agree | Lab value / disease marker | serious PRR 106.6 · 96% clinician | no trial arm names this drug |
| Ill-defined disorder | 1,302 | 129.6 124.1–135.5ROR 204.5 · calibrated p 3e-10 ✓ | 126.6 EB05 121.0 · IC025 +6.8 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 111.0 · 96% clinician | no trial arm names this drug |
| Stomatitis (mouth sores) | 1,285 | 128.2 122.6–134.0ROR 200.7 · calibrated p 4e-10 ✓ | 125.2 EB05 119.6 · IC025 +6.8 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 109.3 · 96% clinician | 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 |
|---|---|---|---|---|---|---|
| Pemphigus | 1,529 | 832.0 797.5–867.9ROR 1,463.8 · calibrated p 3e-19 ✓ | 721.8 EB05 691.9 · IC025 +9.1 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 423.8 · 97% clinician | no trial arm names this drug |
| Glossodynia (burning tongue/mouth pain) | 1,527 | 434.6 417.4–452.4ROR 763.4 · calibrated p 6e-16 ✓ | 402.5 EB05 385.8 · IC025 +8.4 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 339.8 · 96% clinician | no trial arm names this drug |
| Hand deformity | 1,508 | 772.8 740.7–806.2ROR 1,345.5 · calibrated p 7e-19 ✓ | 676.7 EB05 648.5 · IC025 +9.0 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 430.7 · 96% clinician | no trial arm names this drug |
| Joint swelling | 1,506 | 75.0 72.1–77.9ROR 129.8 · calibrated p 2e-8 ✓ | 74.0 EB05 70.9 · IC025 +6.1 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 74.1 · 97% clinician | no trial arm names this drug |
| Helicobacter infection | 1,501 | 1,024.7 980.7–1,070.6ROR 1,778.3 · calibrated p 2e-20 ✓ | 862.3 EB05 826.3 · IC025 +9.3 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 534.6 · 96% clinician | no trial arm names this drug |
| Infusion related reaction (reaction during infusion) | 1,494 | 137.1 131.8–142.6ROR 236.5 · calibrated p 9e-11 ✓ | 133.7 EB05 128.1 · IC025 +6.9 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 98.1 · 96% clinician | no trial arm names this drug |
| Systemic lupus erythematosus | 1,490 | 260.6 250.3–271.2ROR 449.2 · calibrated p 2e-13 ✓ | 248.7 EB05 238.3 · IC025 +7.8 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 148.5 · 96% clinician | no trial arm names this drug |
| Irritable bowel syndrome | 1,489 | 444.0 426.2–462.7ROR 765.7 · calibrated p 6e-16 ✓ | 410.6 EB05 393.4 · IC025 +8.4 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 304.0 · 96% clinician | no trial arm names this drug |
| Impaired healing | 1,488 | 281.3 270.2–292.8ROR 484.5 · calibrated p 8e-14 ✓ | 267.5 EB05 256.3 · IC025 +7.9 3/3 methods agree | Reporting / coding artifact | serious PRR 188.3 · 96% clinician | no trial arm names this drug |
| Pericarditis | 1,485 | 580.1 556.2–604.9ROR 998.5 · calibrated p 3e-17 ✓ | 524.2 EB05 502.2 · IC025 +8.7 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 308.7 · 96% clinician | no trial arm names this drug |
| Folliculitis | 1,473 | 987.0 944.2–1,031.7ROR 1,689.7 · calibrated p 4e-20 ✓ | 835.3 EB05 800.1 · IC025 +9.3 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 575.9 · 96% clinician | no trial arm names this drug |
| Rash | 1,467 | 20.1 19.3–20.9ROR 33.6 · calibrated p 1e-4 ✓ | 20.0 EB05 19.2 · IC025 +4.2 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 26.0 · 96% clinician | no trial arm names this drug |
| Wound | 1,461 | 328.7 315.4–342.5ROR 559.0 · calibrated p 2e-14 ✓ | 310.0 EB05 296.9 · IC025 +8.0 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 215.1 · 96% clinician | no trial arm names this drug |
| Hypersensitivity (allergic reaction) | 1,460 | 47.0 45.2–48.9ROR 79.3 · calibrated p 6e-7 ✓ | 46.6 EB05 44.7 · IC025 +5.4 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 51.1 · 96% clinician | no trial arm names this drug |
| Pain | 1,459 | 14.1 13.5–14.6ROR 23.2 · calibrated p 1e-3 ✓ | 14.0 EB05 13.4 · IC025 +3.7 3/3 methods agree | No label text to screen label has no adverse-reaction text | serious PRR 12.9 · 95% clinician | no trial arm names this drug |
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 Isopropyl Alcohol Spray?
In FDA FAERS, the most frequently co-reported reaction terms for Isopropyl Alcohol Spray are pemphigus, glossodynia, hand deformity, joint swelling, helicobacter infection, infusion related reaction. 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 Isopropyl Alcohol Spray have an FDA boxed warning?
No. The FDA label retrieved for Isopropyl Alcohol Spray has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Isopropyl Alcohol Spray 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 116e0c9c-cbe0-bf67-e063-6394a90ae530, effective 20240215; matched on
openfda.generic_name.exact:"ISOPROPYL ALCOHOL SPRAY") - 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, 199 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
ISOPROPYL ALCOHOL SPRAY, results-bearing studies sorted by enrollment)
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.