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Drug side effects

posaconazole Side Effects

The reactions most often reported to the FDA for posaconazole (also sold as Noxafil), with demographics, serious outcomes, and reporting trends.

Data updated 2026-05-15

15,332
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 2004 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.

The most commonly reported side effects of posaconazole come from 15,332 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 15,332 reports to the FDA Adverse Event Reporting System (FAERS) for posaconazole (Noxafil): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.

Total Reports

15,332

Reports Mentioning Death

3,711

24.2% of reports — not proof the medicine caused the death

Hospitalizations

6,890

44.9% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

FEBRILE NEUTROPENIA
1,017
DRUG INTERACTION
930
DEATH
928
PYREXIA
850
NEUTROPENIA
705
PNEUMONIA
653
THROMBOCYTOPENIA
505
DIARRHOEA
498
NAUSEA
478
SEPTIC SHOCK
441
CONDITION AGGRAVATED
422
SEPSIS
416
ACUTE KIDNEY INJURY
408
FATIGUE
387
PANCYTOPENIA
361
VOMITING
321
DYSPNOEA
313

Who Reports Side Effects

Gender Distribution

Female 5,458 (40%)
Male 7,962 (59%)
Unknown 70

Age Distribution

0-17 1,240 (11%)
18-44 2,464 (21%)
45-64 4,074 (35%)
65-74 2,600 (22%)
75+ 1,310 (11%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 3,711 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 923
SEPTIC SHOCK 329
PNEUMONIA 252
SEPSIS 231
FEBRILE NEUTROPENIA 218
PYREXIA 207
ACUTE MYELOID LEUKAEMIA 204
RESPIRATORY FAILURE 196
NEUTROPENIA 187
MULTIPLE ORGAN DYSFUNCTION SYNDROME 167
CONDITION AGGRAVATED 130
INFECTION 130
DISEASE PROGRESSION 121
DIARRHOEA 110
ACUTE KIDNEY INJURY 109
ASPERGILLUS INFECTION 104
THROMBOCYTOPENIA 104

Reactions in Hospitalization Reports

Top reactions in 6,890 reports where hospitalization was an outcome.

Reaction Reports
FEBRILE NEUTROPENIA 722
PYREXIA 589
PNEUMONIA 513
DRUG INTERACTION 396
NEUTROPENIA 365
THROMBOCYTOPENIA 303
ACUTE KIDNEY INJURY 293
NAUSEA 275
SEPSIS 269
DIARRHOEA 268
SEPTIC SHOCK 254
CONDITION AGGRAVATED 243
PANCYTOPENIA 216
DYSPNOEA 213
VOMITING 205
ASTHENIA 192
RENAL FAILURE 184
FATIGUE 182

Compare posaconazole vs acyclovir →

What the FAERS Data Reveals About posaconazole Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 15,332 voluntary reports linked to posaconazole and its brand equivalents (Noxafil), spanning 2004 through 2025. Of those, 3,711 (24.2%) listed death as an outcome and 6,890 (44.9%) 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, 40% were female and 59% male; age distribution skews toward 45-64, with 4,074 reports in that bracket. The single most reported reaction is febrile neutropenia with 1,017 submissions, followed by drug interaction and death.

How to read these numbers

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.