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What the label lists and what reports show

Leuprolide side effects

Leuprolide's FDA label lists its adverse reactions in its own words. FAERS holds 78,546 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 hot flush (9,599 reports).

  • Generic listed

Check it at the source: the leuprolide FDA label on DailyMed (effective May 28, 2026, Amneal Pharmaceuticals LLC); the FDA FAERS public dashboard.

What does the patient leaflet say about side effects?

From the patient leaflet: What is the most important information I should know about LUPRON DEPOT-PED?

During the first 2 to 4 weeks of treatment, LUPRON DEPOT-PED can cause an increase in some hormones. During this time you may notice more signs of puberty in your child, including vaginal bleeding. Call your doctor if these signs continue after the second month of treatment with LUPRON DEPOT-PED. Some people taking gonadotropin releasing hormone (GnRH) agonists like LUPRON DEPOT-PED have had new or worsened mental (psychiatric) problems. Mental (psychiatric) problems may include emotional symptoms such as: ◦ crying ◦ irritability ◦ restlessness (impatience) ◦ anger ◦ acting aggressive Call your child’s doctor right away if your child has any new or worsening mental symptoms or problems while taking LUPRON DEPOT-PED. Some people taking GnRH agonists like LUPRON DEPOT-PED have had seizures. The risk of seizures may be higher in people who: ◦ have a history of seizures ◦ have a history of epilepsy ◦ have a history of brain or brain vessel (cerebrovascular) problems or tumors ◦ are taking a medicine that has been connected to seizures such as bupropion or selective serotonin reuptake inhibitors (SSRIs) Seizures have also happened in people who have not had any of these problems. Call your child’s doctor right away if your child has a seizure while taking LUPRON DEPOT-PED . Severe cutaneous (skin) adverse reactions may happen during treatment with GnRH agonists like LUPRON DEPOT-PED . […]

Source: FDA drug label (Lupron Depot-PED), AbbVie Inc., effective November 14, 2025 (SPL set e99f47d2-da10-3127-ecb3-e5d942ae6e81), via openFDA; the full label on DailyMed

What does the label list?

From the label: adverse reactions

Clinical Trials In the majority of patients testosterone levels increased above baseline during the first week, declining thereafter to baseline levels or below by the end of the second week of treatment. This transient increase was occasionally associated with a temporary worsening of signs and symptoms, usually manifested by an increase in bone pain (see WARNINGS section). Cases of temporary worsening of existing hematuria and urinary tract obstruction have occurred during the first week. Temporary weakness and paresthesia of the lower limbs have been reported. Potential exacerbations of signs and symptoms during the first few weeks of treatment is a concern in patients with vertebral metastases and/or urinary obstruction which, if aggravated, may lead to neurological problems or increase the obstruction. …

Table 3. Adverse Reactions Occurring in ≥2 % in Pediatric Patients with CPP Receiving…

This table is printed in the Lupron Depot-PED label published by AbbVie Inc. of November 14, 2025; the label quoted above does not print one.

Reaction% 11.25 mg every 3 Months N=42% 30 mg every 3 Months N=42% Overall N = 84
Injection site pain192120
Weight increased777
Headache275
Mood altered555
Injection site swelling222

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.

Source: FDA drug label, Amneal Pharmaceuticals LLC, effective May 28, 2026 (SPL set 4838c674-044e-46b2-81e7-c691b99d8fa5), via openFDA; the full label on DailyMed

What do FAERS reports show?

78,546 reports list leuprolide among the medicines taken, each a report of something that happened, not proof the medicine caused it; 12,172 are coded as a death and 12,255 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 19 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

  • Hot Flush9,599
  • Intercepted Product Preparation Error9,222
  • Death (an outcome recorded in the report)8,559
  • Syringe Issue7,900
  • Device Leakage6,230
  • Wrong Technique In Product Usage Process (a use or a product term, not a reaction)5,463
  • Fatigue (named in the label)5,181
  • Injection Site Pain (named in the label)4,891
  • Prostatic Specific Antigen Increased2,445
  • Asthenia (named in the label)2,440
  • Off Label Use (a use or a product term, not a reaction)2,415
  • Drug Ineffective (a use or a product term, not a reaction)2,380
  • Fall2,022
  • Arthralgia1,982
  • Pain1,971
  • Headache (named in the label)1,969
  • Prostate Cancer (a use or a product term, not a reaction)1,846
  • Weight Increased (named in the label)1,811
  • Dizziness (named in the label)1,803
  • Nausea (named in the label)1,798
  • Intentional Product Use Issue (a use or a product term, not a reaction)1,670
  • Back Pain (named in the label)1,431
  • Injection Site Mass1,370
  • Insomnia (named in the label)1,234
  • Pain In Extremity (named in the label)1,222

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

What next?

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