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Pseudoephedrine Hydrochloride side effects: what 10,215 FDA adverse event reports show

Pseudoephedrine Hydrochloride · 784 reaction terms · 320,627 drug–reaction co-reports · data 2026-09-14
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Drug class

Not stated in label

Label matched

Pseudoephedrine Hydrochloride (Nasal Decongestant)

closest FDA label found for this product string; brand list suppressed because the label is a related product, not an exact match

Who reports

10,215 reports · 88% serious · 3,554 with death outcome · 92% female

openFDA FAERS counts, all years, deduplication not applied

Used for

• temporarily relieves nasal congestion due to the common cold, hay fever or other upper respiratory allergies • temporarily relieves sinus congestion and pressure

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 7No label text to screen 31
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). 744 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
Swollen joint count increased1,7012,499.3
2,334.2–2,676.1ROR 2,998.4 · calibrated p 2e-23 ✓
1,105.1 EB05 1,061.7 · IC025 +9.6
3/3 methods agree
Lab value / disease markerserious n=1,700 · 95% cliniciannot reported in cached trials
Hepatic enzyme762,481.9
1,775.7–3,469.1ROR 2,500.5 · calibrated p 3e-21 ✓
869.4 EB05 717.4 · IC025 +6.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=76 · 100% cliniciannot reported in cached trials
Rheumatic fever2,2992,312.4
2,185.1–2,447.0ROR 2,983.7 · calibrated p 2e-23 ✓
1,070.3 EB05 1,034.1 · IC025 +9.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=2,298 · 95% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody positive3,5422,064.9
1,978.8–2,154.8ROR 3,160.5 · calibrated p 9e-24 ✓
1,017.1 EB05 989.3 · IC025 +9.7
3/3 methods agree
Lab value / disease markerserious PRR 674.4 · 93% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody3271,994.2
1,713.9–2,320.4ROR 2,060.1 · calibrated p 5e-21 ✓
948.9 EB05 865.6 · IC025 +8.4
3/3 methods agree
Lab value / disease markerserious n=327 · 94% cliniciannot reported in cached trials
Lupus vulgaris5521,794.0
1,602.4–2,008.4ROR 1,896.4 · calibrated p 1e-20 ✓
921.0 EB05 858.3 · IC025 +8.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=552 · 96% cliniciannot reported in cached trials
Rheumatoid factor positive2,5061,591.1
1,515.6–1,670.3ROR 2,108.0 · calibrated p 2e-21 ✓
885.3 EB05 856.6 · IC025 +9.5
3/3 methods agree
Lab value / disease markerserious n=2,504 · 93% cliniciannot reported in cached trials
Deep vein thrombosis postoperative8501,584.7
1,451.8–1,729.9ROR 1,728.5 · calibrated p 3e-20 ✓
871.8 EB05 823.7 · IC025 +9.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=850 · 93% cliniciannot reported in cached trials
Duodenal ulcer perforation3,0601,480.1
1,418.7–1,544.2ROR 2,112.6 · calibrated p 2e-21 ✓
850.9 EB05 825.9 · IC025 +9.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 561.6 · 93% cliniciannot reported in cached trials
Pemphigus5,1011,440.7
1,397.8–1,484.8ROR 2,876.7 · calibrated p 3e-23 ✓
839.5 EB05 820.3 · IC025 +9.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 555.2 · 93% cliniciannot reported in cached trials
C-reactive protein3241,146.9
1,002.1–1,312.5ROR 1,184.4 · calibrated p 5e-18 ✓
701.9 EB05 640.1 · IC025 +8.2
3/3 methods agree
Lab value / disease markerserious n=324 · 95% cliniciannot reported in cached trials
Hand deformity4,4611,068.7
1,036.4–1,101.9ROR 1,896.4 · calibrated p 9e-21 ✓
697.7 EB05 680.7 · IC025 +9.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 500.2 · 93% cliniciannot reported in cached trials
Facet joint syndrome1,0681,057.9
985.0–1,136.2ROR 1,181.3 · calibrated p 4e-18 ✓
686.6 EB05 652.7 · IC025 +8.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=1,068 · 94% cliniciannot reported in cached trials
Hypocholesterolaemia99977.8
769.9–1,241.9ROR 987.3 · calibrated p 8e-17 ✓
584.7 EB05 494.2 · IC025 +6.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=99 · 98% cliniciannot reported in cached trials
Helicobacter infection2,980852.0
820.1–885.1ROR 1,202.5 · calibrated p 3e-18 ✓
597.6 EB05 579.8 · IC025 +9.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 416.8 · 93% cliniciannot reported in cached trials
Adjustment disorder with depressed mood586845.1
768.9–928.8ROR 896.4 · calibrated p 1e-16 ✓
585.1 EB05 546.4 · IC025 +8.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=586 · 95% cliniciannot reported in cached trials
Retinitis471810.2
729.4–900.0ROR 849.3 · calibrated p 2e-16 ✓
565.6 EB05 524.0 · IC025 +8.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=471 · 96% cliniciannot reported in cached trials
X-ray abnormal494788.8
712.2–873.6ROR 828.8 · calibrated p 3e-16 ✓
555.6 EB05 515.7 · IC025 +8.3
3/3 methods agree
Lab value / disease markerserious n=494 · 97% cliniciannot reported in cached trials
Dislocation of vertebra605769.9
702.5–843.8ROR 818.3 · calibrated p 3e-16 ✓
548.4 EB05 512.6 · IC025 +8.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=605 · 94% cliniciannot reported in cached trials
Subcutaneous drug absorption impaired142726.0
600.0–878.6ROR 736.3 · calibrated p 1e-15 ✓
498.6 EB05 433.4 · IC025 +7.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=142 · 99% cliniciannot reported in cached trials
Pericarditis4,215697.7
677.7–718.3ROR 1,187.1 · calibrated p 3e-18 ✓
517.9 EB05 504.9 · IC025 +8.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 344.1 · 93% cliniciannot reported in cached trials
Muscle injury2,017671.2
640.8–703.2ROR 836.1 · calibrated p 2e-16 ✓
502.0 EB05 483.8 · IC025 +8.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 359.2 · 94% cliniciannot reported in cached trials
Swollen joint count60663.8
496.3–888.0ROR 667.8 · calibrated p 9e-15 ✓
431.1 EB05 347.1 · IC025 +6.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=60 · 92% cliniciannot reported in cached trials
Peripheral venous disease960651.8
607.7–699.2ROR 719.3 · calibrated p 1e-15 ✓
488.5 EB05 463.1 · IC025 +8.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=960 · 95% cliniciannot reported in cached trials
Sleep disorder due to general medical condition, hypersomnia type24647.9
409.3–1,025.6ROR 649.4 · calibrated p 6e-14 ✓
352.7 EB05 249.5 · IC025 +4.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=24 · 92% cliniciannot reported in cached trials
Synovitis4,209626.5
608.8–644.7ROR 1,064.8 · calibrated p 1e-17 ✓
477.6 EB05 465.6 · IC025 +8.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 329.5 · 93% cliniciannot reported in cached trials
Folliculitis2,295588.2
563.9–613.6ROR 758.3 · calibrated p 6e-16 ✓
454.3 EB05 438.9 · IC025 +8.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 352.4 · 94% cliniciannot reported in cached trials
Seronegative arthritis249586.9
510.4–674.9ROR 601.5 · calibrated p 1e-14 ✓
439.8 EB05 395.8 · IC025 +7.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=249 · 94% cliniciannot reported in cached trials
Sleep disorder due to general medical condition, insomnia type1,383563.2
532.3–595.8ROR 651.2 · calibrated p 3e-15 ✓
438.2 EB05 419.1 · IC025 +8.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=1,382 · 93% cliniciannot reported in cached trials
Glossodynia (burning tongue/mouth pain)4,739553.8
539.8–568.2ROR 1,032.3 · calibrated p 2e-17 ✓
434.3 EB05 424.0 · IC025 +8.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 414.0 · 93% cliniciannot reported in cached trials
Grip strength43468.1
336.1–651.8ROR 470.1 · calibrated p 4e-13 ✓
325.3 EB05 251.6 · IC025 +5.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=43not reported in cached trials
Wound4,586406.3
396.2–416.6ROR 736.5 · calibrated p 8e-16 ✓
338.1 EB05 330.0 · IC025 +8.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 314.9 · serious PRR 264.9 · 94% cliniciannot reported in cached trials
Tender joint count14404.9
228.2–718.6ROR 405.5 · calibrated p 2e-11 ✓
231.3 EB05 146.5 · IC025 +3.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=14not reported in cached trials
C-reactive protein abnormal1,009384.4
360.4–410.0ROR 426.4 · calibrated p 3e-13 ✓
321.2 EB05 304.9 · IC025 +8.0
3/3 methods agree
Lab value / disease markerserious n=1,009 · 95% cliniciannot reported in cached trials
Acquired porphyria11377.5
198.4–718.3ROR 377.9 · calibrated p 8e-11 ✓
205.4 EB05 122.4 · IC025 +3.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=11not reported in cached trials
Systemic lupus erythematosus5,224356.3
348.5–364.2ROR 728.1 · calibrated p 9e-16 ✓
302.8 EB05 295.9 · IC025 +8.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 265.6 · serious PRR 204.5 · 93% cliniciannot reported in cached trials
Onychomadesis565323.5
296.7–352.8ROR 342.4 · calibrated p 3e-12 ✓
276.5 EB05 257.9 · IC025 +7.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=564 · 94% cliniciannot reported in cached trials
Breast cancer stage iii868320.5
299.2–343.4ROR 350.2 · calibrated p 2e-12 ✓
275.2 EB05 260.2 · IC025 +7.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=868 · 94% cliniciannot reported in cached trials
Nail operation54310.6
233.4–413.4ROR 312.3 · calibrated p 2e-11 ✓
246.0 EB05 195.7 · IC025 +5.8
3/3 methods agree
Reporting / coding artifactserious n=54not reported in cached trials
Contraindicated product administered3,857301.4
293.2–309.9ROR 483.6 · calibrated p 8e-14 ✓
262.1 EB05 255.3 · IC025 +7.9
3/3 methods agree
Reporting / coding artifactage-adj. PRR 242.5 · serious PRR 214.6 · 94% 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 injury4,70232.531.8–33.2signal
Interstitial lung disease93820.319.1–21.5signal
Hyperglycaemia / diabetes2,61615.615.1–16.2signal
Depression1,0517.77.3–8.1signal
Serious infection2,8137.57.3–7.7signal
Rhabdomyolysis / myopathy1453.73.1–4.3signal
Pancreatitis1253.22.7–3.8signal
Gi bleeding1852.11.8–2.4raised
Fall / fracture2831.51.4–1.7raised
Anaphylaxis / angioedema871.41.2–1.8raised
Severe cutaneous reaction431.20.9–1.6no difference
Thrombocytopenia970.90.7–1.1no difference
Anaemia720.50.4–0.6lower than other drugs
Suicidality510.40.3–0.6lower than other drugs
Venous thromboembolism440.40.3–0.6lower than other drugs
Tendon disorder70.40.2–0.8lower than other drugs

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Pseudoephedrine Hydrochloride 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
Systemic lupus erythematosus5,224356.3
348.5–364.2ROR 728.1 · calibrated p 9e-16 ✓
302.8 EB05 295.9 · IC025 +8.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 265.6 · serious PRR 204.5 · 93% cliniciannot reported in cached trials
Pain5,16817.4
17.0–17.7ROR 34.2 · calibrated p 1e-4 ✓
17.2 EB05 16.9 · IC025 +4.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 14.2 · serious PRR 17.9 · 93% cliniciannot reported in cached trials
Drug ineffective (drug did not work)5,1558.1
7.9–8.2ROR 15.3 · calibrated p 0.006 ✓
8.0 EB05 7.9 · IC025 +3.0
3/3 methods agree
Reporting / coding artifactage-adj. PRR 8.2 · serious PRR 14.4not reported in cached trials
Pemphigus5,1011,440.7
1,397.8–1,484.8ROR 2,876.7 · calibrated p 3e-23 ✓
839.5 EB05 820.3 · IC025 +9.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 555.2 · 93% cliniciannot reported in cached trials
Rheumatoid arthritis5,10097.0
95.0–99.0ROR 192.7 · calibrated p 5e-10 ✓
92.6 EB05 90.4 · IC025 +6.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 71.2 · serious PRR 74.4 · 93% cliniciannot reported in cached trials
Abdominal discomfort5,00463.3
62.1–64.6ROR 123.2 · calibrated p 2e-8 ✓
61.4 EB05 60.0 · IC025 +5.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 52.7 · serious PRR 90.6 · 92% cliniciannot reported in cached trials
Alopecia (hair loss)4,89652.4
51.3–53.5ROR 99.7 · calibrated p 1e-7 ✓
51.1 EB05 49.9 · IC025 +5.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 39.6 · serious PRR 71.8 · 92% cliniciannot reported in cached trials
Glossodynia (burning tongue/mouth pain)4,739553.8
539.8–568.2ROR 1,032.3 · calibrated p 2e-17 ✓
434.3 EB05 424.0 · IC025 +8.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 414.0 · 93% cliniciannot reported in cached trials
Wound4,586406.3
396.2–416.6ROR 736.5 · calibrated p 8e-16 ✓
338.1 EB05 330.0 · IC025 +8.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 314.9 · serious PRR 264.9 · 94% cliniciannot reported in cached trials
Fatigue (tiredness)4,57712.2
11.9–12.4ROR 21.2 · calibrated p 0.001 ✓
12.1 EB05 11.8 · IC025 +3.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 9.6 · serious PRR 15.0 · 92% cliniciannot reported in cached trials
Swelling4,569105.6
103.3–108.0ROR 190.3 · calibrated p 6e-10 ✓
100.4 EB05 98.0 · IC025 +6.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 82.6 · serious PRR 107.1 · 93% cliniciannot reported in cached trials
Rash4,50821.6
21.1–22.0ROR 37.8 · calibrated p 7e-5 ✓
21.3 EB05 20.8 · IC025 +4.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 18.8 · serious PRR 31.2 · 93% cliniciannot reported in cached trials
Hand deformity4,4611,068.7
1,036.4–1,101.9ROR 1,896.4 · calibrated p 9e-21 ✓
697.7 EB05 680.7 · IC025 +9.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 500.2 · 93% cliniciannot reported in cached trials
Arthropathy4,219168.0
163.9–172.3ROR 285.6 · calibrated p 2e-11 ✓
155.1 EB05 151.2 · IC025 +7.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 139.6 · serious PRR 124.4 · 93% cliniciannot reported in cached trials
Pericarditis4,215697.7
677.7–718.3ROR 1,187.1 · calibrated p 3e-18 ✓
517.9 EB05 504.9 · IC025 +8.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 344.1 · 93% cliniciannot reported in cached trials

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.

✓ A hand-written Bradford Hill causality assessment exists for this drug: Oxycodone Hydrochloride ↔ Drug Dependence.

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 Pseudoephedrine Hydrochloride?

In FDA FAERS, the most frequently co-reported reaction terms for Pseudoephedrine Hydrochloride are systemic lupus erythematosus, pain, pemphigus, rheumatoid arthritis, abdominal discomfort, alopecia. 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 Pseudoephedrine Hydrochloride have an FDA boxed warning?

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

Do FAERS signals prove that Pseudoephedrine Hydrochloride 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.