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mepolizumab Side Effects

Also known as: Nucala

Analysis of 47,215 adverse event reports submitted to the FDA from 2008 to 2025.

Total Reports

47,215

Death-Related

3,552

7.5% of reports

Hospitalizations

15,164

32.1% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

ASTHMA
12,416
DYSPNOEA
10,201
WHEEZING
6,904
PRODUCT DOSE OMISSION ISSUE
6,194
COUGH
4,939
THERAPEUTIC PRODUCT EFFECT INCOMPLETE
4,917
PNEUMONIA
4,419
DRUG INEFFECTIVE
4,405
LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES
4,148
SLEEP DISORDER DUE TO A GENERAL MEDICAL CONDITION
3,042
OFF LABEL USE
2,930
FATIGUE
2,918
MALAISE
2,633
CONDITION AGGRAVATED
2,605
HEADACHE
2,524
PAIN
2,339
PRODUCTIVE COUGH
2,235
NASOPHARYNGITIS
2,117
OBSTRUCTIVE AIRWAYS DISORDER
2,091
HOSPITALISATION
2,000

Who Reports Side Effects

Gender Distribution

Female 23,211 (68%)
Male 11,025 (32%)
Unknown 1

Age Distribution

0-17 371 (2%)
18-44 3,725 (19%)
45-64 7,567 (39%)
65-74 4,720 (25%)
75+ 2,849 (15%)

Reporting Trend by Year

2008 2025

Reactions in Death Reports

Top reactions reported in 3,552 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 1,677
OFF LABEL USE 889
PAIN 719
CONFUSIONAL STATE 685
MATERNAL EXPOSURE DURING PREGNANCY 685
PEMPHIGUS 680
GENERAL PHYSICAL HEALTH DETERIORATION 677
INFUSION RELATED REACTION 670
CONDITION AGGRAVATED 666
SYNOVITIS 664
SYSTEMIC LUPUS ERYTHEMATOSUS 654
PRODUCT USE IN UNAPPROVED INDICATION 651
LUNG DISORDER 649
DYSPNOEA 648
WOUND 647
GASTROOESOPHAGEAL REFLUX DISEASE 642
PSORIATIC ARTHROPATHY 642
GLOSSODYNIA 641
RASH 638
DRUG INEFFECTIVE 636

Reactions in Hospitalization Reports

Top reactions in 15,164 reports where hospitalization was an outcome.

Reaction Reports
ASTHMA 6,643
DYSPNOEA 5,330
WHEEZING 3,748
PNEUMONIA 2,743
THERAPEUTIC PRODUCT EFFECT INCOMPLETE 2,457
LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES 2,287
COUGH 2,205
DRUG INEFFECTIVE 2,048
HOSPITALISATION 1,977
SLEEP DISORDER DUE TO A GENERAL MEDICAL CONDITION 1,633
CONDITION AGGRAVATED 1,408
PAIN 1,386
FATIGUE 1,365
MALAISE 1,356
OBSTRUCTIVE AIRWAYS DISORDER 1,159
OFF LABEL USE 1,108
LUNG DISORDER 1,094
HEADACHE 1,087
PRODUCT DOSE OMISSION ISSUE 1,013
ASTHENIA 1,003

Nearby — Related Medications

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What the FAERS Data Reveals About mepolizumab Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 47,215 voluntary reports linked to mepolizumab and its brand equivalents (Nucala), spanning 2008 through 2025. Of those, 3,552 (7.5%) listed death as an outcome and 15,164 (32.1%) 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, 68% were female and 32% male; age distribution skews toward 45-64, with 7,567 reports in that bracket. The single most reported reaction is asthma with 12,416 submissions, followed by dyspnoea and wheezing.

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.