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Pantoprazole Sodium Injection side effects: what 61,590 FDA adverse event reports show

Pantoprazole Sodium Injection · 1,219 reaction terms · 498,184 drug–reaction co-reports · data 2026-09-14
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Drug class

Proton pump inhibitor (ppi)

FDA label, Indications wording

Who reports

61,590 reports · 81% serious · 7,569 with death outcome · 62% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Pantoprazole sodium delayed-release tablets are indicated for: Pantoprazole sodium is a proton pump inhibitor (PPI) indicated for the following: Short-Term Treatment of Erosive Esophagitis Associated with Gastroesophageal Reflux Disease (GERD) ( 1.1 ) .

FDA label, Indications and Usage

What it is

Pantoprazole is a member of the class of benzimidazoles that is 1H-benzimidazole substituted by a difluoromethoxy group at position 5 and a [(3,4-dimethoxypyridin-2-yl)methyl]sulfinyl group at position 2.

PubChem CID 4679 (ChEBI)

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

Labeled (related wording) 2Lab value / disease marker 8Not in label — unassessed 30
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, 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). 1,179 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
Grip strength128424.2
326.8–550.5ROR 425.1 · calibrated p 7e-13 ✓
182.6 EB05 157.5 · IC025 +6.5
3/3 methods agree
Not in label — unassessedserious n=128 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
Congenital hiatus hernia102291.8
223.8–380.5ROR 292.3 · calibrated p 3e-11 ✓
152.0 EB05 128.8 · IC025 +6.1
3/3 methods agree
Not in label — unassessedserious n=102 · ♀ 0% (drug 62%) · 100% cliniciannot reported in cached trials
Lupus vulgaris471223.9
199.3–251.6ROR 225.6 · calibrated p 2e-10 ✓
133.8 EB05 124.0 · IC025 +6.7
3/3 methods agree
Not in label — unassessedserious n=471 · ♀ 100% (drug 62%) · 94% cliniciannot reported in cached trials
Deep vein thrombosis postoperative776223.9
204.5–245.1ROR 226.8 · calibrated p 1e-10 ✓
134.1 EB05 126.4 · IC025 +6.8
3/3 methods agree
Not in label — unassessedserious n=776 · ♀ 100% (drug 62%) · 91% cliniciannot reported in cached trials
Swollen joint count97222.4
172.0–287.4ROR 222.7 · calibrated p 3e-10 ✓
130.6 EB05 110.2 · IC025 +6.0
3/3 methods agree
Not in label — unassessedserious n=97 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
C-reactive protein346210.6
184.1–240.8ROR 211.7 · calibrated p 3e-10 ✓
128.7 EB05 117.7 · IC025 +6.6
3/3 methods agree
Lab value / disease markerserious n=345 · ♀ 100% (drug 62%) · 94% cliniciannot reported in cached trials
Adjustment disorder with depressed mood581138.0
125.3–152.0ROR 139.3 · calibrated p 9e-9 ✓
97.7 EB05 91.2 · IC025 +6.4
3/3 methods agree
Not in label — unassessedserious n=580 · ♀ 100% (drug 62%) · 95% cliniciannot reported in cached trials
Swollen joint count increased889135.9
125.7–146.8ROR 137.8 · calibrated p 9e-9 ✓
96.7 EB05 91.5 · IC025 +6.4
3/3 methods agree
Lab value / disease markerserious n=888 · ♀ 100% (drug 62%) · 96% cliniciannot reported in cached trials
Hypocholesterolaemia86132.0
102.9–169.5ROR 132.2 · calibrated p 2e-8 ✓
93.1 EB05 77.7 · IC025 +5.6
3/3 methods agree
Not in label — unassessedserious n=86 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
X-ray abnormal484126.8
114.2–140.7ROR 127.8 · calibrated p 2e-8 ✓
91.9 EB05 85.2 · IC025 +6.2
3/3 methods agree
Lab value / disease markerserious n=484 · ♀ 100% (drug 62%) · 96% cliniciannot reported in cached trials
Duodenal ulcer perforation1,883117.5
111.6–123.8ROR 121.2 · calibrated p 3e-8 ✓
87.2 EB05 83.9 · IC025 +6.3
3/3 methods agree
Not in label — unassessedserious PRR 62.2 · ♀ 100% (drug 62%) · 92% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody positive1,820117.3
111.2–123.6ROR 120.8 · calibrated p 3e-8 ✓
87.0 EB05 83.7 · IC025 +6.3
3/3 methods agree
Lab value / disease markerserious PRR 62.4 · ♀ 100% (drug 62%) · 93% cliniciannot reported in cached trials
Dislocation of vertebra562115.1
104.6–126.7ROR 116.2 · calibrated p 4e-8 ✓
85.7 EB05 79.9 · IC025 +6.2
3/3 methods agree
Not in label — unassessedserious n=562 · ♀ 100% (drug 62%) · 93% cliniciannot reported in cached trials
Muscle injury2,015110.8
105.4–116.5ROR 114.5 · calibrated p 4e-8 ✓
83.4 EB05 80.4 · IC025 +6.3
3/3 methods agree
Not in label — unassessedserious PRR 64.5 · ♀ 100% (drug 62%) · 93% cliniciannot reported in cached trials
Vaginal flatulence74108.6
83.6–141.2ROR 108.8 · calibrated p 1e-7 ✓
80.6 EB05 66.3 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious n=74 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
Rheumatic fever1,036105.8
98.7–113.5ROR 107.6 · calibrated p 7e-8 ✓
80.5 EB05 76.5 · IC025 +6.2
3/3 methods agree
Not in label — unassessedserious n=1,036 · ♀ 100% (drug 62%) · 94% cliniciannot reported in cached trials
Facet joint syndrome720100.7
92.7–109.5ROR 101.9 · calibrated p 1e-7 ✓
77.5 EB05 72.9 · IC025 +6.1
3/3 methods agree
Not in label — unassessedserious n=719 · ♀ 100% (drug 62%) · 94% cliniciannot reported in cached trials
Neurologic neglect syndrome12395.7
78.4–117.0ROR 95.9 · calibrated p 2e-7 ✓
73.8 EB05 63.5 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=123 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
Retinitis36695.6
85.1–107.3ROR 96.1 · calibrated p 2e-7 ✓
74.3 EB05 68.1 · IC025 +5.9
3/3 methods agree
Not in label — unassessedserious n=366 · ♀ 100% (drug 62%) · 93% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody14695.3
79.3–114.5ROR 95.5 · calibrated p 2e-7 ✓
73.7 EB05 64.2 · IC025 +5.6
3/3 methods agree
Lab value / disease markerserious n=146 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
Pulmonary vasculitis11291.4
74.2–112.7ROR 91.6 · calibrated p 3e-7 ✓
71.2 EB05 60.8 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=112 · ♀ 0% (drug 62%)not reported in cached trials
Rheumatoid factor positive1,19789.1
83.6–94.9ROR 90.8 · calibrated p 2e-7 ✓
70.5 EB05 67.2 · IC025 +6.0
3/3 methods agree
Lab value / disease markerserious n=1,197 · ♀ 100% (drug 62%) · 95% cliniciannot reported in cached trials
Folliculitis2,11187.4
83.4–91.6ROR 90.5 · calibrated p 2e-7 ✓
69.5 EB05 67.0 · IC025 +6.0
3/3 methods agree
Not in label — unassessedserious PRR 58.3 · ♀ 99% (drug 62%) · 93% cliniciannot reported in cached trials
Total lung capacity abnormal7684.8
65.9–109.0ROR 84.9 · calibrated p 6e-7 ✓
66.8 EB05 55.1 · IC025 +5.2
3/3 methods agree
Not in label — unassessedserious n=76 · ♀ 0% (drug 62%) · 100% cliniciannot reported in cached trials
Helicobacter infection1,94980.4
76.6–84.4ROR 83.0 · calibrated p 4e-7 ✓
65.0 EB05 62.6 · IC025 +5.9
3/3 methods agree
Not in label — unassessedserious PRR 49.0 · ♀ 99% (drug 62%) · 92% cliniciannot reported in cached trials
Peripheral venous disease72174.9
69.1–81.2ROR 75.8 · calibrated p 9e-7 ✓
61.3 EB05 57.6 · IC025 +5.8
3/3 methods agree
Not in label — unassessedserious n=717 · ♀ 100% (drug 62%) · 94% cliniciannot reported in cached trials
Porphyria acute24372.6
63.2–83.4ROR 72.9 · calibrated p 1e-6 ✓
59.6 EB05 53.6 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=243 · ♀ 100% (drug 62%) · 92% cliniciannot reported in cached trials
Pemphigus2,11169.6
66.4–72.8ROR 72.0 · calibrated p 1e-6 ✓
57.7 EB05 55.7 · IC025 +5.8
3/3 methods agree
Not in label — unassessedserious PRR 41.3 · ♀ 100% (drug 62%) · 92% cliniciannot reported in cached trials
Hand deformity1,95659.8
57.0–62.7ROR 61.7 · calibrated p 3e-6 ✓
50.8 EB05 49.0 · IC025 +5.6
3/3 methods agree
Not in label — unassessedserious PRR 39.5 · ♀ 100% (drug 62%) · 92% cliniciannot reported in cached trials
Spirometry abnormal8759.1
47.0–74.2ROR 59.1 · calibrated p 6e-6 ✓
49.8 EB05 41.7 · IC025 +4.9
3/3 methods agree
Lab value / disease markerserious n=87 · ♀ 0% (drug 62%) · 100% cliniciannot reported in cached trials
Carotid artery thrombosis12357.2
47.2–69.2ROR 57.3 · calibrated p 7e-6 ✓
48.6 EB05 41.8 · IC025 +5.1
3/3 methods agree
Not in label — unassessedserious n=123 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
C-reactive protein abnormal91356.5
52.7–60.6ROR 57.3 · calibrated p 6e-6 ✓
48.4 EB05 45.8 · IC025 +5.5
3/3 methods agree
Lab value / disease markerserious n=913 · ♀ 100% (drug 62%) · 94% cliniciannot reported in cached trials
Synovial disorder6253.5
40.9–69.9ROR 53.5 · calibrated p 1e-5 ✓
45.6 EB05 36.9 · IC025 +4.7
3/3 methods agree
Not in label — unassessedserious n=62 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
Bronchopulmonary aspergillosis allergic11850.2
41.4–60.9ROR 50.3 · calibrated p 2e-5 ✓
43.5 EB05 37.3 · IC025 +4.9
3/3 methods agree
Not in label — unassessedserious n=117not reported in cached trials
Adjustment disorder16649.5
42.1–58.3ROR 49.7 · calibrated p 2e-5 ✓
43.1 EB05 37.8 · IC025 +5.0
3/3 methods agree
Not in label — unassessedserious n=165not reported in cached trials
Mite allergy8048.7
38.5–61.5ROR 48.7 · calibrated p 2e-5 ✓
42.2 EB05 35.0 · IC025 +4.7
3/3 methods agree
Not in label — unassessedserious n=80 · ♀ 0% (drug 62%) · 100% cliniciannot reported in cached trials
Pericarditis2,08248.5
46.4–50.8ROR 50.2 · calibrated p 1e-5 ✓
42.5 EB05 41.0 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious PRR 30.6 · ♀ 97% (drug 62%) · 92% cliniciannot reported in cached trials
Bone erosion44248.4
43.8–53.5ROR 48.8 · calibrated p 2e-5 ✓
42.4 EB05 39.1 · IC025 +5.2
3/3 methods agree
Not in label — unassessedserious n=440 · ♀ 100% (drug 62%) · 95% cliniciannot reported in cached trials

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.

ConceptReportsPRR 95% CIReading
Liver injury4,5125.25.0–5.3signal
Interstitial lung disease1,4035.04.8–5.3signal
Serious infection8,2303.73.6–3.7signal
Hyponatraemia8443.63.4–3.8signal
Anaemia2,8843.33.2–3.4signal
Gi bleeding1,6113.02.9–3.2signal
Pancreatitis6412.72.5–2.9signal
Rhabdomyolysis / myopathy6382.72.5–2.9signal
Thrombocytopenia1,7102.72.5–2.8signal
Hyperglycaemia / diabetes2,4022.42.3–2.5signal
Fall / fracture2,5842.32.2–2.4signal
Arrhythmia / qt1,3072.32.2–2.4signal
Kidney injury2,9612.22.1–2.3signal
Severe cutaneous reaction4762.22.0–2.4raised
Neutropenia / agranulocytosis1,5592.12.0–2.3signal
Venous thromboembolism1,2872.01.9–2.1raised

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Pantoprazole Sodium Injection as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (0 of 40 signal terms matched).

Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.

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
Fatigue (tiredness)7,3363.2
3.2–3.3ROR 3.5 · calibrated p 0.476
3.2 EB05 3.2 · IC025 +1.6
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 2.9 · serious PRR 3.8not reported in cached trials
Off label use (used outside approved label)6,2632.5
2.4–2.5ROR 2.6 · calibrated p 0.759
2.5 EB05 2.4 · IC025 +1.3
3/3 methods agree
Reporting / coding artifactage-adj. PRR 2.4 · serious PRR 3.0not reported in cached trials
Dyspnoea (shortness of breath)6,0573.7
3.6–3.8ROR 4.0 · calibrated p 0.384
3.6 EB05 3.6 · IC025 +1.8
3/3 methods agree
Not in label — unassessedage-adj. PRR 3.1 · serious PRR 3.3not reported in cached trials
Pain5,9673.3
3.2–3.4ROR 3.6 · calibrated p 0.468
3.3 EB05 3.2 · IC025 +1.7
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 3.5 · serious PRR 3.4 · ♀ 86% (drug 62%)NCT00562094: 1/8,616 (0.0%) on Pantoprazole Sodium Injection
Drug ineffective (drug did not work)5,7361.5
1.4–1.5ROR 1.5 · calibrated p 0.664
1.5 EB05 1.5 · IC025 +0.5Reporting / coding artifactage-adj. PRR 1.9 · serious PRR 2.6 · ♀ 83% (drug 62%)not reported in cached trials
Diarrhoea (diarrhea)5,6293.0
2.9–3.1ROR 3.2 · calibrated p 0.566
3.0 EB05 2.9 · IC025 +1.5
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 2.7 · serious PRR 3.2not reported in cached trials
Nausea5,5302.4
2.3–2.5ROR 2.5 · calibrated p 0.800
2.4 EB05 2.3 · IC025 +1.2
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 2.2 · serious PRR 2.8not reported in cached trials
Headache5,1692.8
2.8–2.9ROR 3.0 · calibrated p 0.629
2.8 EB05 2.7 · IC025 +1.4
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 2.7 · serious PRR 3.5 · ♀ 84% (drug 62%)not reported in cached trials
Arthralgia (joint pain)4,8844.0
3.9–4.2ROR 4.3 · calibrated p 0.325
4.0 EB05 3.9 · IC025 +2.0
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 3.6 · serious PRR 4.9 · ♀ 86% (drug 62%)NCT00562094: 1/8,616 (0.0%) on Pantoprazole Sodium Injection
Pyrexia (fever)4,7564.7
4.6–4.9ROR 5.0 · calibrated p 0.230
4.7 EB05 4.6 · IC025 +2.2
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 4.2 · serious PRR 4.1not reported in cached trials
Rash4,3013.4
3.3–3.5ROR 3.6 · calibrated p 0.466
3.4 EB05 3.3 · IC025 +1.7
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 3.3 · serious PRR 4.8 · ♀ 85% (drug 62%)NCT00562094: 1/8,616 (0.0%) on Pantoprazole Sodium Injection
Vomiting4,0563.0
2.9–3.1ROR 3.1 · calibrated p 0.595
2.9 EB05 2.9 · IC025 +1.5
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 2.8 · serious PRR 2.9not reported in cached trials
Pruritus (itching)3,7663.4
3.3–3.5ROR 3.6 · calibrated p 0.467
3.4 EB05 3.3 · IC025 +1.7
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 3.0 · serious PRR 5.2 · ♀ 87% (drug 62%)NCT00562094: 1/8,616 (0.0%) on Pantoprazole Sodium Injection
Asthenia (weakness)3,6633.3
3.2–3.4ROR 3.5 · calibrated p 0.488
3.3 EB05 3.2 · IC025 +1.7
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 2.9 · serious PRR 3.1not reported in cached trials

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.

✓ 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 Pantoprazole Sodium Injection?

In FDA FAERS, the most frequently co-reported reaction terms for Pantoprazole Sodium Injection are fatigue, dyspnoea, pain, diarrhoea, nausea, headache. 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 Pantoprazole Sodium Injection have an FDA boxed warning?

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

Do FAERS signals prove that Pantoprazole Sodium Injection 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 2026-10-14. 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.