Reported Reactions

Drugs › Proton pump inhibitor

Brand name · Rabeprazole sodium

Aciphex: adverse event reports filed with FDA

7,246 reports list it as a suspect or interacting product, 2004–2026. Class: Proton pump inhibitor.

7,246
reports as suspect product
0% of all reports · about 322 a year
3
reports, 12 months to June 2026
3 in the 12 months before
92.1%
marked serious by the reporter
86.4% across the class
21.2%
record death among outcomes, as reported
1,537 reports · not verified by FDA

Between January 2004 and June 2026, 7,246 adverse event reports received by FDA list the brand name Aciphex (rabeprazole sodium) as a suspect or interacting product. Reports that mention it only as a concomitant medication (9,087) are left out of every figure here.

In the 12 months to June 2026, 3 reports listed it, close to the 3 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 322 reports a year and 0% of the 20,646,523 reports in the database, and 1.5% of the reports for the proton pump inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are chronic kidney disease (65%), renal failure (42.5%) and acute kidney injury (33.5%). A report can list several reactions, so shares add to more than 100%; 386 different terms appear across these reports. Chronic kidney disease is recorded in 65% of these reports, a larger share than in the median proton pump inhibitor drug (31.6%).

92.1% of the reports are marked serious by the reporter (86.4% across the class); 21.2% record death among the outcomes and 6.3% record hospitalisation, as reported. 45.7% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (12.8%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

0713Jul 2021: 13Aug 2021: 12Sep 2021: 9Oct 2021: 1Nov 2021: 3Dec 2021: 22022Jan 2022: 0Feb 2022: 6Mar 2022: 7Apr 2022: 5May 2022: 1Jun 2022: 2Jul 2022: 1Aug 2022: 2Sep 2022: 4Oct 2022: 2Nov 2022: 3Dec 2022: 02023Jan 2023: 1Feb 2023: 0Mar 2023: 2Apr 2023: 0May 2023: 0Jun 2023: 1Jul 2023: 0Aug 2023: 0Sep 2023: 0Oct 2023: 1Nov 2023: 0Dec 2023: 02024Jan 2024: 0Feb 2024: 1Mar 2024: 0Apr 2024: 3May 2024: 1Jun 2024: 0Jul 2024: 0Aug 2024: 0Sep 2024: 0Oct 2024: 2Nov 2024: 0Dec 2024: 02025Jan 2025: 1Feb 2025: 0Mar 2025: 0Apr 2025: 0May 2025: 0Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 0Oct 2025: 2Nov 2025: 0Dec 2025: 02026Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 1

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

02,7095,4172004: 6420042005: 442006: 692007: 5520072008: 172009: 622010: 4620102011: 712012: 902013: 5520132014: 752015: 472016: 4320162017: 682018: 5,4172019: 75020192020: 1222021: 1022022: 3320222023: 52024: 72025: 320252026: 1

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Aciphex reports recording the termmedian drug in proton pump inhibitor

  1. Chronic kidney diseaselong-term kidney disease65%4,711
  2. Renal failurekidney failure42.5%3,083
  3. Acute kidney injurysudden loss of kidney function33.5%2,424
  4. End stage renal diseasekidney failure needing dialysis or transplant17.6%1,273
  5. Deaththe patient died; cause not stated by this term11.6%840
  6. Nephrogenic anaemia3.2%233
  7. Hyperparathyroidism secondary1.4%104
  8. Drug ineffectivethe medicine did not work as expected1.3%95
  9. Dialysisdialysis1.2%85
  10. Rebound acid hypersecretion0.9%63
  11. Drug hypersensitivityan allergic-type reaction to a medicine0.8%58
  12. Renal impairmentreduced kidney function0.8%56
  13. Hypertensionhigh blood pressure0.7%52
  14. Condition aggravatedthe condition being treated got worse0.7%50
  15. Depressionlow mood0.7%50
  16. Anxietyanxiety0.6%44
  17. Diarrhoealoose or frequent stools0.6%44
  18. Dyspepsiaindigestion0.6%44
  19. Chronic kidney disease-mineral and bone disorder0.6%42
  20. Dizzinesslight-headedness or unsteadiness0.5%34
  21. Headachehead pain0.5%34
  22. Painpain, site not specified0.5%34
  23. Fatiguetiredness0.5%33
  24. Nauseafeeling sick0.5%33
  25. Diabetes mellitusdiabetes0.4%30

Top 30 of 386 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 22 drugs in the proton pump inhibitor class; it describes the reports, not the patients. 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."

Outcomes recorded

Death21.2%1,537
Life-threatening0.6%45
Hospitalisation (initial or prolonged)6.3%459
Disability1%71
Congenital anomaly0%2
Other serious85.3%6,182
Not serious7.9%570

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 484,090 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20%0
2 to 110%0
12 to 170.1%4
18 to 442.7%193
45 to 6412.8%929
65 to 745.2%374
75 and over3.7%267
Age not given75.6%5,479

Patient sex

Female23.7%1,719
Male14.3%1,037
Not given62%4,490

Who reported

Physician3.4%249
Pharmacist0.6%40
Other health professional4.9%356
Lawyer45.7%3,314
Consumer or non-health professional24.3%1,763
Not given21%1,524

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 98.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Gastrooesophageal reflux disease1,12415.5%
Dyspepsia380.5%
Gastrointestinal disorder200.3%
Barrett's oesophagus110.2%
Barrett's oesophagus60.1%
Gastric ph decreased60.1%

The indication field is filled in by the reporter and is often blank; shares are of all 7,246 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Aciphex reports
Prevacid5,99582.7%
Prilosec5,94582%
Nexium5,87981.1%
Pantoprazole sodium5,57376.9%
Dexilant5,11870.6%
Vimovo4,11456.8%
Nexium 24HR4,02355.5%
Prilosec OTC3,28045.3%
Prevacid 24 HR2,56035.3%
Omeprazole1,27917.7%

Other products listed in reports where Aciphex is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureAciphexProton pump inhibitorAll reports
Reports as suspect product7,246484,09020,646,523
Share of that pool—1.5%0%
Reports, latest 12 months3—1,332,454
Marked serious92.1%86.4%57.4%
Death recorded among outcomes, per 1,000 reports21210591
Hospitalisation recorded, per 1,000 reports63199213
Consumer-filed share24.3%26.2%45.8%
Top term, share of reportsChronic kidney disease 65%median 31.6%0.4%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. 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."

Other drugs in the proton pump inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Nexiumbrand85,36757668.6%
Omeprazolegeneric61,1762,50689.4%
Pantoprazolegeneric44,9802,71095.2%
Pantoprazole sodiumgeneric44,0981,62990.9%
Prilosecbrand42,34311588.3%
Prevacidbrand40,15127395.8%
Nexium 24HRbrand27,75330085.1%
Lansoprazolegeneric26,5701,74994.8%
Prilosec OTCbrand24,54911978.4%
Dexilantbrand23,62123391.5%
Prevacid 24 HRbrand20,1361392.6%
Esomeprazolegeneric17,1931,29396.8%
Esomeprazole magnesiumgeneric5,01436882.5%
Omeprazole magnesiumgeneric4,12017574.9%
Rabeprazolegeneric2,69318090.8%

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." A brand and its generic are separate rows because reporters name them separately.

Questions about Aciphex reports

How many adverse event reports has FDA received for Aciphex?

7,246 reports list Aciphex as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 3 of them arrived in the latest 12 months. Another 9,087 list it only as a concomitant medication.

What reactions are recorded in Aciphex reports?

chronic kidney disease (65%), renal failure (42.5%), acute kidney injury (33.5%), end stage renal disease (17.6%) and tubulointerstitial nephritis (14.7%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Aciphex was responsible.

How serious are the reports?

92.1% are marked serious by the reporter. Among the outcomes recorded, 21.2% of reports include death and 6.3% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

lawyer (45.7%), consumer or non-health professional (24.3%) and not given (21%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Aciphex rising?

3 reports in the 12 months to June 2026, close to the 3 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Aciphex was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Aciphex?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. 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 report counts here when it lists Aciphex as a suspect or interacting product; reports listing it only as a concomitant medication (9,087) are excluded. 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.