Reported Reactions

Drugs › Soluble guanylate cyclase stimulator

Brand name · Riociguat

Adempas: adverse event reports filed with FDA

18,593 reports list it as a suspect or interacting product, 2011–2026. Class: Soluble guanylate cyclase stimulator.

18,593
reports as suspect product
0.1% of all reports · about 1,275 a year
956
reports, 12 months to June 2026
1,709 in the 12 months before
82.6%
marked serious by the reporter
81% across the class
29%
record death among outcomes, as reported
5,394 reports · not verified by FDA

18,593 adverse event reports received by FDA list the brand name Adempas (riociguat) as a suspect or interacting product, from December 2011 to June 2026. A further 11,934 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 956 reports listed it, down 44% from 1,709 in 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 1,275 reports a year and 0.1% of the 20,646,523 reports in the database, and 93.6% of the reports for the soluble guanylate cyclase stimulator 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 death (24.3%), dyspnoea (15.6%) and headache (13.2%). A report can list several reactions, so shares add to more than 100%; 1,543 different terms appear across these reports. Death is recorded in 24.3% of these reports, a larger share than in the median soluble guanylate cyclase stimulator drug (10.8%).

82.6% of the reports are marked serious by the reporter (81% across the class); 29% record death among the outcomes and 43.6% record hospitalisation, as reported. 43.7% of the reports came from consumers, and the largest patient age group is 45 to 64 (27.2%). 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

0102204Jul 2021: 165Aug 2021: 143Sep 2021: 140Oct 2021: 165Nov 2021: 164Dec 2021: 1532022Jan 2022: 159Feb 2022: 171Mar 2022: 172Apr 2022: 183May 2022: 167Jun 2022: 175Jul 2022: 171Aug 2022: 154Sep 2022: 139Oct 2022: 156Nov 2022: 132Dec 2022: 1602023Jan 2023: 124Feb 2023: 120Mar 2023: 135Apr 2023: 151May 2023: 204Jun 2023: 140Jul 2023: 146Aug 2023: 145Sep 2023: 113Oct 2023: 144Nov 2023: 124Dec 2023: 1162024Jan 2024: 116Feb 2024: 146Mar 2024: 132Apr 2024: 145May 2024: 157Jun 2024: 121Jul 2024: 152Aug 2024: 134Sep 2024: 146Oct 2024: 165Nov 2024: 127Dec 2024: 1552025Jan 2025: 151Feb 2025: 153Mar 2025: 163Apr 2025: 130May 2025: 145Jun 2025: 88Jul 2025: 93Aug 2025: 87Sep 2025: 71Oct 2025: 83Nov 2025: 61Dec 2025: 962026Jan 2026: 67Feb 2026: 70Mar 2026: 84Apr 2026: 84May 2026: 71Jun 2026: 89

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

09701,9392011: 120112012: 22013: 1120132014: 2672015: 64620152016: 1,5752017: 1,67120172018: 1,9352019: 1,66020192020: 1,8272021: 1,91520212022: 1,9392023: 1,66220232024: 1,6962025: 1,32120252026: 465

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Adempas reports recording the termmedian drug in soluble guanylate cyclase stimulator

  1. Deaththe patient died; cause not stated by this term24.3%4,520
  2. Dyspnoeashortness of breath15.6%2,899
  3. Headachehead pain13.2%2,462
  4. Dizzinesslight-headedness or unsteadiness12%2,228
  5. Hypotensionlow blood pressure11.9%2,219
  6. Nauseafeeling sick10.9%2,018
  7. Hospitalisationadmission to hospital10.2%1,892
  8. Diarrhoealoose or frequent stools9.6%1,785
  9. Fatiguetiredness8.9%1,649
  10. Vomitingbeing sick6.1%1,134
  11. Peripheral swellingswelling of the arms or legs5.5%1,024
  12. Oedema peripheralswelling of the legs, ankles or hands5.4%998
  13. Fluid retentionthe body holding extra fluid4.9%914
  14. Coughcough4.9%907
  15. Dyspepsiaindigestion4.7%865
  16. Malaisegeneral feeling of being unwell4.4%821
  17. Astheniaweakness or lack of energy4.2%789
  18. Pneumonialung infection4.2%781
  19. Chest painchest pain4%746
  20. Falla fall3.7%689
  21. Pain in extremitypain in an arm or leg3.6%669
  22. Blood pressure decreaseda low blood pressure reading3.5%646
  23. Syncopefainting3.4%641
  24. Oedemaswelling from fluid3.3%622
  25. Decreased appetitereduced appetite3.3%607
  26. Painpain, site not specified3.2%595
  27. Weight decreasedweight loss3.2%589
  28. Feeling abnormalfeeling odd or not right3%558

Top 30 of 1,543 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 3 drugs in the soluble guanylate cyclase stimulator 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

Death29%5,394
Life-threatening0.9%166
Hospitalisation (initial or prolonged)43.6%8,098
Disability0.3%52
Congenital anomaly0%2
Other serious34.3%6,378
Not serious17.4%3,233

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 19,864 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 20.1%24
2 to 110.1%15
12 to 170.2%34
18 to 4410.1%1,878
45 to 6427.2%5,055
65 to 7421.5%4,004
75 and over23.2%4,318
Age not given17.6%3,265

Patient sex

Female69.3%12,890
Male28.3%5,263
Not given2.4%440

Who reported

Physician7.9%1,469
Pharmacist7.6%1,416
Other health professional40.5%7,526
Lawyer0%1
Consumer or non-health professional43.7%8,123
Not given0.3%58

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 85% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Pulmonary arterial hypertension9,12449.1%
Pulmonary hypertension3,79420.4%
Cor pulmonale chronic300.2%
Pulmonary embolism270.1%
Heritable pulmonary arterial hypertension130.1%
Systemic scleroderma40%

The indication field is filled in by the reporter and is often blank; shares are of all 18,593 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Adempas reports
Opsumit3,24817.5%
Ambrisentan2,41213%
Remodulin1,7349.3%
Eliquis1,4517.8%
Uptravi1,4287.7%
Xarelto1,3487.3%
Oxygen1,2947%
Warfarin1,1406.1%
Furosemide1,1356.1%
Orenitram1,1015.9%

Other products listed in reports where Adempas 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

MeasureAdempasSoluble guanylate cyclase stimulatorAll reports
Reports as suspect product18,59319,86420,646,523
Share of that pool—93.6%0.1%
Reports, latest 12 months956—1,332,454
Marked serious82.6%81%57.4%
Death recorded among outcomes, per 1,000 reports29028191
Hospitalisation recorded, per 1,000 reports436428213
Consumer-filed share43.7%42.4%45.8%
Top term, share of reportsDeath 24.3%median 10.8%4.1%

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 soluble guanylate cyclase stimulator class

DrugName typeReportsLatest 12 monthsMarked serious
Verquvobrand7476840.2%
Riociguatgeneric5244080.2%

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 Adempas reports

How many adverse event reports has FDA received for Adempas?

18,593 reports list Adempas as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 956 of them arrived in the latest 12 months. Another 11,934 list it only as a concomitant medication.

What reactions are recorded in Adempas reports?

death (24.3%), dyspnoea (15.6%), headache (13.2%), dizziness (12%) and hypotension (11.9%). 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 Adempas was responsible.

How serious are the reports?

82.6% are marked serious by the reporter. Among the outcomes recorded, 29% of reports include death and 43.6% 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?

consumer or non-health professional (43.7%), other health professional (40.5%) and physician (7.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Adempas rising?

956 reports in the 12 months to June 2026, down 44% from 1,709 in 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 Adempas 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 Adempas?

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 Adempas as a suspect or interacting product; reports listing it only as a concomitant medication (11,934) 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.