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Drug · FAERS side-effect profile with label screen

Torsemide side effects: what 32,883 FDA adverse event reports show

Torsemide · 1,255 reaction terms · 153,903 drug–reaction co-reports · data 2026-09-14
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Drug class

Loop Diuretic

FDA label (Established Pharmacologic Class) · compare the class

Who reports

32,883 reports · 81% serious · 4,435 with death outcome · 54% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Torsemide is a loop diuretic indicated for: the treatment of edema associated with heart failure, renal disease or hepatic disease. ( 1.1 ) the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions.

FDA label, Indications and Usage

What it is

Torsemide, USP is a diuretic of the pyridine-sulfonylurea class.

FDA label, Description section

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) 1Likely indication confounding 1Reporting / coding artifact 3Lab value / disease marker 2Not in label — unassessed 33
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). 1,215 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
Femoral hernia incarcerated33530.9
334.0–843.8ROR 531.4 · calibrated p 5e-13 ✓
246.9 EB05 184.0 · IC025 +5.2
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=33 · ♀ 100% (drug 54%) · 100% cliniciannot reported in cached trials
Therapeutic drug monitoring analysis incorrectly performed32318.7
208.3–487.6ROR 319.0 · calibrated p 4e-11 ✓
188.1 EB05 139.5 · IC025 +5.1
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=32 · ♀ 0% (drug 54%) · 100% cliniciannot reported in cached trials
Lymphatic fistula32299.6
196.7–456.5ROR 299.9 · calibrated p 6e-11 ✓
181.3 EB05 134.4 · IC025 +5.0
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=32 · ♀ 100% (drug 54%) · 100% cliniciannot reported in cached trials
Vena cava injury27277.7
176.5–436.8ROR 277.9 · calibrated p 2e-10 ✓
169.8 EB05 122.6 · IC025 +4.8
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=27 · ♀ 0% (drug 54%)not reported in cached trials
Neuroglycopenia28222.4
144.5–342.2ROR 222.6 · calibrated p 9e-10 ✓
148.0 EB05 107.5 · IC025 +4.8
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=28 · ♀ 100% (drug 54%) · 100% cliniciannot reported in cached trials
Therapeutic drug monitoring analysis not performed73207.2
159.1–269.9ROR 207.7 · calibrated p 5e-10 ✓
150.0 EB05 123.3 · IC025 +5.9
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=73 · 100% cliniciannot reported in cached trials
Product monitoring error295165.1
145.3–187.6ROR 166.6 · calibrated p 2e-9 ✓
129.8 EB05 117.9 · IC025 +6.6
3/3 methods agree
vs other Loop Diuretics: only this drug
Reporting / coding artifactserious n=295 · 100% cliniciannot reported in cached trials
Ventricular enlargement36163.7
113.4–236.2ROR 163.8 · calibrated p 7e-9 ✓
121.8 EB05 91.9 · IC025 +5.0
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=36 · ♀ 0% (drug 54%) · 100% cliniciannot reported in cached trials
Truncus arteriosus persistent40157.8
111.6–223.2ROR 158.0 · calibrated p 8e-9 ✓
119.2 EB05 91.3 · IC025 +5.1
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=40 · 100% cliniciannot reported in cached trials
Systemic infection275126.2
110.9–143.6ROR 127.3 · calibrated p 2e-8 ✓
104.5 EB05 94.5 · IC025 +6.3
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=275 · 100% cliniciannot reported in cached trials
Renal cyst haemorrhage34116.6
80.8–168.1ROR 116.7 · calibrated p 9e-8 ✓
93.4 EB05 69.9 · IC025 +4.8
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=34 · ♀ 0% (drug 54%)not reported in cached trials
Pancreatic steatosis41115.9
83.1–161.7ROR 116.0 · calibrated p 8e-8 ✓
93.8 EB05 72.1 · IC025 +5.0
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=41 · ♀ 100% (drug 54%) · 100% cliniciannot reported in cached trials
Peripheral circulatory failure4272.8
52.9–100.2ROR 72.9 · calibrated p 2e-6 ✓
63.5 EB05 49.0 · IC025 +4.7
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=42 · ♀ 100% (drug 54%) · 100% cliniciannot reported in cached trials
Wound infection pseudomonas3170.2
48.4–101.8ROR 70.3 · calibrated p 3e-6 ✓
61.0 EB05 45.0 · IC025 +4.4
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=31 · ♀ 100% (drug 54%) · 100% cliniciannot reported in cached trials
Abdominal wall haemorrhage2568.2
45.1–103.0ROR 68.2 · calibrated p 4e-6 ✓
59.0 EB05 42.0 · IC025 +4.1
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=25 · ♀ 0% (drug 54%) · 100% cliniciannot reported in cached trials
Low cardiac output syndrome2858.2
39.5–85.7ROR 58.2 · calibrated p 1e-5 ✓
51.6 EB05 37.4 · IC025 +4.2
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=28 · ♀ 0% (drug 54%) · 100% cliniciannot reported in cached trials
Helicobacter test positive4049.1
35.6–67.7ROR 49.2 · calibrated p 2e-5 ✓
44.7 EB05 34.2 · IC025 +4.4
3/3 methods agree
vs other Loop Diuretics: only this drug
Lab value / disease markerserious n=40 · ♀ 0% (drug 54%)not reported in cached trials
Multiple drug therapy5049.1
36.8–65.5ROR 49.2 · calibrated p 2e-5 ✓
44.9 EB05 35.4 · IC025 +4.5
3/3 methods agree
vs other Loop Diuretics: only this drug
Reporting / coding artifactserious n=50 · ♀ 100% (drug 54%) · 100% cliniciannot reported in cached trials
Orthostatic intolerance4441.8
30.8–56.7ROR 41.9 · calibrated p 6e-5 ✓
38.7 EB05 30.0 · IC025 +4.3
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=43not reported in cached trials
Delayed graft function4240.2
29.4–54.9ROR 40.2 · calibrated p 7e-5 ✓
37.2 EB05 28.7 · IC025 +4.2
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=42 · ♀ 0% (drug 54%)not reported in cached trials
Hyperparathyroidism secondary14939.8
33.7–46.9ROR 40.0 · calibrated p 6e-5 ✓
37.3 EB05 32.5 · IC025 +4.8
3/3 methods agree
vs other Loop Diuretics: PRR 0.4 (0.3–0.4)
Not in label — unassessedserious n=149 · 100% cliniciannot reported in cached trials
Left atrial enlargement3139.3
27.3–56.5ROR 39.3 · calibrated p 1e-4 ✓
36.3 EB05 26.8 · IC025 +4.0
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=31 · ♀ 0% (drug 54%) · 100% cliniciannot reported in cached trials
Respiratory tract haemorrhage3337.2
26.2–52.8ROR 37.2 · calibrated p 1e-4 ✓
34.5 EB05 25.7 · IC025 +4.0
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=33 · ♀ 0% (drug 54%) · 100% cliniciannot reported in cached trials
Cardiac septal defect3936.2
26.2–50.0ROR 36.2 · calibrated p 1e-4 ✓
33.8 EB05 25.8 · IC025 +4.1
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=39 · 100% cliniciannot reported in cached trials
N-terminal prohormone brain natriuretic peptide increased7435.4
28.0–44.8ROR 35.5 · calibrated p 1e-4 ✓
33.3 EB05 27.4 · IC025 +4.4
3/3 methods agree
vs other Loop Diuretics: PRR 0.5 (0.4–0.6)
Lab value / disease markerserious n=73 · ♀ 32% (drug 54%)not reported in cached trials
Aortic dilatation5433.1
25.2–43.5ROR 33.2 · calibrated p 2e-4 ✓
31.2 EB05 24.8 · IC025 +4.2
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=54 · ♀ 0% (drug 54%)not reported in cached trials
Congenital cardiovascular anomaly4132.2
23.6–44.1ROR 32.3 · calibrated p 2e-4 ✓
30.3 EB05 23.3 · IC025 +4.0
3/3 methods agree
vs other Loop Diuretics: only this drug
Likely indication confounding
shares a disease stem with the indications wording
serious n=41 · 100% cliniciannot reported in cached trials
Osteochondrosis5632.0
24.4–41.8ROR 32.0 · calibrated p 2e-4 ✓
30.2 EB05 24.1 · IC025 +4.2
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=56 · ♀ 33% (drug 54%)not reported in cached trials
Device maintenance issue2732.0
21.7–47.0ROR 32.0 · calibrated p 3e-4 ✓
29.9 EB05 21.6 · IC025 +3.7
3/3 methods agree
vs other Loop Diuretics: PRR 1.9 (1.1–3.1)
Reporting / coding artifact100% consumernot reported in cached trials
Chronic kidney disease-mineral and bone disorder5131.6
23.9–41.9ROR 31.7 · calibrated p 3e-4 ✓
29.9 EB05 23.6 · IC025 +4.1
3/3 methods agree
vs other Loop Diuretics: PRR 0.3 (0.2–0.4)
Not in label — unassessedserious n=51not reported in cached trials
Carotid arteriosclerosis4428.5
21.1–38.6ROR 28.6 · calibrated p 5e-4 ✓
27.1 EB05 21.0 · IC025 +3.9
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=44 · ♀ 0% (drug 54%)not reported in cached trials
Nephrogenic anaemia19828.1
24.4–32.4ROR 28.3 · calibrated p 4e-4 ✓
26.9 EB05 23.9 · IC025 +4.4
3/3 methods agree
vs other Loop Diuretics: PRR 0.2 (0.2–0.3)
Not in label — unassessedserious n=198not reported in cached trials
Renal artery stenosis5827.8
21.4–36.1ROR 27.8 · calibrated p 5e-4 ✓
26.4 EB05 21.2 · IC025 +4.0
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=58not reported in cached trials
Arterial haemorrhage4827.7
20.8–37.0ROR 27.8 · calibrated p 5e-4 ✓
26.4 EB05 20.7 · IC025 +3.9
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=48 · ♀ 100% (drug 54%) · 100% cliniciannot reported in cached trials
Stasis dermatitis2827.1
18.5–39.5ROR 27.1 · calibrated p 7e-4 ✓
25.6 EB05 18.6 · IC025 +3.5
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=26not reported in cached trials
Obstructive sleep apnoea syndrome5626.6
20.3–34.7ROR 26.6 · calibrated p 6e-4 ✓
25.3 EB05 20.2 · IC025 +3.9
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=55not reported in cached trials
Hypochromic anaemia3925.4
18.5–35.0ROR 25.5 · calibrated p 8e-4 ✓
24.2 EB05 18.5 · IC025 +3.7
3/3 methods agree
vs other Loop Diuretics: only this drug
Not in label — unassessedserious n=39 · ♀ 0% (drug 54%) · 100% cliniciannot reported in cached trials
Cardiac amyloidosis4124.9
18.2–34.0ROR 25.0 · calibrated p 9e-4 ✓
23.8 EB05 18.3 · IC025 +3.7
3/3 methods agree
vs other Loop Diuretics: PRR 3.5 (2.2–5.6)
Not in label — unassessedserious n=41 · ♀ 0% (drug 54%)not reported in cached trials
Hypervolaemia17724.4
21.0–28.3ROR 24.5 · calibrated p 8e-4 ✓
23.4 EB05 20.7 · IC025 +4.2
3/3 methods agree
vs other Loop Diuretics: PRR 0.5 (0.4–0.6)
Not in label — unassessedserious n=166not reported in cached trials

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Torsemide 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
Dyspnoea (shortness of breath)3,5024.0
3.8–4.1ROR 4.3 · calibrated p 0.324
3.9 EB05 3.8 · IC025 +1.9
3/3 methods agree
vs other Loop Diuretics: PRR 0.3 (0.2–0.3)
Not in label — unassessedserious PRR 3.4not reported in cached trials
Fatigue (tiredness)2,1861.8
1.7–1.9ROR 1.9 · calibrated p 0.860
1.8 EB05 1.7 · IC025 +0.8
vs other Loop Diuretics: PRR 0.2 (0.2–0.2)
Not in label — unassessedserious PRR 1.8not reported in cached trials
Diarrhoea (diarrhea)2,0632.0
2.0–2.1ROR 2.1 · calibrated p 0.994
2.0 EB05 2.0 · IC025 +1.0
vs other Loop Diuretics: PRR 0.2 (0.2–0.2)
Not in label — unassessedserious PRR 1.9not reported in cached trials
Nausea2,0341.6
1.6–1.7ROR 1.7 · calibrated p 0.760
1.6 EB05 1.6 · IC025 +0.6
vs other Loop Diuretics: PRR 0.2 (0.2–0.2)
Not in label — unassessedserious PRR 1.7not reported in cached trials
Dizziness1,9342.5
2.4–2.6ROR 2.6 · calibrated p 0.783
2.5 EB05 2.4 · IC025 +1.2
3/3 methods agree
vs other Loop Diuretics: PRR 0.3 (0.3–0.3)
Not in label — unassessedserious PRR 2.5not reported in cached trials
Death1,7201.3
1.2–1.3ROR 1.3 · calibrated p 0.499
1.3 EB05 1.2 · IC025 +0.3
vs other Loop Diuretics: PRR 0.2 (0.2–0.2)
Outcome field, not a reactionserious PRR 0.9not reported in cached trials
General physical health deterioration1,6499.3
8.8–9.7ROR 9.7 · calibrated p 0.036 ✓
9.1 EB05 8.8 · IC025 +3.1
3/3 methods agree
vs other Loop Diuretics: PRR 1.0 (0.9–1.0)
Reporting / coding artifactserious PRR 7.6 · 92% cliniciannot reported in cached trials
Fall1,6253.1
3.0–3.3ROR 3.2 · calibrated p 0.555
3.1 EB05 3.0 · IC025 +1.6
3/3 methods agree
vs other Loop Diuretics: PRR 0.2 (0.2–0.2)
Not in label — unassessedserious PRR 2.5not reported in cached trials
Oedema peripheral (swelling of legs/feet)1,5868.4
8.0–8.8ROR 8.7 · calibrated p 0.051
8.2 EB05 7.9 · IC025 +3.0
3/3 methods agree
vs other Loop Diuretics: PRR 0.3 (0.3–0.3)
Not in label — unassessedserious PRR 7.4not reported in cached trials
Headache1,5201.5
1.5–1.6ROR 1.6 · calibrated p 0.690
1.5 EB05 1.5 · IC025 +0.5
vs other Loop Diuretics: PRR 0.2 (0.2–0.3)
Not in label — unassessedserious PRR 1.5not reported in cached trials
Hypotension (low blood pressure)1,4794.7
4.5–5.0ROR 4.9 · calibrated p 0.245
4.7 EB05 4.5 · IC025 +2.1
3/3 methods agree
vs other Loop Diuretics: PRR 0.2 (0.2–0.2)
Labeled adverse reaction
exact term
serious PRR 3.5not reported in cached trials
Anaemia (low red blood cells)1,4454.9
4.6–5.1ROR 5.0 · calibrated p 0.232
4.8 EB05 4.6 · IC025 +2.2
3/3 methods agree
vs other Loop Diuretics: PRR 0.3 (0.2–0.3)
Labeled adverse reaction
exact term
serious PRR 3.7not reported in cached trials
Pneumonia (lung infection)1,3622.7
2.6–2.8ROR 2.8 · calibrated p 0.708
2.7 EB05 2.6 · IC025 +1.3
3/3 methods agree
vs other Loop Diuretics: PRR 0.2 (0.2–0.2)
Not in label — unassessedserious PRR 2.0not 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.

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 Torsemide?

In FDA FAERS, the most frequently co-reported reaction terms for Torsemide are dyspnoea, fatigue, diarrhoea, nausea, dizziness, acute kidney injury. 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 Torsemide have an FDA boxed warning?

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

Do FAERS signals prove that Torsemide 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.