OpenClaim

Busulfan Side Effects

The most commonly reported side effects of busulfan include off label use, product use in unapproved indication, and mucosal inflammation, based on 18,117 FDA adverse event reports from 2004 to 2025. 5.4% of reports found the drug to be ineffective.

Busulfan side effects

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

1
Off Label Use11.4%2,067
2
Product Use In Unapproved Indication9.2%1,667
3
Mucosal Inflammation5.8%1,044
4
Drug Ineffective5.4%981
5
Venoocclusive Liver Disease4.8%865
6
Febrile Neutropenia4.5%810
7
Cytomegalovirus Infection4.4%796
8
Graft Versus Host Disease4.0%723
9
Pyrexia3.9%703
10
Acute Graft Versus Host Disease3.8%691
11
Cytomegalovirus Infection Reactivation3.2%577
12
Chronic Graft Versus Host Disease3.0%550
13
Sepsis2.9%530
14
Thrombocytopenia2.8%504
15
Venoocclusive Disease2.8%500

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

Report severity

95.4%Serious17,275 reports
20.5%Hospitalizations3,716 reports
31.4%Fatal5,696 reports

Seriousness is determined by the reporter, not by OpenClaim.

Busulfan drug interactions

Other drugs that appear in adverse event reports alongside busulfan. 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
Fludarabine-phosphate40.9%7,402
2
Cyclophosphamide34.3%6,220
3
Cyclosporine25.0%4,530
4
Mycophenolate19.0%3,437
5
Methotrexate17.9%3,245
6
Thiotepa13.1%2,366
7
Tacrolimus12.8%2,328
8
Melphalan11.4%2,064
9
Cytarabine9.4%1,695
10
Rituximab8.3%1,498
11
Etoposide7.0%1,261
12
Alemtuzumab6.9%1,243
13
Prednisone5.3%966
14
Vincristine-sulfate4.9%882
15
Methylprednisolone4.8%868

Taken alongside

1
Fludarabine-phosphate14.8%2,686
2
Cyclophosphamide14.2%2,577
3
Cyclosporine11.0%1,986
4
Methotrexate10.8%1,963
5
Acyclovir8.4%1,525
6
Mycophenolate7.5%1,364
7
Tacrolimus7.5%1,351
8
Methylprednisolone5.6%1,015
9
Fluconazole5.5%999
10
Melphalan4.1%739
11
Sulfamethoxazole3.5%634
12
Cytarabine3.4%620
13
Ursodiol3.4%613
14
Dexamethasone3.2%584
15
Etoposide3.1%569

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 busulfan side effects

31.2% of busulfan adverse event reports involve female patients and 41.7% involve male patients. The largest age group is adult at 53%. These figures reflect who reports side effects, not underlying risk.

Sex

Female31.2%
Male41.7%
Unknown27.0%

Age group

< 29.1%
2–1122.7%
12–179.8%
18–6452.9%
65+5.6%

What is busulfan used for

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

Accidental ExposureAcute Biphenotypic LeukaemiaAcute Haemorrhagic LeukoencephalitisAcute LeukaemiaAcute Lymphocytic LeukaemiaAcute Lymphocytic Leukaemia RecurrentAcute Monocytic LeukaemiaAcute Myeloid LeukaemiaAcute Myeloid Leukaemia RecurrentAcute Myeloid Leukaemia RefractoryAcute Myeloid LeukemiaAcute Myelomonocytic LeukaemiaAcute Promyelocytic LeukaemiaAdjuvant TherapyAdrenoleukodystrophy

Showing 15 of 533 indications

Busulfan brand names and reporting trend

Busulfan is sold under the brand name Myleran.

Brand names

Myleran20,134

Quarterly reports (20042025)

20052010201520202025

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

Taking busulfan with another medication?

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