Skip to main content

What the label lists and what reports show

Bexarotene side effects

Bexarotene's FDA label: “The most common adverse reactions (greater than 10%) include: hyperlipidemia, hypercholesteremia, headache, hypothyroidism, asthenia, leukopenia, rash, nausea, infection, peripheral edema, abdominal pain, and dry skin.” FAERS holds 1,309 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 hypothyroidism (75 reports).

  • Generic listed
  • Boxed warning

Check it at the source: the bexarotene FDA label on DailyMed (effective April 30, 2020, Bausch Health US, LLC); the FDA FAERS public dashboard.

What does the patient leaflet say about side effects?

From the patient leaflet: What are the possible side effects of TARGRETIN?

TARGRETIN can cause serious side effects, including: • See “What is the most important information I should know about TARGRETIN?” • Increased levels of fats (lipids) called cholesterol or triglycerides, in your blood are common with TARGRETIN, but can also be serious. Your healthcare provider may prescribe you medicines to treat high cholesterol or triglycerides levels, reduce your dose, temporarily stop treatment or completely stop treatment with TARGRETIN if you have this problem. • Inflammation of the pancreas (acute pancreatitis). TARGRETIN can sometimes cause pancreatitis that comes on suddenly (acute), and that can lead to death. […]

Source: FDA drug label, Bausch Health US, LLC, effective April 30, 2020 (SPL set 1d056725-0576-4338-8089-6336e768ccdc), via openFDA; the full label on DailyMed

What does the label list?

From the label: adverse reactions

The most common adverse reactions (greater than 10%) include: hyperlipidemia, hypercholesteremia, headache, hypothyroidism, asthenia, leukopenia, rash, nausea, infection, peripheral edema, abdominal pain, and dry skin.

Table 2: Adverse Events with Incidence ≥10% in CTCL Trials

Reaction300 N=84 N (%)>300 N=53 N (%)
Hyperlipemia66 (79)42 (79)
Hypercholesteremia27 (32)33 (62)
Lactic dehydrogenase increased6 (7)7 (13)
Headache25 (30)22 (42)
Asthenia17 (20)24 (45)
Infection11 (13)12 (23)
Abdominal pain9 (11)2 (4)
Chills8 (10)7 (13)
Fever4 (5)9 (17)
Flu syndrome3 (4)7 (13)
Back pain2 (2)6 (11)
Infection bacterial1 (1)7 (13)
Hypothyroidism24 (29)28 (53)
Rash14 (17)12 (23)
Dry skin9 (17)5 (9)
Exfoliative dermatitis8 (10)15 (28)
Alopecia3 (4)6 (11)
Leukopenia14 (17)25 (47)
Anemia5 (6)13 (25)
Hypochromic anemia3 (4)7 (13)
Nausea13 (16)4 (8)
Diarrhea6 (7)22 (42)
Vomiting3 (4)7 (13)
Anorexia2 (2)12 (23)
Peripheral edema11 (13)6 (11)

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 serious adverse reactions are discussed in greater detail in other sections of the prescribing information: • Hyperlipidemia [ see Warnings and Precautions (5.1) ] • Pancreatitis [ see Warnings and Precautions (5.2) ] • Hepatotoxicity, Cholestasis, and Hepatic Failure [ see Warnings and Precautions (5.3) ] • Hypothyroidism [ see Warnings and Precautions (5.4) ] • Neutropenia [ see Warnings and Precautions (5.5) ] • Cataracts [ see Warnings and Precautions (5.6) ] • Vitamin A Supplementation Hazard [ see Warnings and Precautions (5.7) ] • Hypoglycemia Risk in Patients with Diabetes Mellitus [ see Warnings and Precautions (5.8) ] • Photosensitivity [ see Warnings and Precautions (5.9) ] • Laboratory Tests [ see Warnings and Precautions (5.10) ] • Drug/Laboratory Test Interactions [ see Warnings and Precautions (5.11) ] The most common adverse reactions (greater than 10%) include: hyperlipidemia, hypercholesteremia, headache, hypothyroidism, asthenia, leukopenia, rash, nausea, infection, peripheral edema, abdominal pain, and dry skin. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Bausch Health US, LLC at 1-800-321-4576 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. …

Source: FDA drug label, Bausch Health US, LLC, effective April 30, 2020 (SPL set 1d056725-0576-4338-8089-6336e768ccdc), via openFDA; the full label on DailyMed

What do FAERS reports show?

1,309 reports list bexarotene among the medicines taken, each a report of something that happened, not proof the medicine caused it; 247 are coded as a death and 389 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 18 reactions below, 10 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

  • Drug Ineffective (a use or a product term, not a reaction)111
  • Death (an outcome recorded in the report)76
  • Hypothyroidism (named in the label)75
  • Off Label Use (a use or a product term, not a reaction)74
  • Hypertriglyceridaemia (named in the label)59
  • Disease Progression (a use or a product term, not a reaction)57
  • Fatigue50
  • Pruritus (named in the label)47
  • Malignant Neoplasm Progression43
  • Condition Aggravated (a use or a product term, not a reaction)39
  • Nausea (named in the label)37
  • Pneumonia (named in the label)34
  • Mycosis Fungoides30
  • Product Use In Unapproved Indication (a use or a product term, not a reaction)28
  • Cutaneous T-Cell Lymphoma (a use or a product term, not a reaction)27
  • Pyrexia27
  • Anaemia (named in the label)26
  • Blood Cholesterol Increased26
  • Dyspnoea (named in the label)26
  • Headache (named in the label)26
  • Pain26
  • Blood Triglycerides Increased25
  • Erythema25
  • Rash (named in the label)25
  • Asthenia (named in the label)24

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

What next?

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