Latanoprost Ophthalmic 0.005% side effects: what 618 FDA adverse event reports show
Drug class
Prostaglandin Analog
Label matched
Latanoprost Ophthalmic Solution 0.005% (Iyuzeh)
Who reports
618 reports · 12% serious · 2 with death outcome · 67% female
Used for
IYUZEH ™ (latanoprost ophthalmic solution) 0.005% is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. IYUZEH is a prostaglandin F2α analogue indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. ( 1 )
What it is
Latanoprost is a prostaglandin F 2α analogue.
Boxed warning
None in the current label
Causality screen of the 15 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.
- 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.
- 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. 10 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 |
|---|---|---|---|---|---|---|
| Intraocular pressure increased (raised eye pressure) | 55 | 146.0 113.3–187.9ROR 160.1 · χ² 7,745 / p <1e-300 | 138.4 EB05 110.4 · IC025 +5.5 3/3 methods agree | Likely indication confounding term in indications | serious PRR 307.2 · 85% consumer | no trial data cached |
| Eye irritation | 151 | 92.1 80.2–105.9ROR 121.6 · χ² 13,522 / p <1e-300 | 90.9 EB05 79.3 · IC025 +5.9 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 126.3 · 75% consumer | no trial data cached |
| Eye pain | 84 | 51.7 42.4–63.1ROR 59.7 · χ² 4,129 / p <1e-300 | 51.0 EB05 42.5 · IC025 +5.0 3/3 methods agree | Labeled (related wording) related wording | serious PRR 26.2 · 87% consumer | no trial data cached |
| Ocular hyperaemia | 56 | 40.7 31.7–52.3ROR 44.7 · χ² 2,132 / p <1e-300 | 40.2 EB05 32.1 · IC025 +4.5 3/3 methods agree | Not in label — unassessed | serious PRR 19.7 · 84% consumer | no trial data cached |
| Ocular discomfort | 13 | 40.7 23.7–69.6ROR 41.5 · χ² 464 / p 4e-103 | 38.5 EB05 23.9 · IC025 +3.1 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Photophobia (light sensitivity) | 22 | 40.0 26.5–60.3ROR 41.5 · χ² 798 / p 6e-176 | 38.7 EB05 27.0 · IC025 +3.7 3/3 methods agree | Labeled adverse reaction exact term | 86% consumer | no trial data cached |
| Eye discharge | 11 | 36.6 20.4–65.7ROR 37.2 · χ² 346 / p 2e-77 | 34.5 EB05 20.5 · IC025 +2.8 3/3 methods agree | Not in label — unassessed | serious n=3 | no trial data cached |
| Eye pruritus | 32 | 33.0 23.5–46.2ROR 34.7 · χ² 961 / p 3e-211 | 32.4 EB05 24.0 · IC025 +3.9 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 53.0 · 97% consumer | no trial data cached |
| Lacrimation increased | 27 | 30.7 21.2–44.4ROR 32.0 · χ² 746 / p 1e-164 | 30.1 EB05 21.7 · IC025 +3.7 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 54.6 · 88% consumer | no trial data cached |
| Eyelid oedema | 10 | 29.0 15.7–53.7ROR 29.5 · χ² 243 / p 4e-55 | 27.5 EB05 15.8 · IC025 +2.6 3/3 methods agree | Labeled (related wording) related wording | – | no trial data cached |
| Dry eye | 32 | 22.4 16.0–31.4ROR 23.6 · χ² 635 / p 2e-140 | 22.1 EB05 16.4 · IC025 +3.5 3/3 methods agree | Not in label — unassessed | serious PRR 53.0 · 97% consumer | no trial data cached |
| Eye swelling | 18 | 16.5 10.5–26.1ROR 17.0 · χ² 248 / p 4e-56 | 16.0 EB05 10.3 · IC025 +2.7 3/3 methods agree | Not in label — unassessed | serious PRR 9.0 | no trial data cached |
| Vision blurred (blurred vision) | 58 | 14.4 11.3–18.4ROR 15.8 · χ² 715 / p 9e-158 | 14.3 EB05 11.4 · IC025 +3.3 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 11.0 · 88% consumer | no trial data cached |
| Product quality issue | 39 | 9.8 7.2–13.3ROR 10.4 · χ² 302 / p 6e-68 | 9.3 EB05 7.0 · IC025 +2.6 3/3 methods agree | Reporting / coding artifact | serious PRR 24.3 · 89% consumer | no trial data cached |
| Product storage error | 13 | 5.1 3.0–8.7ROR 5.2 · χ² 39 / p 2e-10 | 4.4 EB05 2.7 · IC025 +1.2 3/3 methods agree | Reporting / coding artifact | serious PRR 38.9 | 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 |
|---|---|---|---|---|---|---|
| Eye irritation | 151 | 92.1 80.2–105.9ROR 121.6 · χ² 13,522 / p <1e-300 | 90.9 EB05 79.3 · IC025 +5.9 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 126.3 · 75% consumer | no trial data cached |
| Eye pain | 84 | 51.7 42.4–63.1ROR 59.7 · χ² 4,129 / p <1e-300 | 51.0 EB05 42.5 · IC025 +5.0 3/3 methods agree | Labeled (related wording) related wording | serious PRR 26.2 · 87% consumer | no trial data cached |
| Vision blurred (blurred vision) | 58 | 14.4 11.3–18.4ROR 15.8 · χ² 715 / p 9e-158 | 14.3 EB05 11.4 · IC025 +3.3 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 11.0 · 88% consumer | no trial data cached |
| Ocular hyperaemia | 56 | 40.7 31.7–52.3ROR 44.7 · χ² 2,132 / p <1e-300 | 40.2 EB05 32.1 · IC025 +4.5 3/3 methods agree | Not in label — unassessed | serious PRR 19.7 · 84% consumer | no trial data cached |
| Intraocular pressure increased (raised eye pressure) | 55 | 146.0 113.3–187.9ROR 160.1 · χ² 7,745 / p <1e-300 | 138.4 EB05 110.4 · IC025 +5.5 3/3 methods agree | Likely indication confounding term in indications | serious PRR 307.2 · 85% consumer | no trial data cached |
| Product quality issue | 39 | 9.8 7.2–13.3ROR 10.4 · χ² 302 / p 6e-68 | 9.3 EB05 7.0 · IC025 +2.6 3/3 methods agree | Reporting / coding artifact | serious PRR 24.3 · 89% consumer | no trial data cached |
| Dry eye | 32 | 22.4 16.0–31.4ROR 23.6 · χ² 635 / p 2e-140 | 22.1 EB05 16.4 · IC025 +3.5 3/3 methods agree | Not in label — unassessed | serious PRR 53.0 · 97% consumer | no trial data cached |
| Eye pruritus | 32 | 33.0 23.5–46.2ROR 34.7 · χ² 961 / p 3e-211 | 32.4 EB05 24.0 · IC025 +3.9 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 53.0 · 97% consumer | no trial data cached |
| Lacrimation increased | 27 | 30.7 21.2–44.4ROR 32.0 · χ² 746 / p 1e-164 | 30.1 EB05 21.7 · IC025 +3.7 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 54.6 · 88% consumer | no trial data cached |
| Photophobia (light sensitivity) | 22 | 40.0 26.5–60.3ROR 41.5 · χ² 798 / p 6e-176 | 38.7 EB05 27.0 · IC025 +3.7 3/3 methods agree | Labeled adverse reaction exact term | 86% consumer | no trial data cached |
| Eye swelling | 18 | 16.5 10.5–26.1ROR 17.0 · χ² 248 / p 4e-56 | 16.0 EB05 10.3 · IC025 +2.7 3/3 methods agree | Not in label — unassessed | serious PRR 9.0 | no trial data cached |
| Product storage error | 13 | 5.1 3.0–8.7ROR 5.2 · χ² 39 / p 2e-10 | 4.4 EB05 2.7 · IC025 +1.2 3/3 methods agree | Reporting / coding artifact | serious PRR 38.9 | no trial data cached |
| Ocular discomfort | 13 | 40.7 23.7–69.6ROR 41.5 · χ² 464 / p 4e-103 | 38.5 EB05 23.9 · IC025 +3.1 3/3 methods agree | Not in label — unassessed | – | no trial data cached |
| Eye discharge | 11 | 36.6 20.4–65.7ROR 37.2 · χ² 346 / p 2e-77 | 34.5 EB05 20.5 · IC025 +2.8 3/3 methods agree | Not in label — unassessed | serious n=3 | no trial data cached |
| Eyelid oedema | 10 | 29.0 15.7–53.7ROR 29.5 · χ² 243 / p 4e-55 | 27.5 EB05 15.8 · IC025 +2.6 3/3 methods agree | Labeled (related wording) related wording | – | no trial data cached |
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.
- Ocular hyperaemia — n=56, PRR 40.7
- Dry eye — n=32, PRR 22.4
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 Latanoprost Ophthalmic 0.005%?
In FDA FAERS, the most frequently co-reported reaction terms for Latanoprost Ophthalmic 0.005% are eye irritation, eye pain, vision blurred, ocular hyperaemia, intraocular pressure increased, dry eye. 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 Latanoprost Ophthalmic 0.005% have an FDA boxed warning?
No. The FDA label retrieved for Latanoprost Ophthalmic 0.005% has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Latanoprost Ophthalmic 0.005% 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 192fc081-cc38-4e83-b779-9592e060b915, effective 20240730; matched on
openfda.generic_name.exact:"LATANOPROST OPHTHALMIC SOLUTION 0.005%") - 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, 25 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.