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What the label lists and what reports show

Mannitol side effects

Mannitol's FDA label: “The most common adverse reactions are hypersensitivity reactions, renal failure, CNS toxicity, hypo/hypervolemia, hypo/hypernatremia, hypo/hyperkalemia, and infusion site reactions.” FAERS holds 4,912 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 pain (617 reports).

  • Generic listed

Check it at the source: the mannitol FDA label on DailyMed (effective August 26, 2025, Baxter Healthcare Company); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

The most common adverse reactions are hypersensitivity reactions, renal failure, CNS toxicity, hypo/hypervolemia, hypo/hypernatremia, hypo/hyperkalemia, and infusion site reactions.

Table 2: Adverse reactions with an incidence ≥1% within a day after bronchial challenge…

This table is printed in the Aridol Bronchial Challenge Test Kit label published by Methapharm, Inc. of April 23, 2026; the label quoted above does not print one.

ReactionAdverse Reactions ARIDOL (N=1046) n (%)Treatment Methacholine Challenge (N=420) n (%)
Headache59 (6)4 (1)
Pharyngolaryngeal pain25 (2)0
Throat irritation19 (2)1 (<1)
Nausea19 (2)0
Cough17 (2)8 (2)
Rhinorrhea16 (2)0
Dyspnea15 (1)21 (5)
Chest discomfort13 (1)18 (4)
Wheezing8 (1)6 (1)
Retching6 (1)0
Dizziness5 (1)13 (3)

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 adverse reactions from voluntary reports or clinical studies have been reported with OSMITROL. Because many 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.

Source: FDA drug label, Baxter Healthcare Company, effective August 26, 2025 (SPL set 0d914965-7001-45cb-ba51-d7c5964b05bc), via openFDA; the full label on DailyMed

What do FAERS reports show?

4,912 reports list mannitol among the medicines taken, each a report of something that happened, not proof the medicine caused it; 1,410 are coded as a death and 2,144 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, 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

  • Pain617
  • Renal Failure (named in the label)593
  • Anxiety506
  • Injury (named in the label)496
  • Drug Ineffective (a use or a product term, not a reaction)471
  • Unevaluable Event471
  • Stress464
  • Fear431
  • Death (an outcome recorded in the report)424
  • Renal Impairment394
  • Emotional Distress387
  • Renal Injury383
  • Off Label Use (a use or a product term, not a reaction)378
  • Nausea (named in the label)342
  • Vomiting (named in the label)321
  • Anhedonia313
  • Condition Aggravated (a use or a product term, not a reaction)284
  • Multi-Organ Failure277
  • Anaemia264
  • Sepsis256
  • Hyponatraemia (named in the label)233
  • Dyspnoea (named in the label)222
  • Constipation212
  • Somnolence207
  • Pyrexia (named in the label)204

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

What next?

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