Health
Drug safety summary with 0-100 concern score & verdict (openFDA) API
Pharmacovigilance safety read on a single drug, fusing three distinct openFDA datasets into one decision-oriented summary: top adverse-event reactions plus the total FAERS report count (/drug/event), recall/enforcement history with the most-recent recall and worst classification (/drug/enforcement), and boxed-warning presence plus key warning text from the official label (/drug/label). Collapses them into a derived 0-100 concernScore, a four-level verdict (LOW | MODERATE | ELEVATED | HIGH), the top machine-readable safety signals (e.g. FDA_BOXED_WARNING, CLASS_I_RECALL_HISTORY, MULTIPLE_SERIOUS_REACTIONS), the serious reaction terms detected, and an honest coverage note for any dataset that returned nothing. Answers 'Is this drug safe?', 'Does this drug have a black box warning?', 'What are the most-reported side effects of this drug?', 'Has this drug been recalled by the FDA?'. INFORMATIONAL ONLY — not medical advice.
https://x402.hexl.dev/v1/health/drug-safety{
"drug": "warfarin"
}{
"drug": "warfarin",
"concernScore": 84,
"concern": "HIGH",
"verdict": "High-concern profile for \"warfarin\": carries an FDA boxed (black box) warning; 12 FDA recalls on record (worst: Class I); 133,630 adverse-event reports. Informational only — confirm with the official label and a clinician.",
"topSignals": [
"FDA_BOXED_WARNING",
"CLASS_I_RECALL_HISTORY",
"SERIOUS_REACTIONS_REPORTED",
"HIGH_REPORT_VOLUME"
],
"boxedWarning": {
"present": true,
"text": "WARNING: BLEEDING RISK Warfarin sodium can cause major or fatal bleeding. Perform regular monitoring of INR in all treated patients."
},
"keyWarnings": "Tissue necrosis and/or gangrene, calciphylaxis, systemic atheroemboli and cholesterol microemboli...",
"adverseEvents": {
"totalReports": 133630,
"topReactions": [
{
"term": "INTERNATIONAL NORMALISED RATIO INCREASED",
"count": 11107
},
{
"term": "DYSPNOEA",
"count": 8852
},
{
"term": "DRUG INTERACTION",
"count": 6726
}
],
"seriousReactionTerms": [
"HAEMORRHAGE",
"GASTROINTESTINAL HAEMORRHAGE",
"DEATH"
],
"available": true
},
"recalls": {
"total": 12,
"worstClassification": "Class I",
"mostRecent": {
"date": "2014-01-22",
"classification": "Class II",
"reason": "Labeling: Label Mixup; WARFARIN SODIUM Tablet may be potentially mislabeled."
},
"available": true
},
"coverage": {
"datasetsQueried": [
"drug/event",
"drug/enforcement",
"drug/label"
],
"datasetsUnavailable": []
},
"disclaimer": "INFORMATIONAL ONLY. This is an automated heuristic summary of public openFDA data (FAERS adverse-event reports, recall/enforcement records, and label text) and is NOT medical advice, NOT a clinical risk assessment, and NOT a substitute for a licensed clinician or the drug's official FDA label. FAERS reports are voluntary, unvalidated, and do NOT establish that the drug caused the event; report volume largely tracks how widely a drug is used. The concernScore is a non-clinical heuristic. Never make medical decisions based on this output — consult a healthcare professional and the official label."
}{
"type": "object",
"required": [
"drug"
],
"properties": {
"drug": {
"type": "string",
"minLength": 2,
"maxLength": 80,
"description": "Drug name (generic or brand), e.g. \"ibuprofen\" or \"warfarin\"."
}
},
"examples": [
{
"drug": "warfarin"
},
{
"drug": "ibuprofen"
}
]
}{
"type": "object",
"additionalProperties": true
}