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lifitegrast Side Effects

Also known as: Xiidra

Analysis of 15,783 adverse event reports submitted to the FDA from 2015 to 2025.

Total Reports

15,783

Death-Related

283

1.8% of reports

Hospitalizations

615

3.9% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

EYE IRRITATION
2,649
VISION BLURRED
2,566
DRUG INEFFECTIVE
1,536
EYE PAIN
1,386
INSTILLATION SITE PAIN
1,281
DRY EYE
1,131
DYSGEUSIA
1,088
INSTILLATION SITE REACTION
1,019
OCULAR HYPERAEMIA
663
HEADACHE
602
LACRIMATION INCREASED
601
VISUAL IMPAIRMENT
565
PRODUCT DOSE OMISSION ISSUE
435
EYE PRURITUS
423
EYE DISCHARGE
380
HYPERSENSITIVITY
368
PRODUCT QUALITY ISSUE
360
PRODUCT USE COMPLAINT
356
PAIN
330
EYE DISORDER
322

Who Reports Side Effects

Gender Distribution

Female 11,783 (83%)
Male 2,442 (17%)
Unknown 3

Age Distribution

0-17 40 (1%)
18-44 544 (11%)
45-64 1,693 (35%)
65-74 1,344 (28%)
75+ 1,231 (25%)

Reporting Trend by Year

15
16
17
18
19
20
21
22
23
24
25

Reactions in Death Reports

Top reactions reported in 283 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 252
FALL 5
PRODUCT DOSE OMISSION ISSUE 5
HEADACHE 4
PNEUMONIA 4
ARTHRALGIA 3
BREAST CANCER 3
BREAST CANCER METASTATIC 3
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION 3
OFF LABEL USE 3
SPEECH DISORDER 3
ACUTE KIDNEY INJURY 2
CARDIAC FAILURE CONGESTIVE 2
CEREBROVASCULAR ACCIDENT 2
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 2
DIABETES MELLITUS 2
DIARRHOEA 2
DYSPHAGIA 2
EYE PAIN 2
HEPATIC FAILURE 2

Reactions in Hospitalization Reports

Top reactions in 615 reports where hospitalization was an outcome.

Reaction Reports
PNEUMONIA 90
FALL 62
DRUG INEFFECTIVE 60
PRODUCT DOSE OMISSION ISSUE 55
FEELING ABNORMAL 51
ARTHRITIS 50
PLATELET COUNT DECREASED 47
BLOOD FOLATE DECREASED 43
HEADACHE 40
HOSPITALISATION 40
DYSPNOEA 38
COVID-19 36
MALAISE 36
WHITE BLOOD CELL COUNT DECREASED 36
PRODUCT USE ISSUE 33
PAIN 32
DIZZINESS 30
NAUSEA 27
VISION BLURRED 27
DIARRHOEA 25

Nearby — Related Medications

Compare lifitegrast vs aflibercept →

What the FAERS Data Reveals About lifitegrast Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 15,783 voluntary reports linked to lifitegrast and its brand equivalents (Xiidra), spanning 2015 through 2025. Of those, 283 (1.8%) listed death as an outcome and 615 (3.9%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 83% were female and 17% male; age distribution skews toward 45-64, with 1,693 reports in that bracket. The single most reported reaction is eye irritation with 2,649 submissions, followed by vision blurred and drug ineffective.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.