Reported Reactions

Drug classes

Pharmacologic class (EPC) · 3 drug pages

Sigma-1 agonist: adverse event reports filed with FDA

4,313 reports list a drug in this class as a suspect or interacting product, 2004–2026.

4,313
reports across the class
0% of all reports
133
reports, 12 months to June 2026
163 in the 12 months before
56.5%
marked serious by the reporter
57.4% across all reports
3
drugs with a page
brand and generic names counted separately

Sigma-1 agonist is a pharmacologic class (an FDA Established Pharmacologic Class) with 3 drug pages on this site. Together those drugs are listed as a suspect or interacting product in 4,313 adverse event reports received by FDA, 0% of the database, from February 2004 to June 2026.

133 reports arrived in the 12 months to June 2026, down 18% from 163 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. 56.5% of the class's reports are marked serious, 36.9% record death among the outcomes and 17.1% record hospitalisation, as reported.

Across the class the reactions recorded most often are toxicity to various agents (15.6%), drug abuse (15.5%) and drug ineffective (9.9%). 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
Dextromethorphangeneric2,34911497.2%Toxicity to various agents
Childrens TYLENOLAcetaminophenbrand1,3471910.7%Off label use
Dextromethorphan polistirexgeneric61701.6%Drug ineffective

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

01530Jul 2021: 22Aug 2021: 12Sep 2021: 13Oct 2021: 12Nov 2021: 18Dec 2021: 112022Jan 2022: 24Feb 2022: 20Mar 2022: 16Apr 2022: 10May 2022: 7Jun 2022: 6Jul 2022: 6Aug 2022: 4Sep 2022: 5Oct 2022: 8Nov 2022: 9Dec 2022: 82023Jan 2023: 17Feb 2023: 30Mar 2023: 6Apr 2023: 7May 2023: 15Jun 2023: 8Jul 2023: 11Aug 2023: 10Sep 2023: 7Oct 2023: 13Nov 2023: 7Dec 2023: 122024Jan 2024: 20Feb 2024: 6Mar 2024: 14Apr 2024: 19May 2024: 8Jun 2024: 10Jul 2024: 22Aug 2024: 11Sep 2024: 8Oct 2024: 12Nov 2024: 7Dec 2024: 272025Jan 2025: 27Feb 2025: 15Mar 2025: 11Apr 2025: 14May 2025: 6Jun 2025: 3Jul 2025: 7Aug 2025: 12Sep 2025: 13Oct 2025: 16Nov 2025: 4Dec 2025: 122026Jan 2026: 24Feb 2026: 22Mar 2026: 6Apr 2026: 6May 2026: 7Jun 2026: 4

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. Toxicity to various agentspoisoning or toxic effect of one or more substances15.6%673
  2. Drug abusemisuse of a medicine15.5%670
  3. Drug ineffectivethe medicine did not work as expected9.9%428
  4. Completed suicidedeath by suicide7.8%336
  5. Deaththe patient died; cause not stated by this term5.6%241
  6. Off label useused for a purpose or in a way not on the label5.2%225
  7. Overdosea dose above the recommended amount4.3%186
  8. Drug interactionan interaction between medicines4.3%185
  9. Vomitingbeing sick3.8%165
  10. Serotonin syndrometoo much serotonin activity, with agitation, fever and tremor3.3%144
  11. Incorrect dose administeredthe wrong dose was given3.1%133
  12. Cardio-respiratory arrestthe heart and breathing stopped3%131
  13. Product use issuea problem in how the product was used3%130
  14. Wrong technique in product usage processthe product was used in the wrong way2.9%123
  15. Product use in unapproved indicationused for a purpose not on the label2.8%121
  16. Intentional overdosea deliberate overdose2.6%112
  17. Diarrhoealoose or frequent stools2.5%106
  18. Malaisegeneral feeling of being unwell2.5%106
  19. Condition aggravatedthe condition being treated got worse2.3%99
  20. Dyspnoeashortness of breath2.3%98
  21. Dizzinesslight-headedness or unsteadiness2.2%96
  22. Cardiac arrestthe heart stopped2.1%92
  23. Accidental overdosean accidental overdose2.1%90

Solid bar: share of all class reports. Hollow bar: the median share across the 3 member drugs, the reference used on each member's page. One report can record several terms.

Outcomes, patients and reporters

Outcomes recorded

Death36.9%1,590
Life-threatening4.5%193
Hospitalisation (initial or prolonged)17.1%736
Disability1.8%78
Congenital anomaly0.7%32
Other serious24.5%1,058
Not serious43.5%1,876

Patient age

Under 24.6%200
2 to 1112.4%536
12 to 175%215
18 to 4425.3%1,092
45 to 6414.8%639
65 to 743.6%156
75 and over1.7%75
Age not given32.5%1,400

Who reported

Physician18.6%804
Pharmacist9.9%425
Other health professional21.6%930
Lawyer0.2%9
Consumer or non-health professional47.3%2,041
Not given2.4%104

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 Sigma-1 agonist reports

Which drugs are in the Sigma-1 agonist class on this site?

Dextromethorphan, Childrens TYLENOL and Dextromethorphan polistirex. Class membership comes from the pharmacologic class (EPC) on the drug's FDA label.

How many reports does the class have?

4,313 reports through June 2026, 133 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?

toxicity to various agents (15.6%), drug abuse (15.5%), drug ineffective (9.9%), completed suicide (7.8%) and death (5.6%).

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.