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Drug side effects

roflumilast Side Effects

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

Data updated 2026-05-15

6,450
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 2010 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 roflumilast come from 6,450 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 6,450 reports to the FDA Adverse Event Reporting System (FAERS) for roflumilast (Daliresp): 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

6,450

Reports Mentioning Death

943

14.6% of reports — not proof the medicine caused the death

Hospitalizations

1,974

30.6% of reports

Top Indication

Chronic Obstructive Pulmonary Disease

Most Reported Adverse Reactions

DYSPNOEA
1,011
DEATH
730
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
631
DIARRHOEA
567
NAUSEA
465
PNEUMONIA
450
WEIGHT DECREASED
436
HEADACHE
404
COUGH
346
INSOMNIA
313
DIZZINESS
300
ASTHMA
284
DECREASED APPETITE
282
MALAISE
282
FATIGUE
281
BACK PAIN
217
WHEEZING
217
CONDITION AGGRAVATED
197

Who Reports Side Effects

Gender Distribution

Female 3,084 (54%)
Male 2,626 (46%)
Unknown 16

Age Distribution

0-17 37 (1%)
18-44 134 (4%)
45-64 1,084 (32%)
65-74 1,229 (37%)
75+ 874 (26%)

Reporting Trend by Year

2010 2025

Reactions in Death Reports

Top reactions reported in 943 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 729
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 85
PNEUMONIA 46
DYSPNOEA 35
WEIGHT DECREASED 25
ASTHENIA 21
RESPIRATORY FAILURE 20
MALAISE 18
DIARRHOEA 17
FALL 17
FATIGUE 17
CARDIAC ARREST 16
CARDIAC FAILURE CONGESTIVE 14
ATRIAL FIBRILLATION 13
DECREASED APPETITE 13
HEADACHE 13
NAUSEA 13
ANAEMIA 12
COMPLETED SUICIDE 11

Reactions in Hospitalization Reports

Top reactions in 1,974 reports where hospitalization was an outcome.

Reaction Reports
DYSPNOEA 520
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 402
PNEUMONIA 346
ASTHMA 170
DIARRHOEA 168
COUGH 164
WEIGHT DECREASED 162
WHEEZING 123
NAUSEA 114
FATIGUE 111
MALAISE 111
DECREASED APPETITE 104
HEADACHE 95
DIZZINESS 94
ASTHENIA 90
FALL 88
THERAPEUTIC PRODUCT EFFECT INCOMPLETE 78
INFLUENZA 75

Compare roflumilast vs aclidinium →

What the FAERS Data Reveals About roflumilast Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 6,450 voluntary reports linked to roflumilast and its brand equivalents (Daliresp), spanning 2010 through 2025. Of those, 943 (14.6%) listed death as an outcome and 1,974 (30.6%) involved hospitalization. The most common indication reported alongside adverse events was Chronic Obstructive Pulmonary Disease.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 54% were female and 46% male; age distribution skews toward 65-74, with 1,229 reports in that bracket. The single most reported reaction is dyspnoea with 1,011 submissions, followed by death and chronic obstructive pulmonary disease.

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.