Methylprednisolone Sodium Succinate side effects: what 46,150 FDA adverse event reports show
Who reports
46,150 reports · 89% serious · 8,762 with death outcome · 60% female
Used for
Methylprednisolone Tablets are indicated in the following conditions: 1. Endocrine Disorders Primary or secondary adrenocortical insufficiency (hydrocortisone or cortisone is the first choice; synthetic analogs may be used in conjunction with mineralocorticoids where applicable; in infancy mineralocorticoid supplementation is of particular importance).
What it is
DESCRIPTION Methylprednisolone Tablets contain methylprednisolone which is a glucocorticoid. Glucocorticoids are adrenocortical steroids, both naturally occurring and synthetic, which are readily absorbed from the gastrointestinal tract.
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.
- 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, 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). 1,194 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 |
|---|---|---|---|---|---|---|
| Vaginal flatulence | 150 | 441.5 352.4–553.1ROR 442.9 · calibrated p 4e-13 ✓ | 216.6 EB05 189.0 · IC025 +6.7 3/3 methods agree vs other Corticosteroids: PRR 6.1 (5.2–7.2) | Not in label — unassessed | serious n=150 · ♀ 100% (drug 60%) | no trial arm names this drug |
| Hepatic enzyme | 66 | 410.1 293.7–572.6ROR 410.7 · calibrated p 2e-12 ✓ | 202.0 EB05 164.3 · IC025 +6.0 3/3 methods agree vs other Corticosteroids: PRR 28.6 (21.6–38.0) | Not in label — unassessed | serious n=66 · ♀ 100% (drug 60%) · 100% clinician | no trial arm names this drug |
| Anti-cyclic citrullinated peptide antibody | 262 | 295.2 252.7–345.0ROR 296.9 · calibrated p 1e-11 ✓ | 176.0 EB05 158.8 · IC025 +6.9 3/3 methods agree vs other Corticosteroids: PRR 4.6 (4.1–5.2) | Lab value / disease marker | serious n=262 · ♀ 100% (drug 60%) · 93% clinician | no trial arm names this drug |
| Subcutaneous drug absorption impaired | 205 | 275.4 231.5–327.7ROR 276.6 · calibrated p 3e-11 ✓ | 168.2 EB05 149.7 · IC025 +6.7 3/3 methods agree vs other Corticosteroids: PRR 8.4 (7.3–9.7) | Not in label — unassessed | serious n=205 · ♀ 100% (drug 60%) · 100% clinician | no trial arm names this drug |
| Blood pressure diastolic abnormal | 919 | 254.1 234.5–275.4ROR 259.2 · calibrated p 4e-11 ✓ | 161.9 EB05 153.3 · IC025 +7.1 3/3 methods agree vs other Corticosteroids: PRR 23.2 (21.5–24.9) | Lab value / disease marker | serious n=847 · 93% clinician | no trial arm names this drug |
| Blood pressure systolic abnormal | 826 | 226.4 208.3–246.1ROR 230.5 · calibrated p 1e-10 ✓ | 150.2 EB05 141.8 · IC025 +7.0 3/3 methods agree vs other Corticosteroids: PRR 23.0 (21.3–24.8) | Lab value / disease marker | serious n=765 · 92% clinician | no trial arm names this drug |
| Hypocholesterolaemia | 95 | 203.3 159.6–259.1ROR 203.8 · calibrated p 6e-10 ✓ | 136.3 EB05 114.8 · IC025 +6.0 3/3 methods agree vs other Corticosteroids: PRR 10.2 (8.2–12.6) | Not in label — unassessed | serious n=95 · ♀ 100% (drug 60%) · 100% clinician | no trial arm names this drug |
| Lupus vulgaris | 356 | 194.5 171.8–220.1ROR 196.0 · calibrated p 5e-10 ✓ | 134.9 EB05 123.5 · IC025 +6.7 3/3 methods agree vs other Corticosteroids: PRR 3.6 (3.2–4.0) | Not in label — unassessed | serious n=356 · ♀ 100% (drug 60%) · 94% clinician | no trial arm names this drug |
| Swollen joint count | 72 | 188.4 143.0–248.0ROR 188.7 · calibrated p 1e-9 ✓ | 128.4 EB05 105.4 · IC025 +5.7 3/3 methods agree vs other Corticosteroids: PRR 5.9 (4.6–7.4) | Not in label — unassessed | serious n=72 · ♀ 100% (drug 60%) · 100% clinician | no trial arm names this drug |
| Neurologic neglect syndrome | 158 | 178.9 148.8–215.2ROR 179.6 · calibrated p 1e-9 ✓ | 126.2 EB05 110.5 · IC025 +6.3 3/3 methods agree vs other Corticosteroids: PRR 36.5 (30.2–44.1) | Not in label — unassessed | serious n=158 · ♀ 100% (drug 60%) · 93% clinician | no trial arm names this drug |
| Human bocavirus infection | 47 | 149.1 107.2–207.4ROR 149.3 · calibrated p 1e-8 ✓ | 107.3 EB05 83.9 · IC025 +5.2 3/3 methods agree vs other Corticosteroids: PRR 3.2 (2.4–4.2) | Not in label — unassessed | serious n=47 · 100% clinician | no trial arm names this drug |
| Retinitis | 394 | 140.6 125.6–157.3ROR 141.8 · calibrated p 8e-9 ✓ | 106.7 EB05 98.1 · IC025 +6.4 3/3 methods agree vs other Corticosteroids: PRR 4.6 (4.2–5.1) | Likely indication confounding term in indications | serious n=394 · ♀ 100% (drug 60%) · 95% clinician | no trial arm names this drug |
| Rheumatic fever | 984 | 132.3 123.3–141.9ROR 135.1 · calibrated p 1e-8 ✓ | 102.1 EB05 96.9 · IC025 +6.5 3/3 methods agree vs other Corticosteroids: PRR 2.8 (2.7–3.0) | Likely indication confounding shares a disease stem with the indications wording | serious n=984 · ♀ 100% (drug 60%) · 94% clinician | no trial arm names this drug |
| Seronegative arthritis | 252 | 131.7 114.5–151.5ROR 132.4 · calibrated p 1e-8 ✓ | 101.2 EB05 91.1 · IC025 +6.2 3/3 methods agree vs other Corticosteroids: PRR 9.1 (8.0–10.4) | Likely indication confounding shares a disease stem with the indications wording | serious n=252 · ♀ 93% (drug 60%) · 96% clinician | no trial arm names this drug |
| Facet joint syndrome | 703 | 130.5 120.1–141.9ROR 132.6 · calibrated p 1e-8 ✓ | 101.0 EB05 94.9 · IC025 +6.4 3/3 methods agree vs other Corticosteroids: PRR 3.0 (2.8–3.3) | Not in label — unassessed | serious n=703 · ♀ 100% (drug 60%) · 93% clinician | no trial arm names this drug |
| Dislocation of vertebra | 496 | 130.5 118.1–144.2ROR 131.9 · calibrated p 1e-8 ✓ | 100.9 EB05 93.6 · IC025 +6.4 3/3 methods agree vs other Corticosteroids: PRR 3.8 (3.5–4.2) | Not in label — unassessed | serious n=496 · ♀ 100% (drug 60%) · 96% clinician | no trial arm names this drug |
| Adjustment disorder with depressed mood | 443 | 128.1 115.3–142.3ROR 129.3 · calibrated p 2e-8 ✓ | 99.4 EB05 91.9 · IC025 +6.3 3/3 methods agree vs other Corticosteroids: PRR 3.4 (3.1–3.7) | Not in label — unassessed | serious n=443 · ♀ 100% (drug 60%) · 97% clinician | no trial arm names this drug |
| Deep vein thrombosis postoperative | 408 | 119.5 107.1–133.2ROR 120.5 · calibrated p 3e-8 ✓ | 94.1 EB05 86.7 · IC025 +6.2 3/3 methods agree vs other Corticosteroids: PRR 2.4 (2.1–2.6) | Not in label — unassessed | serious n=408 · ♀ 100% (drug 60%) · 95% clinician | no trial arm names this drug |
| Swollen joint count increased | 612 | 111.0 101.6–121.2ROR 112.5 · calibrated p 5e-8 ✓ | 88.9 EB05 83.1 · IC025 +6.2 3/3 methods agree vs other Corticosteroids: PRR 2.5 (2.3–2.7) | Lab value / disease marker | serious n=612 · ♀ 100% (drug 60%) · 95% clinician | no trial arm names this drug |
| Carotid artery thrombosis | 157 | 102.4 86.1–121.7ROR 102.7 · calibrated p 1e-7 ✓ | 82.7 EB05 72.4 · IC025 +5.8 3/3 methods agree vs other Corticosteroids: PRR 35.9 (29.7–43.3) | Not in label — unassessed | serious n=157 · ♀ 100% (drug 60%) · 93% clinician | no trial arm names this drug |
| X-ray abnormal | 324 | 100.8 89.4–113.7ROR 101.5 · calibrated p 1e-7 ✓ | 82.1 EB05 74.8 · IC025 +6.0 3/3 methods agree vs other Corticosteroids: PRR 3.0 (2.7–3.4) | Lab value / disease marker | serious n=324 · ♀ 100% (drug 60%) · 97% clinician | no trial arm names this drug |
| C-reactive protein | 162 | 98.7 83.3–117.0ROR 99.1 · calibrated p 1e-7 ✓ | 80.3 EB05 70.5 · IC025 +5.8 3/3 methods agree vs other Corticosteroids: PRR 2.0 (1.8–2.4) | Lab value / disease marker | serious n=162 · ♀ 100% (drug 60%) · 94% clinician | no trial arm names this drug |
| Peripheral venous disease | 643 | 87.2 80.2–94.8ROR 88.4 · calibrated p 3e-7 ✓ | 73.0 EB05 68.4 · IC025 +6.0 3/3 methods agree vs other Corticosteroids: PRR 3.6 (3.3–3.9) | Not in label — unassessed | serious n=643 · ♀ 100% (drug 60%) · 95% clinician | no trial arm names this drug |
| Anti-cyclic citrullinated peptide antibody positive | 1,103 | 83.5 78.3–88.9ROR 85.5 · calibrated p 4e-7 ✓ | 70.4 EB05 67.0 · IC025 +6.0 3/3 methods agree vs other Corticosteroids: PRR 2.4 (2.3–2.5) | Lab value / disease marker | serious PRR 45.6 · ♀ 100% (drug 60%) · 94% clinician | no trial arm names this drug |
| Duodenal ulcer perforation | 1,122 | 82.0 77.0–87.3ROR 84.0 · calibrated p 4e-7 ✓ | 69.3 EB05 66.0 · IC025 +6.0 3/3 methods agree vs other Corticosteroids: PRR 2.4 (2.3–2.6) | Labeled (related wording) related wording | serious PRR 44.7 · ♀ 100% (drug 60%) · 94% clinician | no trial arm names this drug |
| Overlap syndrome | 104 | 80.6 65.5–99.3ROR 80.8 · calibrated p 7e-7 ✓ | 67.7 EB05 57.4 · IC025 +5.4 3/3 methods agree vs other Corticosteroids: PRR 7.6 (6.2–9.3) | Not in label — unassessed | serious n=104 · ♀ 100% (drug 60%) · 91% clinician | no trial arm names this drug |
| Rheumatoid factor positive | 802 | 73.3 68.1–79.0ROR 74.6 · calibrated p 1e-6 ✓ | 63.0 EB05 59.5 · IC025 +5.8 3/3 methods agree vs other Corticosteroids: PRR 2.3 (2.2–2.5) | Lab value / disease marker | serious n=802 · ♀ 100% (drug 60%) · 95% clinician | no trial arm names this drug |
| Temperature regulation disorder | 258 | 60.8 53.4–69.2ROR 61.1 · calibrated p 4e-6 ✓ | 53.4 EB05 48.2 · IC025 +5.4 3/3 methods agree vs other Corticosteroids: PRR 15.2 (13.3–17.4) | Not in label — unassessed | serious n=258 · ♀ 100% (drug 60%) · 93% clinician | no trial arm names this drug |
| Helicobacter infection | 1,202 | 60.7 57.2–64.4ROR 62.3 · calibrated p 3e-6 ✓ | 53.5 EB05 51.0 · IC025 +5.6 3/3 methods agree vs other Corticosteroids: PRR 2.6 (2.5–2.7) | Not in label — unassessed | serious PRR 36.5 · ♀ 100% (drug 60%) · 95% clinician | no trial arm names this drug |
| Adjustment disorder | 153 | 60.3 51.0–71.4ROR 60.5 · calibrated p 5e-6 ✓ | 52.9 EB05 46.3 · IC025 +5.2 3/3 methods agree vs other Corticosteroids: PRR 35.9 (29.6–43.5) | Not in label — unassessed | serious n=153 · ♀ 100% (drug 60%) · 92% clinician | no trial arm names this drug |
| Pemphigus | 1,430 | 59.0 55.9–62.3ROR 60.9 · calibrated p 4e-6 ✓ | 52.2 EB05 50.0 · IC025 +5.6 3/3 methods agree vs other Corticosteroids: PRR 2.4 (2.3–2.5) | Likely indication confounding term in indications | serious PRR 33.8 · ♀ 98% (drug 60%) · 95% clinician | no trial arm names this drug |
| Muscle injury | 941 | 58.8 55.0–62.9ROR 60.0 · calibrated p 4e-6 ✓ | 52.0 EB05 49.3 · IC025 +5.6 3/3 methods agree vs other Corticosteroids: PRR 2.8 (2.7–3.0) | Not in label — unassessed | serious PRR 36.4 · ♀ 100% (drug 60%) · 95% clinician | no trial arm names this drug |
| Hypercholesterolaemia | 1,096 | 58.7 55.2–62.5ROR 60.1 · calibrated p 4e-6 ✓ | 52.0 EB05 49.5 · IC025 +5.6 3/3 methods agree vs other Corticosteroids: PRR 5.0 (4.7–5.3) | Likely indication confounding shares a disease stem with the indications wording | serious PRR 35.7 · ♀ 100% (drug 60%) · 94% clinician | no trial arm names this drug |
| Crystal urine present | 63 | 57.5 44.3–74.8ROR 57.6 · calibrated p 8e-6 ✓ | 50.3 EB05 40.8 · IC025 +4.8 3/3 methods agree vs other Corticosteroids: PRR 33.8 (25.1–45.4) | Lab value / disease marker | serious n=62 · ♀ 100% (drug 60%) · 100% clinician | no trial arm names this drug |
| Urinary sediment present | 72 | 57.4 44.9–73.4ROR 57.5 · calibrated p 7e-6 ✓ | 50.4 EB05 41.3 · IC025 +4.9 3/3 methods agree vs other Corticosteroids: PRR 32.7 (24.8–43.1) | Lab value / disease marker | serious n=72 · ♀ 100% (drug 60%) · 100% clinician | no trial arm names this drug |
| Urine leukocyte esterase positive | 77 | 55.4 43.7–70.2ROR 55.5 · calibrated p 9e-6 ✓ | 48.8 EB05 40.3 · IC025 +4.9 3/3 methods agree vs other Corticosteroids: PRR 26.1 (20.1–33.7) | Lab value / disease marker | serious n=76 · ♀ 100% (drug 60%) · 100% clinician | no trial arm names this drug |
| Onychomadesis | 434 | 52.9 48.0–58.5ROR 53.4 · calibrated p 9e-6 ✓ | 47.4 EB05 43.7 · IC025 +5.3 3/3 methods agree vs other Corticosteroids: PRR 4.5 (4.1–5.0) | Not in label — unassessed | serious n=434 · ♀ 100% (drug 60%) · 92% clinician | no trial arm names this drug |
| Folliculitis | 1,060 | 51.9 48.7–55.3ROR 53.1 · calibrated p 9e-6 ✓ | 46.6 EB05 44.3 · IC025 +5.4 3/3 methods agree vs other Corticosteroids: PRR 2.7 (2.5–2.8) | Not in label — unassessed | serious PRR 35.3 · ♀ 96% (drug 60%) · 94% clinician | no trial arm names this drug |
| Death neonatal | 141 | 51.7 43.5–61.6ROR 51.9 · calibrated p 1e-5 ✓ | 46.2 EB05 40.2 · IC025 +5.0 3/3 methods agree vs other Corticosteroids: PRR 8.5 (7.1–10.1) | Not in label — unassessed | serious n=141 · ♀ 100% (drug 60%) | no trial arm names this drug |
| Bone erosion | 359 | 51.2 45.9–57.1ROR 51.6 · calibrated p 1e-5 ✓ | 45.9 EB05 42.1 · IC025 +5.3 3/3 methods agree vs other Corticosteroids: PRR 4.2 (3.7–4.6) | Not in label — unassessed | serious n=358 · ♀ 100% (drug 60%) · 97% clinician | no 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.
| Concept | Reports | PRR 95% CI | Reading |
|---|---|---|---|
| Interstitial lung disease | 1,421 | 6.86.5–7.2 | signal |
| Liver injury | 3,706 | 5.65.5–5.8 | signal |
| Opportunistic infection | 1,328 | 4.54.2–4.7 | signal |
| Anaphylaxis / angioedema | 1,068 | 3.93.7–4.1 | signal |
| Hyperglycaemia / diabetes | 2,873 | 3.83.7–3.9 | signal |
| Thrombocytopenia | 1,727 | 3.63.4–3.8 | signal |
| Serious infection | 6,011 | 3.63.5–3.6 | signal |
| Rhabdomyolysis / myopathy | 598 | 3.43.1–3.6 | signal |
| Osteonecrosis | 360 | 2.82.6–3.2 | signal |
| Anaemia | 1,838 | 2.82.7–2.9 | signal |
| Neutropenia / agranulocytosis | 1,488 | 2.72.6–2.9 | signal |
| Gi bleeding | 1,074 | 2.72.5–2.8 | signal |
| Depression | 1,542 | 2.52.4–2.6 | signal |
| Pancreatitis | 430 | 2.42.2–2.7 | signal |
| Severe cutaneous reaction | 373 | 2.32.1–2.5 | signal |
| Kidney injury | 2,217 | 2.22.1–2.3 | signal |
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 |
|---|---|---|---|---|---|---|
| Off label use (used outside approved label) | 8,011 | 4.2 4.1–4.3ROR 4.9 · calibrated p 0.245 | 4.2 EB05 4.1 · IC025 +2.0 3/3 methods agree vs other Corticosteroids: PRR 2.3 (2.3–2.4) | Reporting / coding artifact | age-adj. PRR 3.4 · serious PRR 4.8 | no trial arm names this drug |
| Drug ineffective (drug did not work) | 4,395 | 1.5 1.5–1.6ROR 1.6 · calibrated p 0.689 | 1.5 EB05 1.5 · IC025 +0.6 vs other Corticosteroids: PRR 1.4 (1.4–1.4) | Reporting / coding artifact | age-adj. PRR 1.8 · serious PRR 2.6 | no trial arm names this drug |
| Fatigue (tiredness) | 4,280 | 2.5 2.4–2.6ROR 2.7 · calibrated p 0.745 | 2.5 EB05 2.4 · IC025 +1.3 3/3 methods agree vs other Corticosteroids: PRR 2.0 (2.0–2.1) | Not in label — unassessed | age-adj. PRR 2.2 · serious PRR 2.9 · ♀ 82% (drug 60%) | no trial arm names this drug |
| Headache | 4,074 | 3.0 2.9–3.1ROR 3.2 · calibrated p 0.577 | 3.0 EB05 2.9 · IC025 +1.5 3/3 methods agree vs other Corticosteroids: PRR 2.8 (2.7–2.9) | Labeled adverse reaction exact term | age-adj. PRR 2.4 · serious PRR 3.7 · ♀ 88% (drug 60%) | no trial arm names this drug |
| Pain | 4,049 | 3.0 2.9–3.1ROR 3.2 · calibrated p 0.566 | 3.0 EB05 2.9 · IC025 +1.5 3/3 methods agree vs other Corticosteroids: PRR 2.4 (2.4–2.5) | Not in label — unassessed | age-adj. PRR 2.8 · serious PRR 2.9 · ♀ 85% (drug 60%) | no trial arm names this drug |
| Infusion related reaction (reaction during infusion) | 3,922 | 28.6 27.8–29.5ROR 31.2 · calibrated p 2e-4 ✓ | 27.0 EB05 26.3 · IC025 +4.7 3/3 methods agree vs other Corticosteroids: PRR 4.1 (4.0–4.3) | Not in label — unassessed | age-adj. PRR 21.1 · serious PRR 20.3 · ♀ 83% (drug 60%) | no trial arm names this drug |
| Nausea | 3,821 | 2.2 2.1–2.3ROR 2.3 · calibrated p 0.896 | 2.2 EB05 2.1 · IC025 +1.1 3/3 methods agree vs other Corticosteroids: PRR 2.3 (2.2–2.3) | Not in label — unassessed | age-adj. PRR 1.9 · serious PRR 2.5 · ♀ 84% (drug 60%) | no trial arm names this drug |
| Pyrexia (fever) | 3,773 | 5.0 4.8–5.2ROR 5.4 · calibrated p 0.200 | 4.9 EB05 4.8 · IC025 +2.3 3/3 methods agree vs other Corticosteroids: PRR 2.5 (2.4–2.6) | Not in label — unassessed | age-adj. PRR 3.8 · serious PRR 3.9 | no trial arm names this drug |
| Dyspnoea (shortness of breath) | 3,642 | 2.9 2.8–3.0ROR 3.1 · calibrated p 0.593 | 2.9 EB05 2.8 · IC025 +1.5 3/3 methods agree vs other Corticosteroids: PRR 2.1 (2.0–2.2) | Not in label — unassessed | age-adj. PRR 2.5 · serious PRR 2.5 | no trial arm names this drug |
| Rash | 3,181 | 3.4 3.2–3.5ROR 3.5 · calibrated p 0.479 | 3.3 EB05 3.2 · IC025 +1.7 3/3 methods agree vs other Corticosteroids: PRR 2.1 (2.0–2.2) | Not in label — unassessed | age-adj. PRR 2.9 · serious PRR 4.5 · ♀ 81% (drug 60%) | no trial arm names this drug |
| Arthralgia (joint pain) | 3,025 | 3.3 3.2–3.5ROR 3.5 · calibrated p 0.485 | 3.3 EB05 3.2 · IC025 +1.7 3/3 methods agree vs other Corticosteroids: PRR 2.0 (2.0–2.1) | Not in label — unassessed | age-adj. PRR 2.6 · serious PRR 3.8 · ♀ 83% (drug 60%) | no trial arm names this drug |
| Diarrhoea (diarrhea) | 2,988 | 2.1 2.0–2.2ROR 2.2 · calibrated p 0.955 | 2.1 EB05 2.0 · IC025 +1.0 3/3 methods agree vs other Corticosteroids: PRR 1.8 (1.7–1.8) | Labeled adverse reaction exact term | age-adj. PRR 1.8 · serious PRR 2.3 | no trial arm names this drug |
| Hypertension (high blood pressure) | 2,912 | 6.3 6.1–6.5ROR 6.7 · calibrated p 0.113 | 6.2 EB05 6.0 · IC025 +2.6 3/3 methods agree vs other Corticosteroids: PRR 3.1 (3.0–3.2) | Labeled adverse reaction exact term | age-adj. PRR 5.0 · serious PRR 4.9 · ♀ 83% (drug 60%) | no trial arm names this drug |
| Pneumonia (lung infection) | 2,895 | 4.1 4.0–4.2ROR 4.3 · calibrated p 0.326 | 4.1 EB05 3.9 · IC025 +2.0 3/3 methods agree vs other Corticosteroids: PRR 2.1 (2.0–2.2) | Labeled (related wording) related wording | age-adj. PRR 3.3 · serious PRR 2.7 | no trial arm names this drug |
| Vomiting | 2,831 | 2.8 2.7–2.9ROR 2.9 · calibrated p 0.670 | 2.7 EB05 2.7 · IC025 +1.4 3/3 methods agree vs other Corticosteroids: PRR 2.2 (2.1–2.3) | Not in label — unassessed | age-adj. PRR 2.2 · serious PRR 2.5 · ♀ 83% (drug 60%) | 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.
- Vaginal flatulence — n=150, PRR 441.5
- Hepatic enzyme — n=66, PRR 410.1
- Subcutaneous drug absorption impaired — n=205, PRR 275.4
- Hypocholesterolaemia — n=95, PRR 203.3
- Lupus vulgaris — n=356, PRR 194.5
- Swollen joint count — n=72, PRR 188.4
- Neurologic neglect syndrome — n=158, PRR 178.9
- Human bocavirus infection — n=47, PRR 149.1
- Facet joint syndrome — n=703, PRR 130.5
- Dislocation of vertebra — n=496, PRR 130.5
✓ A hand-written Bradford Hill causality assessment exists for this drug: Methotrexate Sodium ↔ Rheumatoid Arthritis.
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 Methylprednisolone Sodium Succinate?
In FDA FAERS, the most frequently co-reported reaction terms for Methylprednisolone Sodium Succinate are fatigue, headache, pain, infusion related reaction, nausea, pyrexia. 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 Methylprednisolone Sodium Succinate have an FDA boxed warning?
No. The FDA label retrieved for Methylprednisolone Sodium Succinate has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Methylprednisolone Sodium Succinate 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 235ca8cf-1576-0dfd-e063-6394a90a8b25, effective 20260604; matched on
openfda.generic_name.exact:"METHYLPREDNISOLONE" AND openfda.product_type:"HUMAN PRESCRIPTION DRUG") - 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, 1,234 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
METHYLPREDNISOLONE, 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.