Verteporfin For side effects: what 1,480 FDA adverse event reports show
Drug class
Photoenhancer
Label matched
Verteporfin For Injection (Visudyne)
Who reports
1,480 reports · 89% serious · 59 with death outcome · 42% female
Used for
VISUDYNE ® (verteporfin for injection) therapy is indicated for the treatment of patients with predominantly classic subfoveal choroidal neovascularization (CNV) due to age-related macular degeneration (AMD), pathologic myopia or presumed ocular histoplasmosis. There is insufficient evidence to indicate VISUDYNE for the treatment of predominantly occult subfoveal CNV.
What it is
VISUDYNE ® (verteporfin for injection) is a sterile, photoenhancer which is light activated drug when used in photodynamic therapy for intravenous administration. The finished drug product is a lyophilized dark green cake.
Boxed warning
None in the current label
Causality screen of the 17 strongest signals
What the badges mean
- Labeled adverse reaction The exact term appears in the label's warnings or adverse-reactions sections: a known, expected effect. The FAERS signal confirms the label rather than discovering anything.
- Labeled (related wording) The label describes this effect under different wording (e.g. 'neutropenia' for 'neutrophil count decreased'). Treated as known.
- Likely indication confounding The term appears in the label's indications: reports probably describe the disease being treated (or its progression), not a drug effect. Classic confounding by indication.
- 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.
- Lab value / disease marker A laboratory result, investigation or disease-activity marker (antibody positive, CRP abnormal, swollen joint count) not described in the label. These usually mirror the monitored disease or testing protocol rather than a drug effect; not screened further.
- 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. 2 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 |
|---|---|---|---|---|---|---|
| Visual acuity reduced | 400 | 171.3 157.4–186.4ROR 234.3 · χ² 66,830 / p <1e-300 | 167.9 EB05 154.5 · IC025 +7.0 3/3 methods agree | Not in label — unassessed | serious PRR 146.1 · 94% clinician | no trial data cached |
| Retinal detachment | 66 | 102.4 80.8–129.8ROR 107.1 · χ² 6,482 / p <1e-300 | 98.8 EB05 80.4 · IC025 +5.4 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 66.8 · 98% clinician | no trial data cached |
| Macular degeneration | 59 | 70.5 54.9–90.6ROR 73.4 · χ² 3,955 / p <1e-300 | 68.6 EB05 55.2 · IC025 +5.0 3/3 methods agree | Likely indication confounding term in indications | serious PRR 48.2 · 95% clinician | no trial data cached |
| Eye haemorrhage | 25 | 26.5 18.0–39.2ROR 27.0 · χ² 588 / p 3e-130 | 26.0 EB05 18.5 · IC025 +3.5 3/3 methods agree | Labeled (related wording) related wording | serious PRR 17.7 | no trial data cached |
| Disease progression | 173 | 20.8 18.1–23.9ROR 23.4 · χ² 3,257 / p <1e-300 | 20.7 EB05 18.3 · IC025 +4.0 3/3 methods agree | Reporting / coding artifact | serious PRR 15.5 · 98% clinician | no trial data cached |
| Intraocular pressure increased (raised eye pressure) | 16 | 17.7 10.9–28.8ROR 17.9 · χ² 235 / p 2e-53 | 17.0 EB05 10.7 · IC025 +2.7 3/3 methods agree | Lab value / disease marker | serious PRR 16.9 | no trial data cached |
| Injection site extravasation | 13 | 14.8 8.6–25.4ROR 14.9 · χ² 153 / p 2e-35 | 13.6 EB05 7.6 · IC025 +2.4 3/3 methods agree | Labeled (related wording) related wording | serious n=14 | no trial data cached |
| Blindness unilateral | 13 | 13.1 7.6–22.5ROR 13.2 · χ² 133 / p 4e-31 | 11.7 EB05 6.5 · IC025 +2.2 3/3 methods agree | Not in label — unassessed | serious PRR 8.7 | no trial data cached |
| Cerebral infarction | 20 | 11.6 7.5–17.9ROR 11.7 · χ² 183 / p 5e-42 | 10.7 EB05 6.9 · IC025 +2.5 3/3 methods agree | Not in label — unassessed | serious PRR 7.5 · ♀ 15% (drug 42%) | no trial data cached |
| Blindness | 32 | 11.1 7.9–15.7ROR 11.4 · χ² 286 / p 2e-64 | 10.6 EB05 7.6 · IC025 +2.7 3/3 methods agree | Not in label — unassessed | serious PRR 7.4 | no trial data cached |
| Eye inflammation | 5 | 7.5 3.1–18.0ROR 7.5 · χ² 22 / p 1e-6 | 4.9 EB05 2.2 · IC025 +0.7 3/3 methods agree | Labeled (related wording) related wording | serious n=5 | no trial data cached |
| Scar | 9 | 7.4 3.9–14.3ROR 7.5 · χ² 44 / p 2e-11 | 5.7 EB05 3.1 · IC025 +1.3 3/3 methods agree | Not in label — unassessed | serious PRR 7.4 | no trial data cached |
| Cataract | 27 | 6.5 4.4–9.4ROR 6.6 · χ² 119 / p 5e-28 | 5.9 EB05 4.2 · IC025 +1.9 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 4.7 | no trial data cached |
| Disease recurrence | 20 | 5.9 3.8–9.2ROR 6.0 · χ² 77 / p 7e-19 | 5.3 EB05 3.6 · IC025 +1.7 3/3 methods agree | Reporting / coding artifact | serious PRR 7.6 | no trial data cached |
| Drug resistance | 8 | 4.4 2.2–8.8ROR 4.4 · χ² 18 / p 1e-5 | 3.6 EB05 2.0 · IC025 +0.7 3/3 methods agree | Reporting / coding artifact | serious PRR 3.2 | no trial data cached |
| Drug effect incomplete | 10 | 3.8 2.1–7.1ROR 3.9 · χ² 18 / p 9e-6 | 3.4 EB05 2.0 · IC025 +0.7 | Reporting / coding artifact | serious PRR 8.8 | no trial data cached |
| Inappropriate schedule of drug administration | 14 | 2.7 1.6–4.6ROR 2.8 · χ² 14 / p 1e-4 | 2.6 EB05 1.7 · IC025 +0.5 | Reporting / coding artifact | serious PRR 6.2 | 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 |
|---|---|---|---|---|---|---|
| Visual acuity reduced | 400 | 171.3 157.4–186.4ROR 234.3 · χ² 66,830 / p <1e-300 | 167.9 EB05 154.5 · IC025 +7.0 3/3 methods agree | Not in label — unassessed | serious PRR 146.1 · 94% clinician | no trial data cached |
| Disease progression | 173 | 20.8 18.1–23.9ROR 23.4 · χ² 3,257 / p <1e-300 | 20.7 EB05 18.3 · IC025 +4.0 3/3 methods agree | Reporting / coding artifact | serious PRR 15.5 · 98% clinician | no trial data cached |
| Retinal detachment | 66 | 102.4 80.8–129.8ROR 107.1 · χ² 6,482 / p <1e-300 | 98.8 EB05 80.4 · IC025 +5.4 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 66.8 · 98% clinician | no trial data cached |
| Macular degeneration | 59 | 70.5 54.9–90.6ROR 73.4 · χ² 3,955 / p <1e-300 | 68.6 EB05 55.2 · IC025 +5.0 3/3 methods agree | Likely indication confounding term in indications | serious PRR 48.2 · 95% clinician | no trial data cached |
| Blindness | 32 | 11.1 7.9–15.7ROR 11.4 · χ² 286 / p 2e-64 | 10.6 EB05 7.6 · IC025 +2.7 3/3 methods agree | Not in label — unassessed | serious PRR 7.4 | no trial data cached |
| Cataract | 27 | 6.5 4.4–9.4ROR 6.6 · χ² 119 / p 5e-28 | 5.9 EB05 4.2 · IC025 +1.9 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 4.7 | no trial data cached |
| Eye haemorrhage | 25 | 26.5 18.0–39.2ROR 27.0 · χ² 588 / p 3e-130 | 26.0 EB05 18.5 · IC025 +3.5 3/3 methods agree | Labeled (related wording) related wording | serious PRR 17.7 | no trial data cached |
| Disease recurrence | 20 | 5.9 3.8–9.2ROR 6.0 · χ² 77 / p 7e-19 | 5.3 EB05 3.6 · IC025 +1.7 3/3 methods agree | Reporting / coding artifact | serious PRR 7.6 | no trial data cached |
| Cerebral infarction | 20 | 11.6 7.5–17.9ROR 11.7 · χ² 183 / p 5e-42 | 10.7 EB05 6.9 · IC025 +2.5 3/3 methods agree | Not in label — unassessed | serious PRR 7.5 · ♀ 15% (drug 42%) | no trial data cached |
| Intraocular pressure increased (raised eye pressure) | 16 | 17.7 10.9–28.8ROR 17.9 · χ² 235 / p 2e-53 | 17.0 EB05 10.7 · IC025 +2.7 3/3 methods agree | Lab value / disease marker | serious PRR 16.9 | no trial data cached |
| Inappropriate schedule of drug administration | 14 | 2.7 1.6–4.6ROR 2.8 · χ² 14 / p 1e-4 | 2.6 EB05 1.7 · IC025 +0.5 | Reporting / coding artifact | serious PRR 6.2 | no trial data cached |
| Blindness unilateral | 13 | 13.1 7.6–22.5ROR 13.2 · χ² 133 / p 4e-31 | 11.7 EB05 6.5 · IC025 +2.2 3/3 methods agree | Not in label — unassessed | serious PRR 8.7 | no trial data cached |
| Injection site extravasation | 13 | 14.8 8.6–25.4ROR 14.9 · χ² 153 / p 2e-35 | 13.6 EB05 7.6 · IC025 +2.4 3/3 methods agree | Labeled (related wording) related wording | serious n=14 | no trial data cached |
| Drug effect incomplete | 10 | 3.8 2.1–7.1ROR 3.9 · χ² 18 / p 9e-6 | 3.4 EB05 2.0 · IC025 +0.7 | Reporting / coding artifact | serious PRR 8.8 | no trial data cached |
| Scar | 9 | 7.4 3.9–14.3ROR 7.5 · χ² 44 / p 2e-11 | 5.7 EB05 3.1 · IC025 +1.3 3/3 methods agree | Not in label — unassessed | serious PRR 7.4 | no trial data cached |
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.
- Visual acuity reduced — n=400, PRR 171.3
- Cerebral infarction — n=20, PRR 11.6
- Blindness — n=32, PRR 11.1
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 Verteporfin For?
In FDA FAERS, the most frequently co-reported reaction terms for Verteporfin For are visual acuity reduced, retinal detachment, macular degeneration, blindness, cataract, eye haemorrhage. 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 Verteporfin For have an FDA boxed warning?
No. The FDA label retrieved for Verteporfin For has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Verteporfin For 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 2f0a34ce-3c57-4ac8-b28e-512be807272f, effective 20230224; matched on
openfda.generic_name.exact:"VERTEPORFIN FOR INJECTION") - 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, 19 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.