Reported Reactions

Drugs › Cholinesterase inhibitor

Brand name · Donepezil hydrochloride

Aricept: adverse event reports filed with FDA

4,043 reports list it as a suspect or interacting product, 2004–2026. Class: Cholinesterase inhibitor. Also reported as Aricept /01318901/, Aricept Odt.

4,043
reports as suspect product
0% of all reports · about 180 a year
43
reports, 12 months to June 2026
34 in the 12 months before
83.2%
marked serious by the reporter
88.6% across the class
13.2%
record death among outcomes, as reported
534 reports · not verified by FDA

Between January 2004 and June 2026, 4,043 adverse event reports received by FDA list the brand name Aricept (donepezil hydrochloride) as a suspect or interacting product. Reports that mention it only as a concomitant medication (11,601) are left out of every figure here.

In the 12 months to June 2026, 43 reports listed it, up 26% from 34 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 180 reports a year and 0% of the 20,646,523 reports in the database, and 15.7% of the reports for the cholinesterase inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded fall (6.3%), bradycardia (6%) and drug interaction (5.5%). A report can list several reactions, so shares add to more than 100%; 671 different terms appear across these reports. Fall is recorded in 6.3% of these reports, about the same share as in the median cholinesterase inhibitor drug (7.4%).

83.2% of the reports are marked serious by the reporter (88.6% across the class); 13.2% record death among the outcomes and 49.3% record hospitalisation, as reported. 41.9% of the reports came from physicians, and the largest patient age group is 75 and over (53.5%). 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

0611Jul 2021: 6Aug 2021: 7Sep 2021: 7Oct 2021: 3Nov 2021: 8Dec 2021: 12022Jan 2022: 4Feb 2022: 2Mar 2022: 9Apr 2022: 4May 2022: 3Jun 2022: 3Jul 2022: 8Aug 2022: 5Sep 2022: 4Oct 2022: 5Nov 2022: 8Dec 2022: 72023Jan 2023: 11Feb 2023: 6Mar 2023: 4Apr 2023: 7May 2023: 6Jun 2023: 6Jul 2023: 3Aug 2023: 6Sep 2023: 4Oct 2023: 6Nov 2023: 7Dec 2023: 52024Jan 2024: 8Feb 2024: 8Mar 2024: 3Apr 2024: 8May 2024: 3Jun 2024: 3Jul 2024: 3Aug 2024: 3Sep 2024: 1Oct 2024: 6Nov 2024: 5Dec 2024: 32025Jan 2025: 4Feb 2025: 4Mar 2025: 2Apr 2025: 1May 2025: 1Jun 2025: 1Jul 2025: 4Aug 2025: 5Sep 2025: 2Oct 2025: 3Nov 2025: 4Dec 2025: 12026Jan 2026: 9Feb 2026: 4Mar 2026: 3Apr 2026: 3May 2026: 4Jun 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

01743472004: 21620042005: 2542006: 2772007: 22920072008: 2782009: 2382010: 28720102011: 2692012: 2472013: 15720132014: 2532015: 3472016: 21220162017: 1542018: 1142019: 12420192020: 742021: 702022: 6220222023: 712024: 542025: 3220252026: 24

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Aricept reports recording the termmedian drug in cholinesterase inhibitor

  1. Falla fall6.3%255
  2. Bradycardiaslow heart rate6%241
  3. Drug interactionan interaction between medicines5.5%221
  4. Nauseafeeling sick5.3%215
  5. Vomitingbeing sick4.8%194
  6. Diarrhoealoose or frequent stools4.8%193
  7. Confusional stateconfusion4.7%188
  8. Syncopefainting4.5%181
  9. Dizzinesslight-headedness or unsteadiness4.2%168
  10. Convulsion3.7%149
  11. Somnolencedrowsiness3.4%137
  12. Hallucinationseeing or hearing things that are not there3.2%131
  13. Malaisegeneral feeling of being unwell3.1%126
  14. Loss of consciousnesspassing out3%122
  15. Decreased appetitereduced appetite2.8%112
  16. Astheniaweakness or lack of energy2.7%111
  17. Tremorshaking2.7%111
  18. Drug ineffectivethe medicine did not work as expected2.7%109
  19. Agitationrestlessness2.4%99
  20. Deliriumsudden confusion2.4%99
  21. Rhabdomyolysismuscle breakdown2.4%98
  22. Aggressionaggressive behaviour2.3%92
  23. Memory impairmentmemory problems2.3%92
  24. Electrocardiogram QT prolongeda QT prolongation on the ECG2.3%91
  25. Dementiadementia2.2%87
  26. Insomniadifficulty sleeping2.2%87
  27. Dehydrationdehydration2.1%84
  28. Gait disturbancedifficulty walking1.9%78
  29. Fatiguetiredness1.8%74

Top 30 of 671 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 8 drugs in the cholinesterase 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

Death13.2%534
Life-threatening7.4%299
Hospitalisation (initial or prolonged)49.3%1,993
Disability3.5%140
Congenital anomaly0.1%3
Other serious28.3%1,143
Not serious16.8%678

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 25,719 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%2
2 to 110%1
12 to 170%0
18 to 440.5%22
45 to 645.7%231
65 to 7412.9%523
75 and over53.5%2,164
Age not given27.2%1,100

Patient sex

Female58.7%2,372
Male37.7%1,523
Not given3.7%148

Who reported

Physician41.9%1,694
Pharmacist8.5%345
Other health professional19.9%803
Lawyer0.1%3
Consumer or non-health professional21.2%856
Not given8.5%342

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 33% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Dementia alzheimer's type84120.8%
Dementia57614.2%
Dementia alzheimer's type52012.9%
Amnesia942.3%
Memory impairment761.9%
Cognitive disorder611.5%

The indication field is filled in by the reporter and is often blank; shares are of all 4,043 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Aricept reports
Aspirin3137.7%
Lipitor1533.8%
Risperdal1463.6%
Furosemide1313.2%
Amlodipine1142.8%
Norvasc1132.8%
Zoloft1052.6%
Seroquel1022.5%
Lasix932.3%
Plavix862.1%

Other products listed in reports where Aricept 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

MeasureAriceptCholinesterase inhibitorAll reports
Reports as suspect product4,04325,71920,646,523
Share of that pool—15.7%0%
Reports, latest 12 months43—1,332,454
Marked serious83.2%88.6%57.4%
Death recorded among outcomes, per 1,000 reports13223091
Hospitalisation recorded, per 1,000 reports493369213
Consumer-filed share21.2%38.7%45.8%
Top term, share of reportsFall 6.3%median 7.4%1.6%

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 cholinesterase inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Exelonbrand13,66326592.6%
Rivastigminegeneric2,60225776.4%
Donepezil hydrochloridegeneric1,56913692%
Galantamine hydrobromidegeneric1,1632896.7%
Mestinonbrand9604971.7%
Pyridostigminebrand93015384.5%
Galantaminegeneric7893795.1%

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 Aricept reports

How many adverse event reports has FDA received for Aricept?

4,043 reports list Aricept as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 43 of them arrived in the latest 12 months. Another 11,601 list it only as a concomitant medication.

What reactions are recorded in Aricept reports?

fall (6.3%), bradycardia (6%), drug interaction (5.5%), nausea (5.3%) and vomiting (4.8%). 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 Aricept was responsible.

How serious are the reports?

83.2% are marked serious by the reporter. Among the outcomes recorded, 13.2% of reports include death and 49.3% 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?

physician (41.9%), consumer or non-health professional (21.2%) and other health professional (19.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Aricept rising?

43 reports in the 12 months to June 2026, up 26% from 34 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 Aricept 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 Aricept?

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 Aricept as a suspect or interacting product; reports listing it only as a concomitant medication (11,601) 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.