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Drug side effects

propylthiouracil Side Effects

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

Data updated 2026-05-15

1,982
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 propylthiouracil come from 1,982 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 1,982 reports to the FDA Adverse Event Reporting System (FAERS) for propylthiouracil (PTU): 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

1,982

Reports Mentioning Death

170

8.6% of reports — not proof the medicine caused the death

Hospitalizations

907

45.8% of reports

Top Indication

Hyperthyroidism

Most Reported Adverse Reactions

HYPERTHYROIDISM
135
FOETAL EXPOSURE DURING PREGNANCY
113
NAUSEA
87
EXPOSURE DURING PREGNANCY
84
ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODY POSITIVE VASCULITIS
83
MATERNAL EXPOSURE DURING PREGNANCY
68
HYPOTENSION
67
AGRANULOCYTOSIS
59
FATIGUE
58
PYREXIA
58
VOMITING
56
CARDIAC ARREST
54
DIARRHOEA
49
PREMATURE BABY
49
ACUTE KIDNEY INJURY
48
CARDIOGENIC SHOCK
47
HYPOTHYROIDISM
47

Who Reports Side Effects

Gender Distribution

Female 1,283 (73%)
Male 460 (26%)
Unknown 3

Age Distribution

0-17 63 (4%)
18-44 577 (39%)
45-64 447 (31%)
65-74 198 (14%)
75+ 180 (12%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 170 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
CARDIAC ARREST 23
DEATH 21
MULTIPLE ORGAN DYSFUNCTION SYNDROME 19
ACUTE KIDNEY INJURY 14
RENAL FAILURE 13
CARDIAC FAILURE CONGESTIVE 11
ACUTE HEPATIC FAILURE 10
PNEUMONIA 10
CIRCULATORY COLLAPSE 9
DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS 9
HYPERTHYROIDISM 9
HYPOTENSION 9
NAUSEA 9
SEPTIC SHOCK 9
CARDIOGENIC SHOCK 8
CHRONIC KIDNEY DISEASE 8
END STAGE RENAL DISEASE 8
THYROTOXIC CRISIS 8
CARDIO-RESPIRATORY ARREST 7

Reactions in Hospitalization Reports

Top reactions in 907 reports where hospitalization was an outcome.

Reaction Reports
HYPERTHYROIDISM 82
HYPOTENSION 49
NAUSEA 45
AGRANULOCYTOSIS 42
PYREXIA 41
VOMITING 36
ACUTE KIDNEY INJURY 35
ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODY POSITIVE VASCULITIS 35
THYROTOXIC CRISIS 35
ACUTE HEPATIC FAILURE 33
CARDIOGENIC SHOCK 31
CONDITION AGGRAVATED 30
PNEUMONIA 30
CARDIAC ARREST 29
DIARRHOEA 28
ANAEMIA 27
FATIGUE 27
FOETAL EXPOSURE DURING PREGNANCY 26

Compare propylthiouracil vs levothyroxine →

What the FAERS Data Reveals About propylthiouracil Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 1,982 voluntary reports linked to propylthiouracil and its brand equivalents (PTU), spanning 2004 through 2025. Of those, 170 (8.6%) listed death as an outcome and 907 (45.8%) involved hospitalization. The most common indication reported alongside adverse events was Hyperthyroidism.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 73% were female and 26% male; age distribution skews toward 18-44, with 577 reports in that bracket. The single most reported reaction is hyperthyroidism with 135 submissions, followed by foetal exposure during pregnancy and nausea.

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.

Drugs With a Similar FAERS Report Volume

Other medications with a total FDA adverse-event report count closest to propylthiouracil's 1,982.