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Olopatadine side effects: what 2,932 FDA adverse event reports show

Olopatadine · 95 reaction terms · 2,210 drug–reaction co-reports · data 2026-09-14
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Drug class

Not stated in label

Who reports

2,932 reports · 48% serious · 112 with death outcome · 67% female

openFDA FAERS counts, all years, deduplication not applied

Used for

temporarily relieves itchy and red eyes due to pollen, ragweed, grass, animal hair and dander

FDA label, Indications and Usage

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

Reporting / coding artifact 2Lab value / disease marker 1No label text to screen 37
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 flags pairs whose reports are unusually skewed by sex or come mostly from consumers rather than clinicians. 55 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
Treatment failure69260.8
56.9–64.9ROR 79.3 · χ² 40,455 / p <1e-300
60.2 EB05 56.5 · IC025 +5.7
3/3 methods agree
Reporting / coding artifact79% consumerno trial data cached
Seasonal allergy2814.2
9.8–20.6ROR 14.3 · χ² 330 / p 4e-74
13.8 EB05 9.7 · IC025 +2.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=23 · ♀ 92% (drug 67%)no trial data cached
Impaired quality of life2311.4
7.6–17.2ROR 11.5 · χ² 209 / p 1e-47
10.6 EB05 7.1 · IC025 +2.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 4.4 · ♀ 87% (drug 67%) · 95% clinicianno trial data cached
Obstructive airways disorder159.6
5.8–15.9ROR 9.7 · χ² 107 / p 2e-25
8.2 EB05 5.0 · IC025 +2.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 12.0no trial data cached
Eye pruritus449.6
7.1–12.8ROR 9.7 · χ² 329 / p 1e-73
9.1 EB05 6.9 · IC025 +2.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 15.5no trial data cached
Renal tubular necrosis139.5
5.5–16.3ROR 9.5 · χ² 90 / p 1e-21
7.9 EB05 4.6 · IC025 +1.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 11.4no trial data cached
Eye discharge128.4
4.8–14.8ROR 8.4 · χ² 71 / p 2e-17
6.8 EB05 4.0 · IC025 +1.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=5no trial data cached
Eye inflammation118.3
4.6–15.1ROR 8.4 · χ² 64 / p 6e-16
6.6 EB05 3.8 · IC025 +1.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=7no trial data cached
Conjunctivitis197.4
4.7–11.6ROR 7.4 · χ² 99 / p 1e-23
6.4 EB05 4.3 · IC025 +1.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 6.1no trial data cached
Adrenal insufficiency127.2
4.1–12.6ROR 7.2 · χ² 58 / p 2e-14
5.8 EB05 3.5 · IC025 +1.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 8.7no trial data cached
End stage renal disease187.0
4.4–11.1ROR 7.0 · χ² 87 / p 7e-21
6.1 EB05 4.0 · IC025 +1.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 8.4no trial data cached
Cholecystectomy116.9
3.8–12.5ROR 7.0 · χ² 50 / p 8e-13
5.6 EB05 3.3 · IC025 +1.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 8.6no trial data cached
Dermatitis atopic486.9
5.2–9.1ROR 7.0 · χ² 236 / p 2e-53
6.5 EB05 5.1 · IC025 +2.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=7no trial data cached
Immune system disorder126.5
3.7–11.5ROR 6.5 · χ² 51 / p 5e-13
5.4 EB05 3.2 · IC025 +1.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 11.2no trial data cached
Blood count abnormal146.5
3.9–11.0ROR 6.5 · χ² 60 / p 5e-15
5.5 EB05 3.4 · IC025 +1.5
3/3 methods agree
Lab value / disease markerserious PRR 10.1no trial data cached
Ocular hyperaemia416.3
4.6–8.5ROR 6.4 · χ² 177 / p 1e-40
5.9 EB05 4.5 · IC025 +2.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 8.6 · 75% consumerno trial data cached
Asthma976.2
5.1–7.5ROR 6.4 · χ² 419 / p 2e-93
6.0 EB05 5.1 · IC025 +2.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 6.3no trial data cached
Dry eye416.1
4.5–8.2ROR 6.1 · χ² 168 / p 9e-39
5.7 EB05 4.4 · IC025 +2.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 7.7no trial data cached
Lacrimation increased245.7
3.9–8.6ROR 5.8 · χ² 90 / p 2e-21
5.2 EB05 3.7 · IC025 +1.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 8.2 · 73% consumerno trial data cached
Drug eruption135.3
3.1–9.1ROR 5.3 · χ² 41 / p 8e-11
4.5 EB05 2.8 · IC025 +1.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 7.3no trial data cached
Eye irritation395.0
3.7–6.8ROR 5.1 · χ² 121 / p 2e-28
4.7 EB05 3.6 · IC025 +1.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 7.7no trial data cached
Productive cough (cough with phlegm)314.7
3.3–6.7ROR 4.7 · χ² 86 / p 7e-21
4.4 EB05 3.3 · IC025 +1.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 7.8 · ♀ 46% (drug 67%)no trial data cached
Wheezing384.6
3.4–6.3ROR 4.6 · χ² 104 / p 1e-24
4.4 EB05 3.3 · IC025 +1.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 6.4no trial data cached
Throat tightness174.5
2.8–7.2ROR 4.5 · χ² 43 / p 3e-11
4.1 EB05 2.7 · IC025 +1.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 5.9no trial data cached
Chronic kidney disease474.4
3.3–5.8ROR 4.4 · χ² 120 / p 3e-28
4.2 EB05 3.3 · IC025 +1.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 5.3no trial data cached
Respiratory disorder184.3
2.7–6.8ROR 4.3 · χ² 42 / p 4e-11
3.9 EB05 2.6 · IC025 +1.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 5.3no trial data cached
Sinusitis604.2
3.3–5.4ROR 4.2 · χ² 142 / p 4e-33
4.1 EB05 3.3 · IC025 +1.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 6.4no trial data cached
Hypersensitivity (allergic reaction)1074.1
3.4–5.0ROR 4.2 · χ² 253 / p 3e-57
4.1 EB05 3.5 · IC025 +1.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 7.3 · ♀ 37% (drug 67%)no trial data cached
Serotonin syndrome114.1
2.3–7.4ROR 4.1 · χ² 23 / p 8e-7
3.6 EB05 2.2 · IC025 +0.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 5.0no trial data cached
Cardiac disorder524.0
3.0–5.2ROR 4.0 · χ² 113 / p 1e-26
3.8 EB05 3.0 · IC025 +1.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 5.4 · ♀ 20% (drug 67%) · 90% clinicianno trial data cached
Restless legs syndrome103.9
2.1–7.3ROR 3.9 · χ² 19 / p 6e-6
3.4 EB05 2.0 · IC025 +0.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 6.9no trial data cached
Sneezing123.8
2.2–6.8ROR 3.9 · χ² 22 / p 1e-6
3.4 EB05 2.1 · IC025 +0.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 7.7no trial data cached
Anhedonia143.8
2.2–6.4ROR 3.8 · χ² 26 / p 2e-7
3.4 EB05 2.2 · IC025 +0.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 4.3no trial data cached
Product dose omission in error143.7
2.2–6.3ROR 3.7 · χ² 25 / p 2e-7
3.4 EB05 2.2 · IC025 +0.9
3/3 methods agree
Reporting / coding artifactserious PRR 6.3no trial data cached
Angioedema (deep swelling of face/throat)233.7
2.5–5.6ROR 3.7 · χ² 43 / p 2e-11
3.5 EB05 2.5 · IC025 +1.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 4.5no trial data cached
Dyspnoea exertional193.6
2.3–5.7ROR 3.6 · χ² 34 / p 4e-9
3.4 EB05 2.3 · IC025 +1.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 5.2no trial data cached
Dermatitis103.5
1.9–6.4ROR 3.5 · χ² 15 / p 5e-5
3.1 EB05 1.8 · IC025 +0.6No label text to screen
label has no adverse-reaction text
serious PRR 4.2no trial data cached
Eczema243.4
2.3–5.1ROR 3.4 · χ² 39 / p 3e-10
3.2 EB05 2.3 · IC025 +1.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 7.0no trial data cached
Lip swelling153.2
1.9–5.4ROR 3.2 · χ² 21 / p 2e-6
3.0 EB05 1.9 · IC025 +0.7No label text to screen
label has no adverse-reaction text
serious PRR 4.9no trial data cached
Rhinorrhoea (runny nose)293.2
2.2–4.6ROR 3.2 · χ² 42 / p 4e-11
3.1 EB05 2.3 · IC025 +1.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 3.8no trial data cached

Trial evidence (ClinicalTrials.gov)

Trial cross-check not yet run for this drug (ClinicalTrials.gov pull covers the 800 most-reported drugs first).

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
Treatment failure69260.8
56.9–64.9ROR 79.3 · χ² 40,455 / p <1e-300
60.2 EB05 56.5 · IC025 +5.7
3/3 methods agree
Reporting / coding artifact79% consumerno trial data cached
Hypersensitivity (allergic reaction)1074.1
3.4–5.0ROR 4.2 · χ² 253 / p 3e-57
4.1 EB05 3.5 · IC025 +1.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 7.3 · ♀ 37% (drug 67%)no trial data cached
Asthma976.2
5.1–7.5ROR 6.4 · χ² 419 / p 2e-93
6.0 EB05 5.1 · IC025 +2.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 6.3no trial data cached
Sinusitis604.2
3.3–5.4ROR 4.2 · χ² 142 / p 4e-33
4.1 EB05 3.3 · IC025 +1.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 6.4no trial data cached
Cardiac disorder524.0
3.0–5.2ROR 4.0 · χ² 113 / p 1e-26
3.8 EB05 3.0 · IC025 +1.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 5.4 · ♀ 20% (drug 67%) · 90% clinicianno trial data cached
Dermatitis atopic486.9
5.2–9.1ROR 7.0 · χ² 236 / p 2e-53
6.5 EB05 5.1 · IC025 +2.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=7no trial data cached
Chronic kidney disease474.4
3.3–5.8ROR 4.4 · χ² 120 / p 3e-28
4.2 EB05 3.3 · IC025 +1.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 5.3no trial data cached
Eye pruritus449.6
7.1–12.8ROR 9.7 · χ² 329 / p 1e-73
9.1 EB05 6.9 · IC025 +2.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 15.5no trial data cached
Dry eye416.1
4.5–8.2ROR 6.1 · χ² 168 / p 9e-39
5.7 EB05 4.4 · IC025 +2.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 7.7no trial data cached
Ocular hyperaemia416.3
4.6–8.5ROR 6.4 · χ² 177 / p 1e-40
5.9 EB05 4.5 · IC025 +2.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 8.6 · 75% consumerno trial data cached
Eye irritation395.0
3.7–6.8ROR 5.1 · χ² 121 / p 2e-28
4.7 EB05 3.6 · IC025 +1.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 7.7no trial data cached
Wheezing384.6
3.4–6.3ROR 4.6 · χ² 104 / p 1e-24
4.4 EB05 3.3 · IC025 +1.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 6.4no trial data cached
Productive cough (cough with phlegm)314.7
3.3–6.7ROR 4.7 · χ² 86 / p 7e-21
4.4 EB05 3.3 · IC025 +1.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 7.8 · ♀ 46% (drug 67%)no trial data cached
Psoriasis291.6
1.1–2.3ROR 1.6 · χ² 6 / p 0.008
1.6 EB05 1.2 · IC025 +0.0No label text to screen
label has no adverse-reaction text
serious PRR 2.9no trial data cached
Rhinorrhoea (runny nose)293.2
2.2–4.6ROR 3.2 · χ² 42 / p 4e-11
3.1 EB05 2.3 · IC025 +1.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 3.8no 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 Olopatadine?

In FDA FAERS, the most frequently co-reported reaction terms for Olopatadine are hypersensitivity, asthma, sinusitis, cardiac disorder, dermatitis atopic, chronic kidney disease. 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 Olopatadine have an FDA boxed warning?

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

Do FAERS signals prove that Olopatadine 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 2026-10-08. 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.