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What the label lists and what reports show

Bendamustine side effects

Bendamustine's FDA label: “Most common adverse reactions (≥15%) for CLL are anemia, thrombocytopenia, neutropenia, lymphopenia, leukopenia, pyrexia, nausea, vomiting.” FAERS holds 23,763 reports naming it through July 30, 2026; the reaction reported most often, leaving out the conditions it is used for, product-use terms and outcomes, is pyrexia (1,624 reports).

  • Generic listed
  • A presentation discontinued

Check it at the source: the bendamustine FDA label on DailyMed (effective May 11, 2026, Meitheal Pharmaceuticals Inc.); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

Most common adverse reactions (≥15%) for CLL are anemia, thrombocytopenia, neutropenia, lymphopenia, leukopenia, pyrexia, nausea, vomiting.

Table 3: Non-Hematologic Adverse Reactions Occurring in at Least 5% of NHL Patients Treated with Bendamustine Hydrochloride (N=176)

ReactionBody System/Adverse Reaction All GradesNumber (%) of patients* Grade 3/4
Total number of patients with at least 1 adverse reaction176 (100)94 (53)
Cardiac disorders Tachycardia13 (7)0
Gastroesophageal reflux disease18 (10)0
Herpes zoster18 (10)5 (3)
Upper respiratory tract infection18 (10)0
Urinary tract infection17 (10)4 (2)
Sinusitis15 (9)0
Pneumonia14 (8)9 (5)
Febrile neutropenia11 (6)11 (6)
Oral candidiasis11 (6)2 (1)
Nasopharyngitis11 (6)0
Investigations Weight decreased31 (18)3 (2)
Vascular disorders Hypotension10 (6)2 (1)

Rows and numbers as the label prints them, under its own column headings (the first rows of a longer table where it runs on). A reaction in a trial table is not necessarily caused by the medicine, and trials differ from everyday use.

From the label: adverse reactions, continued

The following clinically significant adverse reactions have been associated with bendamustine hydrochloride in clinical trials and are discussed in greater detail in other sections of the label. Myelosuppression [see Warnings and Precautions ( 5.1 )] Infections [see Warnings and Precautions ( 5.2 )] Progressive Multifocal Leukoencephalopathy [see Warnings and Precautions ( 5.3 )] Anaphylaxis and Infusion Reactions [see Warnings and Precautions ( 5.4 )] Tumor Lysis Syndrome [see Warnings and Precautions ( 5.5 )] Skin Reactions [see Warnings and Precautions ( 5.6 )] Hepatotoxicity [see Warnings and Precautions ( 5.7 )] Other Malignancies [see Warnings and Precautions ( 5. 8)] Extravasation Injury [see Warnings and Precautions ( 5.9 )] Adverse reactions (frequency >5%) during infusion and within 24 hours post-infusion are nausea and fatigue. ( 6.1 ) Most common adverse reactions (≥15%) for CLL are anemia, thrombocytopenia, neutropenia, lymphopenia, leukopenia, pyrexia, nausea, vomiting. ( 6.1 , 6.2 ) Most common adverse reactions (≥15%) for NHL are lymphopenia, leukopenia, anemia, neutropenia, thrombocytopenia, nausea, fatigue, vomiting, diarrhea, pyrexia, constipation, anorexia, cough, headache, weight decreased, dyspnea, rash, and stomatitis.

Source: FDA drug label, Meitheal Pharmaceuticals Inc., effective May 11, 2026 (SPL set 40f6f58d-d9ac-4f65-9fc7-16984bf1f180), via openFDA; the full label on DailyMed

What do FAERS reports show?

23,763 reports list bendamustine among the medicines taken, each a report of something that happened, not proof the medicine caused it; 4,908 are coded as a death and 9,072 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is. Of the 20 reactions below, 13 are named by the same term (in US spelling) in the label's adverse reactions, warnings or patient leaflet; a reaction the label does not name may still be there under another word, and a report does not show that the medicine caused it.

Reports received each year

The 25 most reported reactions

  • Off Label Use (a use or a product term, not a reaction)3,031
  • Disease Progression (a use or a product term, not a reaction)2,732
  • Pyrexia (named in the label)1,624
  • Neutropenia (named in the label)1,517
  • Drug Ineffective (a use or a product term, not a reaction)1,346
  • Thrombocytopenia (named in the label)1,218
  • Pneumonia (named in the label)1,185
  • Febrile Neutropenia (named in the label)1,173
  • Covid-191,149
  • Anaemia (named in the label)1,091
  • Death (an outcome recorded in the report)983
  • Malignant Neoplasm Progression753
  • Diarrhoea (named in the label)749
  • Infection (named in the label)749
  • Product Use In Unapproved Indication (a use or a product term, not a reaction)740
  • Pancytopenia (named in the label)687
  • Rash (named in the label)668
  • Nausea (named in the label)652
  • Sepsis (named in the label)648
  • Platelet Count Decreased630
  • Fatigue (named in the label)611
  • Neutrophil Count Decreased580
  • Diffuse Large B-Cell Lymphoma568
  • Blood Lactate Dehydrogenase Increased527
  • Cytomegalovirus Infection524

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026; reactions as MedDRA preferred terms

What next?

Bendamustine: the full record
label, generics, price, shortages, recalls
Side effects hub
the most reported medicines and reactions