Reported Reactions

Adverse event reports that FDA received

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Proton pump inhibitor adverse event reports that FDA received for the drugs of this class

Kind of class
Pharmacologic class (FDA Established Pharmacologic Class)
Drug pages
22

What a report is

A report is not proof that the drug was the cause of the event.

FDA says:

Adverse event reports submitted to FDA do not undergo extensive validation or verification. Therefore, a causal relationship cannot be established between product and reactions listed in a report. While a suspected relationship may exist, it is not medically validated and should not be the sole source of information for clinical decision making or other assumptions about the safety or efficacy of a product. Additionally, it is important to remember that adverse event reports represent a small percentage of total usage numbers of a product. Common products may have a higher number of adverse events due to the higher total number of people using the product.

Source: openFDA, Drug Adverse Event Overview, section "Responsible use of the data". The site read the page on . The data have the reports that FDA received through .

FDA also says:

There is no certainty that the reported event (adverse event or medication error) was actually due to the product. FDA does not require that a causal relationship between a product and event be proven, and reports do not always contain enough detail to properly evaluate an event. The information in these reports has not been scientifically or otherwise verified as to a cause and effect relationship and cannot be used to estimate the incidence of these events.

Source: openFDA, Drug Adverse Event Overview. The site read the page on .

Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated.

Source: openFDA, Response of the drug event API (meta.disclaimer). The site read the page on .

Not medical advice. This site counts what was reported to FDA. Questions about a medicine or device belong with a pharmacist or clinician.

Reports on file

Proton pump inhibitor is a pharmacologic class: an FDA Established Pharmacologic Class. The class has 22 drug pages on this site.

From January 2004 to June 2026, FDA received 484,090 adverse event reports that name a drug of the class. In these reports the drug is a suspect or interacting product. A report that names two drugs of the class counts one time for each.

FDA received 12,604 reports in the 12 months to June 2026 and 13,869 in the 12 months before. FDA releases FAERS data every quarter, so the newest months are not complete. They grow in later releases.

Of the 1,332,454 drug reports that FDA received in the 12 months to June 2026, 12,604 (0.9%) name a drug of the class. Reports from lawyers were 23% of the reports that name a drug of the class and 2.6% of all drug reports.

The number of people who use the product is not in the data. A count is not a rate.

Pharmacologic class

The Established Pharmacologic Class (EPC) of FDA is the class on the label of a drug. The site puts a drug in the class that its reports have most often.

Data version

openFDA FAERS release of 29 Oct 2026. Reports received through 30 Jun 2026.

Drugs of the class

The rows are in order of name. A brand name and its generic name are separate rows, because reporters name them separately.

FDA says:

Additionally, it is important to remember that adverse event reports represent a small percentage of total usage numbers of a product. Common products may have a higher number of adverse events due to the higher total number of people using the product.

Source: openFDA, Drug Adverse Event Overview. The site read the page on .

Importantly, the AEMS data by themselves are not an indicator of the safety profile of the drug or biologic.

Source: FDA, FDA Adverse Event Monitoring System (AEMS) Public Dashboard. Content current as of . The site read the page on .

Drug pages of the class Proton pump inhibitor, in order of name
DrugName typeReportsReports, 12 months to June 2026
AciphexRabeprazole sodiumBrand name7,2463
DexilantDexlansoprazoleBrand name23,621233
DexlansoprazoleGeneric name1,460188
EsomeprazoleGeneric name17,1931,293
Esomeprazole magnesiumGeneric name5,014368
Esomeprazole sodiumGeneric name63447
LansoprazoleGeneric name26,5701,749
NexiumEsomeprazole magnesiumBrand name85,367576
Nexium 24HREsomeprazole magnesiumBrand name27,753300
OmeprazoleGeneric name61,1762,506
Omeprazole delayed releaseOmeprazole 20mgBrand name7120
Omeprazole magnesiumGeneric name4,120175
PantoprazoleGeneric name44,9802,710
Pantoprazole sodiumGeneric name44,0981,629
PrevacidLansoprazoleBrand name40,151273
Prevacid 24 HRLansoprazoleBrand name20,13613
PrilosecOmeprazole magnesiumBrand name42,343115
Prilosec OTCOmeprazole magnesiumBrand name24,549119
RabeprazoleGeneric name2,693180
Rabeprazole sodiumGeneric name2,214127
ZegeridOmeprazole and sodium bicarbonateBrand name1,1170
Zegerid OTCOmepraole, sodium bicarbonateBrand name9430

Reaction lookup

These are the reaction terms that the reports of the class record. Type a term or a plain word to find its count.

What this list leaves out

The table lists the 4,507 reaction terms that 5 or more reports record. A term with fewer than 5 reports is not in the table.

The site keeps reaction terms for 483,188 of the 484,090 reports (99.8%).

The reports of the other years are not in the counts.

So a count in the table can be lower than the count of FDA.

The table shows the first 50 of 4,507 terms.

Reaction terms in the reports that name a proton pump inhibitor drug, most reports first
Reaction term (MedDRA) and plain meaningReportsShare of the 484,090 reports
Chronic kidney diseaselong-term kidney disease224,63846.4%
Acute kidney injurysudden loss of kidney function116,68324.1%
Renal failurekidney failure89,29918.4%
End stage renal diseasekidney failure needing dialysis or transplant66,93913.8%
Renal injury60,99512.6%
Gastrooesophageal reflux diseaseacid reflux30,4536.3%
Tubulointerstitial nephritis27,9125.8%
Drug ineffectivethe medicine did not work as expected26,7265.5%
Painpain, site not specified18,3173.8%
Off label useused for a purpose or in a way not on the label17,9103.7%
Deaththe patient died; cause not stated by this term17,7933.7%
Nephrogenic anaemia15,5313.2%
Nauseafeeling sick14,5333%
Diarrhoealoose or frequent stools13,9452.9%
Dyspnoeashortness of breath13,4382.8%
Malaisegeneral feeling of being unwell13,4172.8%
Rebound acid hypersecretion13,2232.7%
Drug dose omissiona dose was missed12,6022.6%
Renal impairmentreduced kidney function12,3792.6%
Vomitingbeing sick12,2942.5%
Dyspepsiaindigestion12,2442.5%
Headachehead pain12,1502.5%
Hyperchlorhydria11,8302.4%
Fatiguetiredness11,7542.4%
Abdominal pain upperupper stomach pain10,4792.2%
Rebound effect9,7822%
Drug interactionan interaction between medicines9,2111.9%
Dizzinesslight-headedness or unsteadiness9,1701.9%
Hypertensionhigh blood pressure9,1311.9%
Condition aggravatedthe condition being treated got worse9,1191.9%
Anxiety8,4521.7%
Abdominal discomfortstomach discomfort8,3021.7%
Depressionlow mood8,1661.7%
Arthralgiajoint pain8,1411.7%
Pyrexiafever7,6191.6%
Rashskin rash7,3651.5%
Falla fall7,1641.5%
Nephropathy7,0991.5%
Abdominal painstomach or belly pain7,0361.5%
Astheniaweakness or lack of energy7,0301.5%
Drug hypersensitivityan allergic-type reaction (the term names a medicine)7,0081.4%
Asthma6,8991.4%
Chest pain6,8861.4%
Hyperparathyroidism secondary6,8491.4%
Intentional product misusedeliberate use not as intended6,6091.4%
Pruritusitching6,4721.3%
Drug dependencedependence on a medicine6,4061.3%
Cough6,2271.3%
Pneumonialung infection6,2131.3%
Weight decreasedweight loss6,2051.3%

Download all 4,507 terms of the class (CSV)

The counts add to more than 484,090 reports, because one report can record more than one term. FDA says:

No individual drug is connected to any individual reaction. When a report lists multiple drugs and multiple reactions, there is no way to conclude from the data therein that a given drug is responsible for a given reaction.

Source: openFDA, Drug Adverse Event Overview. The site read the page on .

Reports by month

Reports that name a proton pump inhibitor drug, by month, five years to June 2026
02,5005,00020222023202420252026

FDA releases FAERS data every quarter, so the newest months are not complete. They grow in later releases.

Outcomes, patients and reporters

Outcomes in the reports of the class Proton pump inhibitor
OutcomeReportsShareShare as a bar
Death50,62710.5%
Life-threatening16,4733.4%
Hospitalization (initial or prolonged)96,23119.9%
Disability or Permanent Damage14,8443.1%
Congenital Anomaly/Birth Defect3,3480.7%
Other Serious (Important Medical Events)365,98275.6%
Not serious65,60513.6%

An outcome in a report is not proof that a drug was the cause. The reporter gives the outcome, and FDA does not verify it. A report can have more than one outcome. FDA says:

The information in these reports has not been scientifically or otherwise verified as to a cause and effect relationship and cannot be used to estimate the incidence of these events.

Source: openFDA, Drug Adverse Event Overview. The site read the page on .

Age of the patient in the reports of the class Proton pump inhibitor
AgeReportsShareShare as a bar
Under 21,1650.2%
2 to 111,5700.3%
12 to 171,7400.4%
18 to 4437,0227.6%
45 to 64109,90722.7%
65 to 7453,19611%
75 and over44,4899.2%
Age not given235,00148.5%
Type of reporter in the reports of the class Proton pump inhibitor
ReporterReportsShareShare as a bar
Physician50,75410.5%
Pharmacist15,4563.2%
Other health professional76,75615.9%
Lawyer111,50423%
Consumer or non-health professional126,91226.2%
Not given102,70821.2%

Official pages

The site checked these addresses on . The links open in a new tab.

Cite this page

Reported Reactions. Proton pump inhibitor: adverse event reports that FDA received. https://reportedreactions.com/class/proton-pump-inhibitor/ Source: U.S. Food and Drug Administration, openFDA Drug Adverse Event (FAERS) files, release of . Reports received through .

Where the data come from

The counts come from the openFDA Drug Adverse Event (FAERS) bulk files, release of 29 Oct 2026. The files have the reports that FDA received through 30 Jun 2026. A drug name is the name on the report. The site matches it to a brand name or a generic name of the National Drug Code Directory of 2 Nov 2026. A class is the pharmacologic class (EPC) of the FDA label.

The class of a drug is the Established Pharmacologic Class that openFDA attaches to its reports most often. When the reports have none, it is the class in the NDC Directory. The site does not publish a report narrative, a lot number, a detail of a patient or the identity of a reporter. The record of FDA is the authority. See how the site counts reports, the data sources and the corrections page.

Questions

Which drugs are in the Proton pump inhibitor class on this site?

Aciphex, Dexilant, Dexlansoprazole, Esomeprazole, Esomeprazole magnesium, Esomeprazole sodium and 16 more, in order of name. The class of a drug comes from the pharmacologic class (EPC) on its FDA label.

Can the table of drugs rank the drugs?

No. FDA says:

Additionally, it is important to remember that adverse event reports represent a small percentage of total usage numbers of a product.

Source: openFDA, Drug Adverse Event Overview. The site read the page on .

Common products may have a higher number of adverse events due to the higher total number of people using the product.

Source: openFDA, Drug Adverse Event Overview. The site read the page on .

Drugs also differ in the conditions that they treat and in their time on the market.

How does a person report an adverse event?

FDA runs MedWatch, a program that takes voluntary reports from health professionals, patients and consumers. The guide on how to report has the links.