Risdiplam side effects: what 618 FDA adverse event reports show
Drug class
No validated FDA label found
Who reports
618 reports · 75% serious · 102 with death outcome · 58% female
Used for
—
Causality screen of the 40 strongest signals
What the badges mean
- 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.
- No label text to screen No validated FDA label was retrievable for this product, so the screen could not run. Disproportionality only.
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. 53 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 |
|---|---|---|---|---|---|---|
| Motor dysfunction | 33 | 16.8 12.0–23.6ROR 16.9 · χ² 474 / p 2e-105 | 16.5 EB05 12.2 · IC025 +3.2 3/3 methods agree | No label text to screen | – | no trial data cached |
| Respiratory tract infection | 76 | 15.1 12.1–18.8ROR 15.3 · χ² 983 / p 4e-216 | 14.9 EB05 12.3 · IC025 +3.4 3/3 methods agree | No label text to screen | – | no trial data cached |
| Spinal disorder | 21 | 11.4 7.4–17.5ROR 11.4 · χ² 188 / p 3e-43 | 10.5 EB05 6.9 · IC025 +2.5 3/3 methods agree | No label text to screen | – | no trial data cached |
| Atelectasis | 20 | 10.6 6.9–16.4ROR 10.7 · χ² 164 / p 6e-38 | 9.6 EB05 6.2 · IC025 +2.4 3/3 methods agree | No label text to screen | – | no trial data cached |
| No adverse event | 347 | 10.1 9.1–11.1ROR 10.9 · χ² 2,844 / p <1e-300 | 10.0 EB05 9.1 · IC025 +3.1 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Aspiration | 18 | 8.5 5.4–13.6ROR 8.6 · χ² 112 / p 1e-26 | 7.4 EB05 4.8 · IC025 +2.0 3/3 methods agree | No label text to screen | – | no trial data cached |
| Respiratory disorder | 49 | 8.4 6.4–11.1ROR 8.5 · χ² 312 / p 4e-70 | 8.0 EB05 6.2 · IC025 +2.5 3/3 methods agree | No label text to screen | – | no trial data cached |
| Photosensitivity reaction (sun sensitivity) | 24 | 7.5 5.0–11.2ROR 7.5 · χ² 129 / p 4e-30 | 6.7 EB05 4.7 · IC025 +2.0 3/3 methods agree | No label text to screen | – | no trial data cached |
| Pneumothorax | 22 | 7.1 4.7–10.8ROR 7.2 · χ² 110 / p 5e-26 | 6.3 EB05 4.4 · IC025 +1.9 3/3 methods agree | No label text to screen | – | no trial data cached |
| Gastroenteritis | 19 | 6.7 4.3–10.5ROR 6.7 · χ² 87 / p 7e-21 | 5.9 EB05 3.9 · IC025 +1.8 3/3 methods agree | No label text to screen | – | no trial data cached |
| Muscular weakness | 145 | 6.6 5.6–7.7ROR 6.8 · χ² 681 / p 2e-150 | 6.4 EB05 5.6 · IC025 +2.4 3/3 methods agree | No label text to screen | – | no trial data cached |
| Pneumonia aspiration | 31 | 6.4 4.5–9.1ROR 6.4 · χ² 136 / p 1e-31 | 5.9 EB05 4.3 · IC025 +2.0 3/3 methods agree | No label text to screen | – | no trial data cached |
| Bladder disorder | 12 | 6.2 3.5–10.9ROR 6.2 · χ² 47 / p 3e-12 | 5.1 EB05 3.1 · IC025 +1.4 3/3 methods agree | No label text to screen | – | no trial data cached |
| Nephrolithiasis (kidney stones) | 47 | 5.3 4.0–7.0ROR 5.3 · χ² 159 / p 9e-37 | 5.0 EB05 3.9 · IC025 +1.9 3/3 methods agree | No label text to screen | – | no trial data cached |
| Gastrointestinal disorder | 90 | 5.2 4.3–6.4ROR 5.3 · χ² 305 / p 1e-68 | 5.1 EB05 4.3 · IC025 +2.0 3/3 methods agree | No label text to screen | – | no trial data cached |
| Product packaging quantity issue | 11 | 5.2 2.9–9.4ROR 5.2 · χ² 33 / p 5e-9 | 4.3 EB05 2.6 · IC025 +1.1 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Salivary hypersecretion | 10 | 5.1 2.8–9.6ROR 5.2 · χ² 29 / p 3e-8 | 4.2 EB05 2.5 · IC025 +1.0 3/3 methods agree | No label text to screen | – | no trial data cached |
| Secretion discharge | 12 | 5.0 2.8–8.8ROR 5.0 · χ² 34 / p 2e-9 | 4.3 EB05 2.6 · IC025 +1.1 3/3 methods agree | No label text to screen | – | no trial data cached |
| Upper respiratory tract infection (cold/sinus infection) | 44 | 4.9 3.7–6.6ROR 4.9 · χ² 133 / p 5e-31 | 4.7 EB05 3.6 · IC025 +1.7 3/3 methods agree | No label text to screen | – | no trial data cached |
| Lower limb fracture | 18 | 4.8 3.1–7.7ROR 4.9 · χ² 51 / p 4e-13 | 4.3 EB05 2.9 · IC025 +1.3 3/3 methods agree | No label text to screen | – | no trial data cached |
| Syringe issue | 14 | 4.1 2.4–6.9ROR 4.1 · χ² 30 / p 2e-8 | 3.7 EB05 2.3 · IC025 +1.0 3/3 methods agree | No label text to screen | – | no trial data cached |
| Product storage error | 65 | 3.9 3.0–4.9ROR 3.9 · χ² 135 / p 1e-31 | 3.8 EB05 3.1 · IC025 +1.5 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Product taste abnormal | 10 | 3.8 2.1–7.1ROR 3.8 · χ² 18 / p 1e-5 | 3.3 EB05 2.0 · IC025 +0.7 | Reporting / coding artifact | – | no trial data cached |
| Respiratory failure | 54 | 3.8 2.9–5.0ROR 3.8 · χ² 109 / p 8e-26 | 3.7 EB05 2.9 · IC025 +1.4 3/3 methods agree | No label text to screen | – | no trial data cached |
| Acute hepatic failure | 10 | 3.8 2.0–7.0ROR 3.8 · χ² 18 / p 1e-5 | 3.3 EB05 2.0 · IC025 +0.7 | No label text to screen | – | no trial data cached |
| Viral infection | 23 | 3.6 2.4–5.3ROR 3.6 · χ² 40 / p 1e-10 | 3.4 EB05 2.4 · IC025 +1.1 3/3 methods agree | No label text to screen | – | no trial data cached |
| Pneumonia (lung infection) | 221 | 3.5 3.1–4.0ROR 3.7 · χ² 401 / p 2e-89 | 3.5 EB05 3.1 · IC025 +1.6 3/3 methods agree | No label text to screen | – | no trial data cached |
| Ill-defined disorder | 40 | 3.4 2.5–4.6ROR 3.4 · χ² 65 / p 4e-16 | 3.3 EB05 2.5 · IC025 +1.2 3/3 methods agree | No label text to screen | – | no trial data cached |
| Respiratory distress | 18 | 3.4 2.1–5.3ROR 3.4 · χ² 27 / p 8e-8 | 3.1 EB05 2.1 · IC025 +0.9 3/3 methods agree | No label text to screen | – | no trial data cached |
| Muscle twitching | 15 | 3.3 2.0–5.5ROR 3.3 · χ² 22 / p 1e-6 | 3.1 EB05 2.0 · IC025 +0.8 3/3 methods agree | No label text to screen | – | no trial data cached |
| Femur fracture | 20 | 3.3 2.1–5.1ROR 3.3 · χ² 30 / p 2e-8 | 3.1 EB05 2.1 · IC025 +0.9 3/3 methods agree | No label text to screen | – | no trial data cached |
| Product dispensing error | 14 | 3.3 2.0–5.6ROR 3.3 · χ² 20 / p 3e-6 | 3.0 EB05 1.9 · IC025 +0.7 | Reporting / coding artifact | – | no trial data cached |
| Influenza | 71 | 3.3 2.6–4.1ROR 3.3 · χ² 110 / p 6e-26 | 3.2 EB05 2.6 · IC025 +1.3 3/3 methods agree | No label text to screen | – | no trial data cached |
| Sleep apnoea syndrome | 12 | 3.2 1.8–5.7ROR 3.2 · χ² 16 / p 3e-5 | 2.9 EB05 1.8 · IC025 +0.6 | No label text to screen | – | no trial data cached |
| Covid-19 | 110 | 3.2 2.7–3.8ROR 3.3 · χ² 165 / p 4e-38 | 3.2 EB05 2.7 · IC025 +1.3 3/3 methods agree | No label text to screen | – | no trial data cached |
| Dysphagia (difficulty swallowing) | 57 | 3.1 2.4–4.0ROR 3.1 · χ² 79 / p 3e-19 | 3.0 EB05 2.4 · IC025 +1.2 3/3 methods agree | No label text to screen | – | no trial data cached |
| Asthenia (weakness) | 225 | 3.1 2.7–3.5ROR 3.2 · χ² 319 / p 1e-71 | 3.1 EB05 2.7 · IC025 +1.4 3/3 methods agree | No label text to screen | – | no trial data cached |
| Gastritis | 15 | 2.9 1.8–4.9ROR 2.9 · χ² 17 / p 2e-5 | 2.7 EB05 1.8 · IC025 +0.6 | No label text to screen | – | no trial data cached |
| Mouth ulceration | 12 | 2.9 1.7–5.2ROR 2.9 · χ² 13 / p 1e-4 | 2.7 EB05 1.7 · IC025 +0.5 | No label text to screen | – | no trial data cached |
| Product complaint | 14 | 2.9 1.7–4.9ROR 2.9 · χ² 15 / p 4e-5 | 2.7 EB05 1.7 · IC025 +0.5 | Reporting / coding artifact | – | 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 |
|---|---|---|---|---|---|---|
| No adverse event | 347 | 10.1 9.1–11.1ROR 10.9 · χ² 2,844 / p <1e-300 | 10.0 EB05 9.1 · IC025 +3.1 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Asthenia (weakness) | 225 | 3.1 2.7–3.5ROR 3.2 · χ² 319 / p 1e-71 | 3.1 EB05 2.7 · IC025 +1.4 3/3 methods agree | No label text to screen | – | no trial data cached |
| Pneumonia (lung infection) | 221 | 3.5 3.1–4.0ROR 3.7 · χ² 401 / p 2e-89 | 3.5 EB05 3.1 · IC025 +1.6 3/3 methods agree | No label text to screen | – | no trial data cached |
| Muscular weakness | 145 | 6.6 5.6–7.7ROR 6.8 · χ² 681 / p 2e-150 | 6.4 EB05 5.6 · IC025 +2.4 3/3 methods agree | No label text to screen | – | no trial data cached |
| Covid-19 | 110 | 3.2 2.7–3.8ROR 3.3 · χ² 165 / p 4e-38 | 3.2 EB05 2.7 · IC025 +1.3 3/3 methods agree | No label text to screen | – | no trial data cached |
| Product dose omission issue | 95 | 1.7 1.4–2.1ROR 1.7 · χ² 28 / p 6e-8 | 1.7 EB05 1.4 · IC025 +0.4 | Reporting / coding artifact | – | no trial data cached |
| Gastrointestinal disorder | 90 | 5.2 4.3–6.4ROR 5.3 · χ² 305 / p 1e-68 | 5.1 EB05 4.3 · IC025 +2.0 3/3 methods agree | No label text to screen | – | no trial data cached |
| Nasopharyngitis (common cold) | 81 | 2.3 1.8–2.8ROR 2.3 · χ² 56 / p 4e-14 | 2.2 EB05 1.9 · IC025 +0.8 | No label text to screen | – | no trial data cached |
| Respiratory tract infection | 76 | 15.1 12.1–18.8ROR 15.3 · χ² 983 / p 4e-216 | 14.9 EB05 12.3 · IC025 +3.4 3/3 methods agree | No label text to screen | – | no trial data cached |
| Influenza | 71 | 3.3 2.6–4.1ROR 3.3 · χ² 110 / p 6e-26 | 3.2 EB05 2.6 · IC025 +1.3 3/3 methods agree | No label text to screen | – | no trial data cached |
| Product storage error | 65 | 3.9 3.0–4.9ROR 3.9 · χ² 135 / p 1e-31 | 3.8 EB05 3.1 · IC025 +1.5 3/3 methods agree | Reporting / coding artifact | – | no trial data cached |
| Dysphagia (difficulty swallowing) | 57 | 3.1 2.4–4.0ROR 3.1 · χ² 79 / p 3e-19 | 3.0 EB05 2.4 · IC025 +1.2 3/3 methods agree | No label text to screen | – | no trial data cached |
| Respiratory failure | 54 | 3.8 2.9–5.0ROR 3.8 · χ² 109 / p 8e-26 | 3.7 EB05 2.9 · IC025 +1.4 3/3 methods agree | No label text to screen | – | no trial data cached |
| Respiratory disorder | 49 | 8.4 6.4–11.1ROR 8.5 · χ² 312 / p 4e-70 | 8.0 EB05 6.2 · IC025 +2.5 3/3 methods agree | No label text to screen | – | no trial data cached |
| Nephrolithiasis (kidney stones) | 47 | 5.3 4.0–7.0ROR 5.3 · χ² 159 / p 9e-37 | 5.0 EB05 3.9 · IC025 +1.9 3/3 methods agree | No label text to screen | – | no 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 Risdiplam?
In FDA FAERS, the most frequently co-reported reaction terms for Risdiplam are asthenia, pneumonia, muscular weakness, covid-19, gastrointestinal disorder, nasopharyngitis. 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 Risdiplam have an FDA boxed warning?
No validated FDA label could be retrieved for this product name, so this page cannot say.
Do FAERS signals prove that Risdiplam 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
- No FDA label passed the name-validation check for this product string, so label-based screening was skipped
- 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, 93 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.