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What the label lists and what reports show

Temsirolimus side effects

Temsirolimus's FDA label: “The most common (≥30%) adverse reactions observed with TORISEL are rash, asthenia, mucositis, nausea, edema, and anorexia.” FAERS holds 4,502 reports naming it through July 30, 2026; the reaction reported most often, leaving out the conditions it is used for, product-use terms and outcomes, is dyspnoea (215 reports).

  • Generic listed

Check it at the source: the temsirolimus FDA label on DailyMed (effective December 26, 2025, Wyeth Pharmaceuticals LLC, a subsidiary of Pfizer Inc.); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

The most common (≥30%) adverse reactions observed with TORISEL are rash, asthenia, mucositis, nausea, edema, and anorexia.

Table 1 – Adverse Reactions Reported in at Least 10% of Patients Who Received 25 mg IV TORISEL or IFN-α in the Randomized Trial

ReactionAll Grades Common Toxicity Criteria for Adverse Events (CTCAE), Version 3.0. n (%)Grades 3&4 n (%)All Grades n (%)Grades 3&4 n (%)
Asthenia106 (51)23 (11)127 (64)52 (26)
Edema Includes edema, facial edema, and peripheral edema73 (35)7 (3)21 (11)1 (1)
Pain59 (28)10 (5)31 (16)4 (2)
Pyrexia50 (24)1 (1)99 (50)7 (4)
Weight Loss39 (19)3 (1)50 (25)4 (2)
Headache31 (15)1 (1)30 (15)0 (0)
Chest Pain34 (16)2 (1)18 (9)2 (1)
Chills17 (8)1 (1)59 (30)3 (2)
Mucositis Includes aphthous stomatitis, glossitis, mouth ulceration, mucositis, and…86 (41)6 (3)19 (10)0 (0)
Anorexia66 (32)6 (3)87 (44)8 (4)
Nausea77 (37)5 (2)82 (41)9 (5)
Diarrhea56 (27)3 (1)40 (20)4 (2)
Abdominal Pain44 (21)9 (4)34 (17)3 (2)
Constipation42 (20)0 (0)36 (18)1 (1)
Vomiting40 (19)4 (2)57 (29)5 (3)
Infections Includes infections not otherwise specified (NOS) and the following infections…42 (20)6 (3)19 (10)4 (2)
Urinary tract infection Includes cystitis, dysuria, hematuria, urinary frequency, and…31 (15)3 (1)24 (12)3 (2)
Pharyngitis25 (12)0 (0)3 (2)0 (0)
Rhinitis20 (10)0 (0)4 (2)0 (0)
Back Pain41 (20)6 (3)28 (14)7 (4)
Arthralgia37 (18)2 (1)29 (15)2 (1)
Myalgia16 (8)1 (1)29 (15)2 (1)
Dyspnea58 (28)18 (9)48 (24)11 (6)
Cough53 (26)2 (1)29 (15)0 (0)
Epistaxis25 (12)0 (0)7 (4)0 (0)

Rows and numbers as the label prints them, under its own column headings (the first rows of a longer table where it runs on). A reaction in a trial table is not necessarily caused by the medicine, and trials differ from everyday use.

From the label: adverse reactions, continued

The following serious adverse reactions have been associated with TORISEL in clinical trials and are discussed in greater detail in other sections of the label [see Warnings and Precautions (5) ]. • Hypersensitivity/Infusion Reactions [see Warnings and Precautions (5.1) ] • Hepatic Impairment [see Warnings and Precautions (5.2) ] • Hyperglycemia/Glucose Intolerance [see Warnings and Precautions (5.3) ] • Infections [see Warnings and Precautions (5.4) ] • Interstitial Lung Disease [see Warnings and Precautions (5.5) ] • Hyperlipidemia [see Warnings and Precautions (5.6) ] • Bowel Perforation [see Warnings and Precautions (5.7) ] • Renal Failure [see Warnings and Precautions (5.8) ] • Wound Healing Complications [see Warnings and Precautions (5.9) ] • Intracerebral Hemorrhage [see Warnings and Precautions (5.10) ] The most common (≥30%) adverse reactions observed with TORISEL are rash, asthenia, mucositis, nausea, edema, and anorexia. The most common (≥30%) laboratory abnormalities observed with TORISEL are anemia, hyperglycemia, hyperlipidemia, hypertriglyceridemia, lymphopenia, elevated alkaline phosphatase, elevated serum creatinine, hypophosphatemia, thrombocytopenia, elevated AST, and leukopenia. The most common adverse reactions (incidence ≥30%) are rash, asthenia, mucositis, nausea, edema, and anorexia. …

Source: FDA drug label, NDA022088 (Pf Prism Cv), as published by Wyeth Pharmaceuticals LLC, a subsidiary of Pfizer Inc., effective December 26, 2025 (SPL set 95b7dc92-2180-42f1-8699-3c28f609e674), via openFDA; the full label on DailyMed

What do FAERS reports show?

4,502 reports list temsirolimus among the medicines taken, each a report of something that happened, not proof the medicine caused it; 967 are coded as a death and 2,003 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is. Of the 21 reactions below, 14 are named by the same term (in US spelling) in the label's adverse reactions, warnings or patient leaflet; a reaction the label does not name may still be there under another word, and a report does not show that the medicine caused it.

Reports received each year

The 25 most reported reactions

  • Disease Progression (a use or a product term, not a reaction)479
  • Death (an outcome recorded in the report)287
  • Dyspnoea (named in the label)215
  • Fatigue206
  • Pneumonia (named in the label)190
  • Diarrhoea (named in the label)189
  • Nausea (named in the label)189
  • Anaemia (named in the label)187
  • Pyrexia (named in the label)179
  • Vomiting (named in the label)176
  • Thrombocytopenia (named in the label)164
  • Dehydration162
  • Stomatitis (named in the label)156
  • Rash (named in the label)143
  • Renal Cell Carcinoma (a use or a product term, not a reaction)136
  • Febrile Neutropenia125
  • Pleural Effusion (named in the label)125
  • Asthenia (named in the label)124
  • Off Label Use (a use or a product term, not a reaction)124
  • Decreased Appetite113
  • Mucosal Inflammation112
  • Interstitial Lung Disease (named in the label)111
  • Neoplasm Progression110
  • Pneumonitis (named in the label)108
  • Neutropenia106

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026; reactions as MedDRA preferred terms

What next?

Temsirolimus: the full record
label, generics, price, shortages, recalls
Side effects hub
the most reported medicines and reactions