Pharmacologic class (EPC) · 42 drug pages
Opioid agonist: adverse event reports filed with FDA
965,051 reports list a drug in this class as a suspect or interacting product, 2004–2026.
- 965,051
- reports across the class
- 4.7% of all reports
- 20,413
- reports, 12 months to June 2026
- 25,028 in the 12 months before
- 91.7%
- marked serious by the reporter
- 57.4% across all reports
- 42
- drugs with a page
- brand and generic names counted separately
Opioid agonist is a pharmacologic class (an FDA Established Pharmacologic Class) with 42 drug pages on this site. Together those drugs are listed as a suspect or interacting product in 965,051 adverse event reports received by FDA, 4.7% of the database, from January 2004 to June 2026.
20,413 reports arrived in the 12 months to June 2026, down 18% from 25,028 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. 91.7% of the class's reports are marked serious, 35.7% record death among the outcomes and 12.6% record hospitalisation, as reported.
Across the class the reactions recorded most often are drug dependence (36.3%), overdose (24%) and pain (17.4%). The class median share shown beside each term is the middle value across the member drugs; it is the comparison used on every drug page in this class.
The members table is ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."
Drugs in the class
| Drug | Name type | Reports | Latest 12 months | Marked serious | Top term recorded |
|---|---|---|---|---|---|
| OxyContinOxycodone hydrochloride | brand | 146,263 | 584 | 94.6% | Drug dependence |
| Oxycodone hydrochloride | generic | 113,220 | 2,598 | 94.7% | Drug dependence |
| DilaudidHydromorphone hydrochloride | brand | 64,191 | 173 | 95.7% | Drug dependence |
| Morphine sulfate | generic | 60,092 | 1,577 | 79.8% | Drug dependence |
| Hydrocodone bitartrate and acetaminophen | generic | 59,052 | 170 | 96.2% | Drug dependence |
| PercocetOxycodone hydrochloride and acetaminophen | brand | 57,793 | 198 | 95.4% | Dependence |
| Fentanyl | generic | 53,656 | 3,292 | 86.2% | Drug abuse |
| MS ContinMorphine sulfate | brand | 52,128 | 55 | 98.7% | Drug dependence |
| Oxycodone | generic | 35,671 | 2,853 | 91.8% | Pain |
| Hysingla ERHydrocodone bitartrate | brand | 30,703 | 6 | 92.1% | Death |
| Morphine | generic | 28,421 | 1,421 | 90.5% | Toxicity to various agents |
| NucyntaTapentadol hydrochloride | brand | 27,575 | 127 | 90.4% | Death |
| Tramadol hydrochloride | generic | 27,447 | 1,952 | 92.4% | Dependence |
| Oxycodone and acetaminophen | generic | 24,919 | 112 | 94% | Drug dependence |
| NorcoHydrocodone/acetaminophen | brand | 24,661 | 42 | 93.1% | Death |
| Methadone | generic | 24,293 | 909 | 94.7% | Drug dependence |
| Fentanyl citrate | generic | 15,039 | 270 | 88% | Dependence |
| RoxicodoneOxycodone hydrochloride | brand | 14,720 | 46 | 97.8% | Death |
| Hydromorphone hydrochloride | generic | 11,824 | 769 | 94.2% | Drug dependence |
| Oxymorphone hydrochloride | generic | 11,544 | 12 | 98.6% | Dependence |
| Hydrocodone bitartrate | generic | 11,473 | 297 | 87.6% | Drug dependence |
| EndocetOxycodone and acetaminophen | brand | 9,991 | 146 | 97.6% | Dependence |
| Acetaminophen and codeine | generic | 7,248 | 493 | 97.6% | Dependence |
| ImodiumLoperamide hydrochloride | brand | 5,968 | 326 | 49.1% | Diarrhoea |
| Tramadol hcl | generic | 5,799 | 19 | 88.4% | Drug interaction |
| DemerolMeperidine hydrochloride | brand | 5,360 | 285 | 49.4% | Drug hypersensitivity |
| Loperamide hydrochloride | generic | 5,180 | 707 | 41.4% | Drug ineffective |
| Methadone hydrochloride | generic | 5,129 | 318 | 85.8% | Toxicity to various agents |
| Oxycodone hcl | generic | 4,700 | 0 | 92.4% | Respiratory arrest |
| MethadoseMethadone hydrochloride | brand | 3,672 | 29 | 93.2% | Drug withdrawal syndrome neonatal |
| Promethazine hydrochloride and codeine phosphate | generic | 3,549 | 6 | 99.8% | Dependence |
| Imodium A-DLoperamide hydrochloride | brand | 3,463 | 68 | 8.6% | Drug ineffective |
| Codeine sulfate | generic | 2,154 | 64 | 57.2% | Drug hypersensitivity |
| TapentadolTapentadol hydrochloride | brand | 2,005 | 156 | 96.3% | Toxicity to various agents |
| XtampzaOxycodone | brand | 1,150 | 93 | 18.3% | Drug ineffective |
| Meperidine hydrochloride | generic | 1,018 | 19 | 83.5% | Dependence |
| Tapentadol hydrochloride | generic | 827 | 11 | 97.2% | Delirium |
| Sufentanil citrate | generic | 787 | 92 | 98% | Anaphylactic shock |
| Remifentanil hydrochloride | generic | 665 | 76 | 97.1% | Anaphylactic shock |
| UltivaRemifentanil hydrochloride | brand | 613 | 20 | 94.3% | Anaphylactic shock |
| Tramadol hydrochloride and acetaminophen | generic | 557 | 22 | 87.6% | Nausea |
| Acetaminophen and codeine phosphate | generic | 531 | 0 | 96% | Completed suicide |
Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."
Reports by month, five years
FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.
Reactions recorded across the class
share of class reports recording the termmedian drug in the class
- Drug dependencedependence on a medicine36.3%350,674
- Overdosea dose above the recommended amount24%232,032
- Painpain, site not specified17.4%168,212
- Deaththe patient died; cause not stated by this term16.2%155,890
- Emotional distressemotional distress14.4%138,963
- Toxicity to various agentspoisoning or toxic effect of one or more substances12.8%123,379
- Drug withdrawal syndromesymptoms on stopping a medicine11.2%108,533
- Dependence6.8%65,951
- Drug abusemisuse of a medicine6.6%63,854
- Drug ineffectivethe medicine did not work as expected3.9%38,061
- Anxietyanxiety3.5%33,988
- Drug withdrawal syndrome neonatal3.5%33,358
- Depressionlow mood3.2%31,095
- Drug hypersensitivityan allergic-type reaction to a medicine3.1%30,007
- Foetal exposure during pregnancythe unborn baby was exposed to the medicine3%28,831
- Nauseafeeling sick2.8%27,115
- Vomitingbeing sick2.4%23,456
- Developmental delayslower development in a child2%19,621
- Learning disability2%19,568
- Fatiguetiredness2%18,996
- Off label useused for a purpose or in a way not on the label2%18,942
- Ill-defined disordera condition that was not clearly described1.9%18,442
- Headachehead pain1.9%18,051
- Maternal exposure during pregnancythe mother took the medicine during pregnancy1.8%16,992
- Dyspnoeashortness of breath1.8%16,939
Solid bar: share of all class reports. Hollow bar: the median share across the 42 member drugs, the reference used on each member's page. One report can record several terms.
Outcomes, patients and reporters
Outcomes recorded
Patient age
Who reported
Grey bar: all 20,646,523 reports in the database. Outcome flags are as the reporter set them and are not verified by FDA.
Questions about Opioid agonist reports
Which drugs are in the Opioid agonist class on this site?
OxyContin, Oxycodone hydrochloride, Dilaudid, Morphine sulfate, Hydrocodone bitartrate and acetaminophen and Percocet and 36 more. Class membership comes from the pharmacologic class (EPC) on the drug's FDA label.
How many reports does the class have?
965,051 reports through June 2026, 20,413 of them in the latest 12 months. A report listing two drugs of the class counts once for each.
What reactions are recorded most often?
drug dependence (36.3%), overdose (24%), pain (17.4%), death (16.2%) and emotional distress (14.4%).
Can the members table be used to rank the drugs?
No. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." Drugs differ in how many people take them, in the conditions they treat, in time on the market and in how diligently reports are collected.
How do I report an adverse event?
Through FDA MedWatch (Form FDA 3500, or 1-800-FDA-1088) or to the manufacturer. See the guide on how to report.
Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A class is the Established Pharmacologic Class most often attached to a drug's reports by openFDA's label harmonisation, or from the NDC Directory where reports carry none. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.
Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.