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What the label lists and what reports show

Lonapegsomatropin side effects

Lonapegsomatropin's FDA label: “Most common adverse reactions (≥ 5%): viral infection, pyrexia, cough, nausea and vomiting, hemorrhage, diarrhea, abdominal pain, and arthralgia and arthritis ( 6.1 ).” FAERS holds 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 headache (67 reports).

  • No generic listed

Check it at the source: the lonapegsomatropin FDA label on DailyMed (effective July 23, 2026); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

Most common adverse reactions (≥ 5%): viral infection, pyrexia, cough, nausea and vomiting, hemorrhage, diarrhea, abdominal pain, and arthralgia and arthritis ( 6.1 ).

Table 2: Adverse Reactions Occurring in ≥ 5% SKYTROFA-Treated Pediatric Patients and More Frequently Than in Daily Somatropin-Treated Pediatric Patients (52 Weeks of Treatment)

Adverse reactionsDaily Somatropin (N = 56) n (%)SKYTROFA (N = 105) n (%)
Infection, viral6 (11%)16 (15%)
Pyrexia5 (9%)16 (15%)
Cough4 (7%)11 (11%)
Nausea and vomiting4 (7%)11 (11%)
Hemorrhage Hemorrhage in the SKYTROFA treatment group included epistaxis (3), contusion…1 (2%)7 (7%)
Diarrhea3 (5%)6 (6%)
Abdominal pain2 (4%)6 (6%)
Arthralgia and arthritis Arthralgia and arthritis in the SKYTROFA treatment group…1 (2%)6 (6%)

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 important adverse reactions are described elsewhere in the labeling: Increased mortality in patients with acute critical illness [see Warnings and Precautions (5.1) ] Severe hypersensitivity [see Warnings and Precautions (5.2) ] Increased risk of neoplasms [see Warnings and Precautions (5.3) ] Glucose intolerance and diabetes mellitus [see Warnings and Precautions (5.4) ] Intracranial hypertension [see Warnings and Precautions (5.5) ] Fluid retention [see Warnings and Precautions (5.6) ] Hypoadrenalism [see Warnings and Precautions (5.7) ] Hypothyroidism [see Warnings and Precautions (5.8) ] Slipped capital femoral epiphysis in pediatric patients [see Warnings and Precautions (5.9) ] Progression of preexisting scoliosis in pediatric patients [see Warnings and Precautions (5.10) ] Pancreatitis [see Warnings and Precautions (5.11) ] Lipoatrophy [see Warnings and Precautions (5.12) ] Sudden death in pediatric patients with Prader-Willi syndrome [see Warnings and Precautions (5.13) ] Pediatric Patients: Most common adverse reactions (≥ 5%): viral infection, pyrexia, cough, nausea and vomiting, hemorrhage, diarrhea, abdominal pain, and arthralgia and arthritis ( 6.1 ). Adults: Most common adverse reaction (≥ 5%): edema peripheral ( 6.1 ).

Source: FDA drug label, Ascendis Pharma Endocrinology, Inc., effective July 23, 2026 (SPL set 9229f871-bc61-4ddc-8122-d126d40e36ac), via openFDA; the full label on DailyMed

What do FAERS reports show?

612 reports list lonapegsomatropin among the medicines taken, each a report of something that happened, not proof the medicine caused it; 0 are coded as a death and 15 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, 7 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

  • Product Dose Omission Issue (a use or a product term, not a reaction)115
  • Headache (named in the label)67
  • Injection Site Pain48
  • Device Use Error44
  • Device Malfunction35
  • Incorrect Dose Administered (a use or a product term, not a reaction)26
  • Therapy Interrupted (a use or a product term, not a reaction)26
  • Treatment Noncompliance26
  • Nausea (named in the label)25
  • Off Label Use (a use or a product term, not a reaction)25
  • Vomiting (named in the label)23
  • Wrong Technique In Device Usage Process (a use or a product term, not a reaction)23
  • Fatigue20
  • Arthralgia (named in the label)17
  • Liquid Product Physical Issue17
  • Rash16
  • Pain In Extremity15
  • Abdominal Pain Upper14
  • Weight Increased14
  • Anxiety13
  • Dizziness13
  • Pyrexia (named in the label)13
  • Myalgia (named in the label)11
  • Product Availability Issue11
  • Abdominal Pain (named in the label)10

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

What next?

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