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posaconazole Side Effects

Also known as: Noxafil

Analysis of 15,332 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

15,332

Death-Related

3,711

24.2% of reports

Hospitalizations

6,890

44.9% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

OFF LABEL USE
1,542
DRUG INEFFECTIVE
1,434
FEBRILE NEUTROPENIA
1,017
DRUG INTERACTION
930
DEATH
928
PRODUCT USE IN UNAPPROVED INDICATION
926
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
DRUG INEFFECTIVE 603
OFF LABEL USE 426
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
PRODUCT USE IN UNAPPROVED INDICATION 108
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
DRUG INEFFECTIVE 560
OFF LABEL USE 542
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

Nearby — Related Medications

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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 off label use with 1,542 submissions, followed by drug ineffective and febrile neutropenia.

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.