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What the label lists and what reports show

Vorinostat side effects

Vorinostat's FDA label: “The most common adverse reactions (incidence ≥20%) are diarrhea, fatigue, nausea, thrombocytopenia, anorexia and dysgeusia.” FAERS holds 2,146 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 febrile neutropenia (239 reports).

  • No generic listed

Check it at the source: the vorinostat FDA label on DailyMed (effective November 12, 2024, Merck Sharp & Dohme LLC); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

The most common adverse reactions (incidence ≥20%) are diarrhea, fatigue, nausea, thrombocytopenia, anorexia and dysgeusia.

From the label: adverse reactions, continued

The following serious adverse reactions have been associated with ZOLINZA in clinical trials and are discussed in greater detail in other sections of the label: Thromboembolism [see Warnings and Precautions (5.1) ] Myelosuppression [see Warnings and Precautions (5.2) ] Gastrointestinal Toxicity [see Warnings and Precautions (5.3) ] Hyperglycemia [see Warnings and Precautions (5.4) ] Clinical Chemistry Abnormalities [see Warnings and Precautions (5.5) ] Severe thrombocytopenia when combined with other Histone Deacetylase (HDAC) Inhibitors [see Warnings and Precautions (5.6) ] The most common adverse reactions (incidence ≥20%) are diarrhea, fatigue, nausea, thrombocytopenia, anorexia and dysgeusia. ( 6 ) To report SUSPECTED ADVERSE REACTIONS, contact Merck Sharp & Dohme LLC at 1-877-888-4231 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. The safety of ZOLINZA was evaluated in 107 CTCL patients in two single arm clinical studies in which 86 patients received 400 mg once daily. …

Source: FDA drug label, Merck Sharp & Dohme LLC, effective November 12, 2024 (SPL set cd86ee78-2781-468b-930c-3c4677bcc092), via openFDA; the full label on DailyMed

What do FAERS reports show?

2,146 reports list vorinostat among the medicines taken, each a report of something that happened, not proof the medicine caused it; 420 are coded as a death and 995 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 19 reactions below, 13 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

  • Febrile Neutropenia239
  • Thrombocytopenia (named in the label)151
  • Anaemia (named in the label)135
  • Diarrhoea (named in the label)130
  • Product Use In Unapproved Indication (a use or a product term, not a reaction)130
  • Nausea (named in the label)129
  • Fatigue (named in the label)127
  • Vomiting (named in the label)114
  • Off Label Use (a use or a product term, not a reaction)113
  • Sepsis (named in the label)111
  • Platelet Count Decreased106
  • Dehydration (named in the label)102
  • Death (an outcome recorded in the report)93
  • Neutropenia (named in the label)93
  • Pyrexia (named in the label)91
  • Pneumonia (named in the label)77
  • Decreased Appetite (named in the label)75
  • Drug Ineffective (a use or a product term, not a reaction)70
  • Dyspnoea70
  • Electrocardiogram Qt Prolonged68
  • Disease Progression (a use or a product term, not a reaction)62
  • Product Use Issue (a use or a product term, not a reaction)62
  • Malignant Neoplasm Progression53
  • Hypokalaemia (named in the label)52
  • Neutrophil Count Decreased52

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

What next?

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