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This page presents data from the FDA Adverse Event Reporting System (FAERS) and the FDA-approved drug label. A report submitted to FAERS does not prove a drug caused the reported event. Always consult a healthcare provider about medications.

Leflunomide

antirheumatic agent
Last updated: August 27, 2026
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Leflunomide is a medication, a antirheumatic agent. According to the FDA-approved label, Leflunomide Tablets, USP are indicated for the treatment of adults with active rheumatoid arthritis (RA). Leflunomide tablets are a pyrimidine synthesis inhibitor indicated for the treatment of adults with active rheumatoid arthritis. ( 1 ). FAERS contains 104,033 submissions naming this drug from 2004 through 2026; the top three reactions cited are drug ineffective, rheumatoid arthritis, and pain.

Most-Reported Reactions

Counts of the reactions most often cited in FAERS submissions that named Leflunomide. Inclusion here does not establish causation - submitters describe what was observed, not what was confirmed. One submission can list several reactions, so the totals exceed the report count.

DRUG INEFFECTIVE 37,382 (35.9%) RHEUMATOID ARTHRITIS 25,337 (24.4%) PAIN 20,468 (19.7%) ARTHRALGIA 17,395 (16.7%) DRUG INTOLERANCE 15,935 (15.3%) JOINT SWELLING 15,925 (15.3%) FATIGUE 15,756 (15.1%) RASH 13,723 (13.2%) OFF LABEL USE 12,216 (11.7%) ABDOMINAL DISCOMFORT 12,046 (11.6%) ALOPECIA 11,998 (11.5%) CONTRAINDICATED PRODUCT ADMINISTERED 11,938 (11.5%) ARTHROPATHY 11,099 (10.7%) CONDITION AGGRAVATED 10,658 (10.2%) SWELLING 10,563 (10.2%)

Patient Demographics

Patient sex and age across the FAERS submissions that named Leflunomide. Percentages here are computed only from submissions where these fields were filled in - many leave them blank.

By Sex

Female Male Unknown

By Age Group

0-17 18-44 45-64 65+

Severity Outcomes

Severity flags recorded across the 104,033 FAERS submissions that named Leflunomide. Each bar shows the count of those reports carrying that flag. A single case can carry more than one (a hospitalization that became life-threatening, for example), so these bars are independent rates - they don't sum to 100%. Inclusion of a case under any flag does not establish that the drug caused the outcome.

DEATH 9,328 (9.0%) HOSPITALIZATION 28,775 (27.7%) LIFE-THREATENING 8,797 (8.5%) DISABLING 11,438 (11.0%)

Submissions Per Quarter

Quarterly count of FAERS submissions that named Leflunomide. Ups and downs on this chart can track prescribing volume, news cycles, or shifts in how reports get filed, rather than the drug becoming safer or more dangerous.

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026

From the FDA-Approved Label

Excerpts from the official FDA-approved prescribing information for Leflunomide. This is the authoritative source on indications, warnings, and known adverse reactions.

Indications

1 INDICATIONS AND USAGE Leflunomide Tablets, USP are indicated for the treatment of adults with active rheumatoid arthritis (RA). Leflunomide tablets are a pyrimidine synthesis inhibitor indicated for the treatment of adults with active rheumatoid arthritis. ( 1 )

Adverse Reactions (from label)

6 ADVERSE REACTIONS The following serious adverse reactions are described elsewhere in the labeling: Hepatotoxicity [see Warnings and Precautions (5.2) ] Immunosuppression [see Warnings and Precautions (5.4) ] Bone marrow suppression [see Warnings and Precautions (5.4) ] Stevens-Johnson syndrome and toxic epidermal necrolysis [see Warnings and Precautions (5.5) ] Peripheral neuropathy [see Warnings and Precautions (5.7) ] Interstitial lung disease [see Warnings and Precautions (5.8) ] The most commonly reported adverse reactions (≥10%) regardless of relation to leflunomide treatment were diarrhea, respiratory infection, nausea, headache, rash, abnormal liver enzymes, dyspepsia. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Chartwell RX, LLC. at 1-845-232-1683 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch 6.1 Clinical Trials Experience Because clinical studies are conducted under widely varying conditions, adverse reaction rates observed in the clinical studies of a drug cannot be directly compared to rates in the clinical studies of another drug and may not reflect the rates observed in practice. (continues in label)

FDA label effective date: 2025-12-17

Disclaimer

AdverseEvent.ai is not affiliated with the FDA. Adverse-event counts come from the FDA Adverse Event Reporting System (FAERS). Drug labels come from the FDA drug label dataset. A report submitted to FAERS does not prove a drug caused the reported event — always consult a healthcare provider about medications. This site is for informational purposes only and is not medical advice.