OpenClaim

Alteplase Side Effects

The most commonly reported side effects of alteplase include no adverse event, off label use, and gingival bleeding, based on 14,748 FDA adverse event reports from 2004 to 2025. 3.7% of reports found the drug to be ineffective.

Alteplase side effects

Percentages show how often each reaction appears relative to total reports for alteplase.

1
No Adverse Event16.7%2,461
2
Off Label Use12.3%1,819
3
Gingival Bleeding6.9%1,014
4
Death6.5%954
5
Cerebral Haemorrhage4.6%683
6
Haemorrhage Intracranial4.4%650
7
Angioedema3.9%577
8
Drug Ineffective3.7%545
9
Haemorrhage3.5%510
10
Haemorrhagic Transformation Stroke2.8%408
11
Product Storage Error2.5%374
12
Nausea2.2%324
13
Vomiting2.0%297
14
Dyspnoea2.0%288
15
Hypotension1.9%284

These are voluntary reports and do not establish that alteplase caused these reactions.

Report severity

69.1%Serious10,185 reports
20.3%Hospitalizations2,987 reports
22.0%Fatal3,238 reports

Seriousness is determined by the reporter, not by OpenClaim.

Alteplase drug interactions

Other drugs that appear in adverse event reports alongside alteplase. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Heparin4.2%619
2
Aspirin1.9%275
3
Cyclophosphamide1.3%190
4
Bevacizumab1.0%145
5
Fludarabine-phosphate1.0%142
6
Cytarabine0.9%128
7
Dornase-alfa0.8%121
8
Rituximab0.8%114
9
Venetoclax0.7%110
10
Enoxaparin-sodium0.7%106
11
Gemfibrozil0.7%102
12
Warfarin0.7%99
13
Methotrexate0.7%97
14
Etoposide0.6%94
15
Tenecteplase0.6%92

Taken alongside

1
Heparin9.1%1,341
2
Acetaminophen8.6%1,271
3
Ondansetron6.3%930
4
Aspirin6.1%894
5
Sodium-chloride4.9%729
6
Diphenhydramine4.8%701
7
Furosemide4.4%644
8
Lorazepam4.1%598
9
Lidocaine3.5%523
10
Pantoprazole-sodium3.5%513
11
Acyclovir3.3%482
12
Potassium-chloride3.3%480
13
Dexamethasone3.2%465
14
Vancomycin3.1%454
15
Albuterol3.0%447

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports alteplase side effects

32.4% of alteplase adverse event reports involve female patients and 39.2% involve male patients. The largest age group is elderly at 48%. These figures reflect who reports side effects, not underlying risk.

Sex

Female32.4%
Male39.2%
Unknown28.4%

Age group

< 21.2%
2–112.7%
12–171.9%
18–6446.2%
65+48.1%

What is alteplase used for

Conditions and purposes for which patients were taking alteplase when the adverse event was reported.

Abdominal AbscessAbscess DrainageAccidental Exposure To ProductAcute Ischemic StrokeAcute Myocardial InfarctionAcute Respiratory Distress SyndromeAdverse EventAge-related Macular DegenerationAnaemiaAnal CancerAndrogen Insensitivity SyndromeAngina PectorisAngina UnstableAngiopathyAngioplasty

Showing 15 of 738 indications

Alteplase brand names and reporting trend

Alteplase is sold under the brand name Cathflo Activase.

Brand names

Cathflo Activase10,208

Quarterly reports (20042025)

20052010201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking alteplase with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.