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What the label lists and what reports show

Carmustine side effects

Carmustine's FDA label: “Most common adverse reactions (>1%) are nausea, vomiting, renal toxicity, pneumonitis, pulmonary toxicity, myelosuppression ( 6 ) To report SUSPECTED ADVERSE REACTIONS, contact Avet Pharmaceuticals Inc.” FAERS holds 4,612 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 febrile neutropenia (391 reports).

  • Generic listed
  • Boxed warning

Check it at the source: the carmustine FDA label on DailyMed (effective April 9, 2026, Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

Most common adverse reactions (>1%) are nausea, vomiting, renal toxicity, pneumonitis, pulmonary toxicity, myelosuppression ( 6 ) To report SUSPECTED ADVERSE REACTIONS, contact Avet Pharmaceuticals Inc.

Table 1. Per-Patient Incidence of Adverse Reactions Occurring in Gliadel Wafer-Treated Patients with Newly-Diagnosed High-Grade Glioma (Study 1) (Between Arm Difference of ≥ 4%)

This table is printed in the Gliadel label published by Azurity Pharmaceuticals, Inc. of December 5, 2024; the label quoted above does not print one.

Adverse ReactionGLIADEL Wafer N=120 %Placebo N=120 %
Nausea2217
Vomiting2116
Constipation1912
Abdominal pain82
Asthenia2215
Chest pain50
Wound healing abnormalities Included (1) fluid, CDS, or subdural fluid collection; (2)…1612
Back pain73
Depression1610

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 described elsewhere in the labeling: Myelosuppression [see Warnings and Precautions (5.1) ] Pulmonary toxicity [see Warnings and Precautions (5.2) ] Administration Reactions [see Warnings and Precautions (5.3) ] Carcinogenicity [see Warnings and Precautions (5.4) ] Ocular Toxicity [see Warnings and Precautions (5.5) ] The following adverse reactions associated with the use of Carmustine for Injection were identified in clinical studies or postmarketing reports. Because some of these reactions were reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Cardiac Disorders Tachycardia and chest pain. Eye Disorders Conjunctival edema, conjunctival hemorrhage, blurred vision and loss of depth perception Gastrointestinal Toxicity Nausea, vomiting, anorexia, and diarrhea Hepatotoxicity Increased transaminase, increased alkaline phosphatase, increased bilirubin levels Infections and Infestations Opportunistic infection (including with fatal outcome). Neoplasms Benign, Malignant and Unspecified (including cysts and polyps) Acute leukemia, bone marrow dysplasias.

Source: FDA drug label, Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc., effective April 9, 2026 (SPL set b9b47082-32ee-4abb-a7b2-52292894d3f8), via openFDA; the full label on DailyMed

What do FAERS reports show?

4,612 reports list carmustine among the medicines taken, each a report of something that happened, not proof the medicine caused it; 1,192 are coded as a death and 1,417 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, 5 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)515
  • Febrile Neutropenia391
  • Myelodysplastic Syndrome296
  • Disease Progression (a use or a product term, not a reaction)292
  • Thrombocytopenia (named in the label)250
  • Pyrexia239
  • Mucosal Inflammation219
  • Neutropenia (named in the label)206
  • Pneumonia202
  • Drug Ineffective (a use or a product term, not a reaction)197
  • Infection (named in the label)177
  • Acute Myeloid Leukaemia172
  • Diarrhoea (named in the label)159
  • Sepsis159
  • Product Use In Unapproved Indication (a use or a product term, not a reaction)155
  • Brain Oedema137
  • Malignant Neoplasm Progression129
  • Death (an outcome recorded in the report)117
  • Anaemia116
  • Second Primary Malignancy110
  • Pancytopenia105
  • Septic Shock101
  • Nausea (named in the label)91
  • Malignant Transformation88
  • Respiratory Failure86

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

What next?

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