Skip to main content

What the label lists and what reports show

Erlotinib side effects

Erlotinib's FDA label: “The most common adverse reactions (≥ 20%) with erlotinib from a pooled analysis in patients with NSCLC across all approved lines of therapy, with and without EGFR mutations, and in patients with pancreatic cancer were rash, diarrhea, anorexia, fatigue …” FAERS holds 12,438 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 diarrhoea (1,339 reports).

  • Generic listed

Check it at the source: the erlotinib FDA label on DailyMed (effective June 10, 2024, Alembic Pharmaceuticals Limited); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

The most common adverse reactions (≥ 20%) with erlotinib from a pooled analysis in patients with NSCLC across all approved lines of therapy, with and without EGFR mutations, and in patients with pancreatic cancer were rash, diarrhea, anorexia, fatigue, dyspnea, cough, nausea, and vomiting.

A table the label prints in its adverse reactions section without a title; its column headings name the groups compared

ReactionAll Grades %Grades 3 to 4 %All Grades %Grades 3 to 4 %
Rash851450
Diarrhea625211
Cough481400
Dyspnea458304
Dry skin21120
Back pain19250
Chest pain181120
Conjunctivitis18000
Mucosal inflammation18160
Pruritus16010
Paronychia14000
Arthralgia13161
Musculoskeletal pain11110

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, which may include fatalities, are discussed in greater detail in other sections of the labeling: Interstitial Lung Disease (ILD) [see Warnings and Precautions (5.1)] Renal Failure [see Warnings and Precautions (5.2)] Hepatotoxicity with or without Hepatic Impairment [see Warnings and Precautions (5.3)] Gastrointestinal Perforation [see Warnings and Precautions (5.4)] Bullous and Exfoliative Skin Disorders [see Warnings and Precautions (5.5)] Cerebrovascular Accident [see Warnings and Precautions (5.6)] Microangiopathic Hemolytic Anemia with Thrombocytopenia [see Warnings and Precautions (5.7)] Ocular Disorders [see Warnings and Precautions (5.8)] Hemorrhage in Patients Taking Warfarin [see Warnings and Precautions (5.9)] The most common adverse reactions (≥ 20%) with erlotinib from a pooled analysis in patients with NSCLC across all approved lines of therapy, with and without EGFR mutations, and in patients with pancreatic cancer were rash, diarrhea, anorexia, fatigue, dyspnea, cough, nausea, and vomiting. …

Source: FDA drug label, Alembic Pharmaceuticals Limited, effective June 10, 2024 (SPL set ab6f3cb3-34a8-4492-a5d7-fb6b055a2d6b), via openFDA; the full label on DailyMed

What do FAERS reports show?

12,438 reports list erlotinib among the medicines taken, each a report of something that happened, not proof the medicine caused it; 5,765 are coded as a death and 3,881 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 21 reactions below, 9 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

  • Death (an outcome recorded in the report)3,662
  • Diarrhoea (named in the label)1,339
  • Rash (named in the label)1,316
  • Off Label Use (a use or a product term, not a reaction)903
  • Malignant Neoplasm Progression890
  • Fatigue (named in the label)717
  • Nausea (named in the label)694
  • Vomiting576
  • Disease Progression (a use or a product term, not a reaction)571
  • Decreased Appetite (named in the label)511
  • Anaemia (named in the label)496
  • Dyspnoea (named in the label)484
  • Drug Resistance474
  • Asthenia (named in the label)462
  • Pneumonia419
  • Dehydration380
  • Malaise379
  • Drug Ineffective (a use or a product term, not a reaction)353
  • Pyrexia (named in the label)342
  • Pain308
  • Weight Decreased278
  • Pleural Effusion266
  • Neutropenia265
  • Abdominal Pain262
  • Hypertension247

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

What next?

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