A boxed warning is the most serious warning the FDA requires on a prescription label. These pages report what the warning actually says for 67 commonly prescribed drugs, quoted from a specific identified label and linked back to it.

What these pages cover

They also record something less widely known: the wording is written by each manufacturer within the FDA's requirements, so it varies between labels for the same drug. Each page states how many distinct wordings were found and which one it is quoting.

DrugWarning concernsFDA labels
Levothyroxinenot for treatment of obesity or for weight loss277
Metforminlactic acidosis253
Bupropionsuicidal thoughts and behaviors suicidality and antidepressant drugs244
Ibuprofencardiovascular thrombotic events229
Lisinoprilfetal toxicity160
Sertralinesuicidal thoughts and behaviors137
Celecoxibrisk of serious cardiovascular and gastro-intestinal events...137
Estradiolestrogens increase the risk of endometrial cancer129
Divalproexlife threatening adverse reactions hepatotoxicity general population127
Ketorolacketorolac tromethamine, a nonsteroidal anti-inflammatory drug...117
Metronidazolemetronidazole has been shown to be carcinogenic in mice and rats...106
Olanzapineincreased mortality in elderly patients with dementia-related...103
Zolpidemcomplex sleep behaviour103
Lamotrigineserious skin rashes102
Lorazepamrisks from concomitant use with opioids; abuse, misuse, and...98
Carbamazepineserious dermatologic reactions and hla-b*1502 allele serious and...91
Clindamycinclostridioides difficile -associated diarrhea (cdad) has been...78
Methylphenidateabuse, misuse, and addiction77
Levofloxacinserious adverse reactions including tendinitis, tendon rupture,...73
Morphine Sulfateaddiction, abuse, and misuse; risk evaluation and mitigation...73
Bumetanidebumetanide is a potent diuretic which, if given in excessive...73
Promethazinepromethazine hydrochloride tablets, usp should not be used in...59
Lithiumlithium toxicity52
Warfarinbleeding risk47
Clopidogrel Bisulfatediminished antiplatelet effect in patients with two...42
Tacrolimusmalignancies and serious infections42
Methotrexateembryo-fetal toxicity, hypersensitivity reactions, and severe...39
Montelukastserious neuropsychiatric events38
Medroxyprogesterone Acetatecardiovascular disorders, breast cancer and probable dementia for...35
Amiodaronepulmonary, hepatic and cardiac toxicity28
Enoxaparinspinal/epidural hematomas28
Doxorubicincardiomyopathy and infusion-related reactions28
Rivaroxabanpremature discontinuation of xarelto increases the risk of...26
Leflunomideembryo-fetal toxicity and hepatotoxicity embryo-fetal toxicity25
Isotretinoinembryo-fetal toxicity, contraindicated in pregnancy19
Misoprostolmisoprostol administration to women who are pregnant can cause...19
Azathioprinemalignancy chronic immunosuppression with azathioprine, a purine...18
Liraglutiderisk of thyroid c-cell tumors18
Lamivudineexacerbations of hepatitis b, and different formulations of...18
Clozapinesevere neutropenia; orthostatic hypotension, bradycardia, and...16
Irinotecandiarrhea and myelosuppression • early16
Tamoxifenfor women with ductal carcinoma in situ (dcis) and14
Metoclopramidetardive dyskinesia13
Gentamicin Sulfatepatients treated with aminoglycosides should be under close...12
Ketoconazolebecause ketoconazole tablets have been associated with serious...12
Cisplatincisplatin should be administered under the supervision of a...12
Pioglitazonecongestive heart failure11
Cilostazolcontraindicated in heart failure patients11
Cyclosporineonly physicians experienced in management of systemic...10
Nevirapinelife-threatening (including fatal) hepatotoxicity and skin...9
Propylthiouracilsevere liver injury and acute liver failure, in some cases fatal,...8
Amikacin Sulfatepatients treated with parenteral aminoglycosides should be under...7
Spironolactonespironolactone has been shown to be a tumorigen in chronic toxicity...7
Abacavir Sulfatehypersensitivity reactions6
Zidovudinerisk of hematological toxicity, myopathy, lactic acidosis and...6
Thioridazinethioridazine has been shown to prolong the qtc interval in a dose...5
Mifepristonetermination of pregnancy5
Fentanylserious and life-threatening risks from use of fentanyl transdermal...4
Adalimumabserious infections and malignancy serious infections4
Dronedaroneincreased risk of death, stroke and heart failure in patients with...2
Vincristine Sulfatecaution, this preparation should be administered by individuals...2
Epoetin Alfaesas increase the risk of death, myocardial infarction, stroke,...1
Salmeterol Xinafoateasthma-related death1
Chloramphenicol Sodiumserious and fatal blood dyscrasias (aplastic anemia, hypoplastic...1
Natalizumabprogressive multifocal leukoencephalopathy1
Ergotamineserious and/or life-threatening peripheral ischemia has been...1
Amphotericin Bthis drug should be used primarily for treatment of patients with...1

Source: FDA product labelling via the openFDA API, retrieved 30 August 2026. Nothing on these pages is medical advice.