Rubidium Rb-82 side effects: what 115 FDA adverse event reports show
Drug class
Radioactive diagnostic agent
Label matched
Rubidium Chloride Rb-82 (Cardiogen-82)
Who reports
115 reports · 33% serious · 0 with death outcome · 53% female
Used for
CardioGen-82, used to produce Rubidium Chloride Rb 82 Injection, is indicated for positron emission tomography (PET) of the myocardium under rest or pharmacologic stress conditions to evaluate regional myocardial perfusion in adult patients with suspected or existing coronary artery disease.
What it is
11.1 Generator Characteristics CardioGen-82 (rubidium Rb 82 generator) contains accelerator-produced Sr 82 adsorbed on stannic oxide in a lead-shielded column and provides a means to produce sterile nonpyrogenic Rubidium Chloride Rb 82 Injection, a radioactive diagnostic agent, for intravenous use.
Boxed warning
HIGH LEVEL RADIATION EXPOSURE WITH USE OF INCORRECT ELUENT and FAILURE TO FOLLOW THE ELUATE TESTING PROTOCOL High Level Radiation Exposure with Use of Incorrect Eluent Patients are exposed to high radiation levels when the CardioGen-82 generator is eluted with the incorrect eluent due to high strontium (Sr) 82 and Sr 85 breakthrough levels.
Causality screen of the 3 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.
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. 0 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 |
|---|---|---|---|---|---|---|
| Product preparation error | 21 | 183.5 124.6–270.3ROR 223.8 · χ² 3,631 / p <1e-300 | 157.3 EB05 108.6 · IC025 +4.4 3/3 methods agree | Reporting / coding artifact | serious n=1 | no trial data cached |
| Expired product administered | 26 | 141.8 101.0–198.9ROR 182.4 · χ² 3,497 / p <1e-300 | 128.5 EB05 92.1 · IC025 +4.6 3/3 methods agree | Reporting / coding artifact | serious n=10 | no trial data cached |
| No adverse event | 76 | 77.5 67.9–88.4ROR 222.8 · χ² 5,708 / p <1e-300 | 76.0 EB05 62.7 · IC025 +5.3 3/3 methods agree | Reporting / coding artifact | serious PRR 823.8 | 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 | 76 | 77.5 67.9–88.4ROR 222.8 · χ² 5,708 / p <1e-300 | 76.0 EB05 62.7 · IC025 +5.3 3/3 methods agree | Reporting / coding artifact | serious PRR 823.8 | no trial data cached |
| Expired product administered | 26 | 141.8 101.0–198.9ROR 182.4 · χ² 3,497 / p <1e-300 | 128.5 EB05 92.1 · IC025 +4.6 3/3 methods agree | Reporting / coding artifact | serious n=10 | no trial data cached |
| Product preparation error | 21 | 183.5 124.6–270.3ROR 223.8 · χ² 3,631 / p <1e-300 | 157.3 EB05 108.6 · IC025 +4.4 3/3 methods agree | Reporting / coding artifact | serious n=1 | 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 Rubidium Rb-82?
In FDA FAERS, the most frequently co-reported reaction terms for Rubidium Rb-82 are listed in the table above. 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 Rubidium Rb-82 have an FDA boxed warning?
Yes. The current FDA label carries a boxed warning: HIGH LEVEL RADIATION EXPOSURE WITH USE OF INCORRECT ELUENT and FAILURE TO FOLLOW THE ELUATE TESTING PROTOCOL High Level Radiation Exposure with Use of Incorrect Eluent Patients are exposed to high radiation levels when the CardioGen-82 generator is eluted with the incorrect eluent due to high strontium (Sr) 82 and Sr 85 breakthrough levels.
Do FAERS signals prove that Rubidium Rb-82 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 ee95aa18-9f2f-40eb-9b4c-583bea6f36bf, effective 20260514; matched on
openfda.generic_name.exact:"RUBIDIUM CHLORIDE RB-82") - 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, 3 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.