Reported Reactions

Drug classes

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

DrugName typeReportsLatest 12 monthsMarked seriousTop term recorded
OxyContinOxycodone hydrochloridebrand146,26358494.6%Drug dependence
Oxycodone hydrochloridegeneric113,2202,59894.7%Drug dependence
DilaudidHydromorphone hydrochloridebrand64,19117395.7%Drug dependence
Morphine sulfategeneric60,0921,57779.8%Drug dependence
Hydrocodone bitartrate and acetaminophengeneric59,05217096.2%Drug dependence
PercocetOxycodone hydrochloride and acetaminophenbrand57,79319895.4%Dependence
Fentanylgeneric53,6563,29286.2%Drug abuse
MS ContinMorphine sulfatebrand52,1285598.7%Drug dependence
Oxycodonegeneric35,6712,85391.8%Pain
Hysingla ERHydrocodone bitartratebrand30,703692.1%Death
Morphinegeneric28,4211,42190.5%Toxicity to various agents
NucyntaTapentadol hydrochloridebrand27,57512790.4%Death
Tramadol hydrochloridegeneric27,4471,95292.4%Dependence
Oxycodone and acetaminophengeneric24,91911294%Drug dependence
NorcoHydrocodone/acetaminophenbrand24,6614293.1%Death
Methadonegeneric24,29390994.7%Drug dependence
Fentanyl citrategeneric15,03927088%Dependence
RoxicodoneOxycodone hydrochloridebrand14,7204697.8%Death
Hydromorphone hydrochloridegeneric11,82476994.2%Drug dependence
Oxymorphone hydrochloridegeneric11,5441298.6%Dependence
Hydrocodone bitartrategeneric11,47329787.6%Drug dependence
EndocetOxycodone and acetaminophenbrand9,99114697.6%Dependence
Acetaminophen and codeinegeneric7,24849397.6%Dependence
ImodiumLoperamide hydrochloridebrand5,96832649.1%Diarrhoea
Tramadol hclgeneric5,7991988.4%Drug interaction
DemerolMeperidine hydrochloridebrand5,36028549.4%Drug hypersensitivity
Loperamide hydrochloridegeneric5,18070741.4%Drug ineffective
Methadone hydrochloridegeneric5,12931885.8%Toxicity to various agents
Oxycodone hclgeneric4,700092.4%Respiratory arrest
MethadoseMethadone hydrochloridebrand3,6722993.2%Drug withdrawal syndrome neonatal
Promethazine hydrochloride and codeine phosphategeneric3,549699.8%Dependence
Imodium A-DLoperamide hydrochloridebrand3,463688.6%Drug ineffective
Codeine sulfategeneric2,1546457.2%Drug hypersensitivity
TapentadolTapentadol hydrochloridebrand2,00515696.3%Toxicity to various agents
XtampzaOxycodonebrand1,1509318.3%Drug ineffective
Meperidine hydrochloridegeneric1,0181983.5%Dependence
Tapentadol hydrochloridegeneric8271197.2%Delirium
Sufentanil citrategeneric7879298%Anaphylactic shock
Remifentanil hydrochloridegeneric6657697.1%Anaphylactic shock
UltivaRemifentanil hydrochloridebrand6132094.3%Anaphylactic shock
Tramadol hydrochloride and acetaminophengeneric5572287.6%Nausea
Acetaminophen and codeine phosphategeneric531096%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

027,23554,469Jul 2021: 2,096Aug 2021: 6,894Sep 2021: 3,151Oct 2021: 1,555Nov 2021: 6,491Dec 2021: 40,8252022Jan 2022: 54,469Feb 2022: 5,990Mar 2022: 7,332Apr 2022: 1,514May 2022: 5,427Jun 2022: 6,123Jul 2022: 1,436Aug 2022: 2,117Sep 2022: 1,487Oct 2022: 14,289Nov 2022: 1,415Dec 2022: 3,0832023Jan 2023: 2,802Feb 2023: 2,279Mar 2023: 1,393Apr 2023: 2,237May 2023: 1,784Jun 2023: 1,843Jul 2023: 1,485Aug 2023: 15,148Sep 2023: 6,204Oct 2023: 18,170Nov 2023: 20,835Dec 2023: 7,8802024Jan 2024: 3,609Feb 2024: 2,109Mar 2024: 2,037Apr 2024: 3,913May 2024: 2,090Jun 2024: 1,872Jul 2024: 2,096Aug 2024: 2,018Sep 2024: 2,067Oct 2024: 2,037Nov 2024: 1,856Dec 2024: 2,3582025Jan 2025: 3,300Feb 2025: 2,363Mar 2025: 1,888Apr 2025: 1,696May 2025: 1,281Jun 2025: 2,068Jul 2025: 1,985Aug 2025: 1,585Sep 2025: 1,795Oct 2025: 1,424Nov 2025: 1,470Dec 2025: 1,9812026Jan 2026: 1,718Feb 2026: 1,733Mar 2026: 1,440Apr 2026: 1,780May 2026: 1,538Jun 2026: 1,964

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

  1. Drug dependencedependence on a medicine36.3%350,674
  2. Overdosea dose above the recommended amount24%232,032
  3. Painpain, site not specified17.4%168,212
  4. Deaththe patient died; cause not stated by this term16.2%155,890
  5. Emotional distressemotional distress14.4%138,963
  6. Toxicity to various agentspoisoning or toxic effect of one or more substances12.8%123,379
  7. Drug withdrawal syndromesymptoms on stopping a medicine11.2%108,533
  8. Dependence6.8%65,951
  9. Drug abusemisuse of a medicine6.6%63,854
  10. Drug ineffectivethe medicine did not work as expected3.9%38,061
  11. Anxietyanxiety3.5%33,988
  12. Depressionlow mood3.2%31,095
  13. Drug hypersensitivityan allergic-type reaction to a medicine3.1%30,007
  14. Foetal exposure during pregnancythe unborn baby was exposed to the medicine3%28,831
  15. Nauseafeeling sick2.8%27,115
  16. Vomitingbeing sick2.4%23,456
  17. Developmental delayslower development in a child2%19,621
  18. Fatiguetiredness2%18,996
  19. Off label useused for a purpose or in a way not on the label2%18,942
  20. Ill-defined disordera condition that was not clearly described1.9%18,442
  21. Headachehead pain1.9%18,051
  22. Maternal exposure during pregnancythe mother took the medicine during pregnancy1.8%16,992
  23. 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

Death35.7%344,043
Life-threatening3%28,722
Hospitalisation (initial or prolonged)12.6%121,282
Disability9.2%89,099
Congenital anomaly1.8%17,332
Other serious62.7%605,156
Not serious8.3%80,135

Patient age

Under 20.4%3,836
2 to 110.3%2,835
12 to 170.5%5,179
18 to 449.6%92,553
45 to 648.5%81,696
65 to 743%28,951
75 and over2.4%23,267
Age not given75.3%726,734

Who reported

Physician9.9%95,528
Pharmacist2.8%26,978
Other health professional10.4%100,256
Lawyer43.3%417,806
Consumer or non-health professional32.5%313,216
Not given1.2%11,267

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.