Reported Reactions

Drugs

Product name as reported

Biperiden: adverse event reports filed with FDA

938 reports list it as a suspect or interacting product, 2004–2026.

938
reports as suspect product
0% of all reports · about 42 a year
49
reports, 12 months to June 2026
50 in the 12 months before
99.5%
marked serious by the reporter
57.4% across all reports
10.6%
record death among outcomes, as reported
99 reports · not verified by FDA

Between June 2004 and June 2026, 938 adverse event reports received by FDA list the product name "Biperiden" as reporters wrote it as a suspect or interacting product. Reports that mention it only as a concomitant medication (1,291) are left out of every figure here.

In the 12 months to June 2026, 49 reports listed it, close to the 50 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 42 reports a year and 0% of the 20,646,523 reports in the database. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded neuroleptic malignant syndrome (11.4%), drug ineffective (11.3%) and drug interaction (10.1%). A report can list several reactions, so shares add to more than 100%; 387 different terms appear across these reports. Neuroleptic malignant syndrome is recorded in 11.4% of these reports, against 0.1% of all reports in the database.

99.5% of the reports are marked serious by the reporter; 10.6% record death among the outcomes and 63.5% record hospitalisation, as reported. 48.6% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (39.7%). 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

0816Jul 2021: 5Aug 2021: 8Sep 2021: 5Oct 2021: 7Nov 2021: 7Dec 2021: 122022Jan 2022: 3Feb 2022: 9Mar 2022: 4Apr 2022: 6May 2022: 1Jun 2022: 8Jul 2022: 3Aug 2022: 9Sep 2022: 2Oct 2022: 8Nov 2022: 5Dec 2022: 22023Jan 2023: 5Feb 2023: 5Mar 2023: 3Apr 2023: 3May 2023: 13Jun 2023: 14Jul 2023: 0Aug 2023: 6Sep 2023: 7Oct 2023: 8Nov 2023: 8Dec 2023: 152024Jan 2024: 3Feb 2024: 11Mar 2024: 11Apr 2024: 6May 2024: 2Jun 2024: 16Jul 2024: 8Aug 2024: 3Sep 2024: 4Oct 2024: 10Nov 2024: 0Dec 2024: 22025Jan 2025: 1Feb 2025: 0Mar 2025: 7Apr 2025: 5May 2025: 5Jun 2025: 5Jul 2025: 6Aug 2025: 1Sep 2025: 1Oct 2025: 4Nov 2025: 11Dec 2025: 72026Jan 2026: 4Feb 2026: 1Mar 2026: 1Apr 2026: 4May 2026: 7Jun 2026: 2

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

0681362004: 120042006: 42011: 720112012: 182013: 2120132014: 382015: 3120152016: 542017: 10920172018: 1032019: 13620192020: 562021: 6520212022: 602023: 8720232024: 762025: 5320252026: 19

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Biperiden reports recording the termall reports in the database

  1. Neuroleptic malignant syndromea rare severe reaction with fever and rigidity11.4%107
  2. Drug ineffectivethe medicine did not work as expected11.3%106
  3. Drug interactionan interaction between medicines10.1%95
  4. Pyrexiafever6.4%60
  5. Extrapyramidal disordermovement problems such as stiffness or tremor6%56
  6. Anxietyanxiety5.4%51
  7. Confusional stateconfusion5.2%49
  8. Somnolencedrowsiness5%47
  9. Intentional overdosea deliberate overdose4.9%46
  10. Condition aggravatedthe condition being treated got worse4.3%40
  11. Tremorshaking4.3%40
  12. Suicide attempta suicide attempt4.2%39
  13. Urinary incontinenceleaking urine4.1%38
  14. Off label useused for a purpose or in a way not on the label3.9%37
  15. Megacolon3.8%36
  16. Product use in unapproved indicationused for a purpose not on the label3.5%33
  17. Toxicity to various agentspoisoning or toxic effect of one or more substances3.5%33
  18. Fatiguetiredness3.4%32
  19. Ileus paralytic3.4%32
  20. Logorrhoea3.4%32
  21. Urinary tract infectionbladder or urinary infection3.4%32
  22. Weight increasedweight gain3.4%32
  23. Akathisiainner restlessness and an urge to move3.2%30
  24. Constipationconstipation3.2%30
  25. Inappropriate affect3.2%30
  26. Coma3.1%29

Top 30 of 387 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 share of all reports in the database; 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

Death10.6%99
Life-threatening13.9%130
Hospitalisation (initial or prolonged)63.5%596
Disability1%9
Congenital anomaly0%0
Other serious66.8%627
Not serious0.5%5

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 20,646,523 reports. 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%1
2 to 110.5%5
12 to 173%28
18 to 4439.7%372
45 to 6428.8%270
65 to 748.4%79
75 and over4.3%40
Age not given15.2%143

Patient sex

Female39.7%372
Male48.9%459
Not given11.4%107

Who reported

Physician39%366
Pharmacist2.1%20
Other health professional48.6%456
Lawyer0%0
Consumer or non-health professional8.2%77
Not given2%19

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 0.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Schizophrenia15116.1%
Extrapyramidal disorder343.6%
Schizoaffective disorder293.1%
Bipolar disorder222.3%
Parkinson's disease212.2%
Major depression121.3%

The indication field is filled in by the reporter and is often blank; shares are of all 938 reports.

In context

MeasureBiperidenAll reports
Reports as suspect product93820,646,523
Share of that pool—0%
Reports, latest 12 months491,332,454
Marked serious99.5%57.4%
Death recorded among outcomes, per 1,000 reports10691
Hospitalisation recorded, per 1,000 reports635213
Consumer-filed share8.2%45.8%
Top term, share of reportsNeuroleptic malignant syndrome 11.4%0.1%

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."

Questions about Biperiden reports

How many adverse event reports has FDA received for Biperiden?

938 reports list Biperiden as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 49 of them arrived in the latest 12 months. Another 1,291 list it only as a concomitant medication.

What reactions are recorded in Biperiden reports?

neuroleptic malignant syndrome (11.4%), drug ineffective (11.3%), drug interaction (10.1%), pyrexia (6.4%) and colitis ischaemic (6%). 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 Biperiden was responsible.

How serious are the reports?

99.5% are marked serious by the reporter. Among the outcomes recorded, 10.6% of reports include death and 63.5% 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?

other health professional (48.6%), physician (39%) and consumer or non-health professional (8.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Biperiden rising?

49 reports in the 12 months to June 2026, close to the 50 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 Biperiden 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 Biperiden?

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 Biperiden as a suspect or interacting product; reports listing it only as a concomitant medication (1,291) 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.