Reported Reactions

Drugs › Atypical antipsychotic

Generic name

Brexpiprazole: adverse event reports filed with FDA

1,648 reports list it as a suspect or interacting product, 2015–2026. Class: Atypical antipsychotic.

1,648
reports as suspect product
0% of all reports · about 145 a year
553
reports, 12 months to June 2026
282 in the 12 months before
87.1%
marked serious by the reporter
70.7% across the class
31.4%
record death among outcomes, as reported
517 reports · not verified by FDA

1,648 adverse event reports received by FDA list brexpiprazole, a generic name as a suspect or interacting product, from March 2015 to June 2026. A further 344 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, 553 reports listed it, up 96% from 282 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 145 reports a year and 0% of the 20,646,523 reports in the database, and 0.2% of the reports for the atypical antipsychotic class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are death (21.8%), drug ineffective (12.9%) and product use in unapproved indication (12.1%). A report can list several reactions, so shares add to more than 100%; 322 different terms appear across these reports. Death is recorded in 21.8% of these reports, a larger share than in the median atypical antipsychotic drug (1.3%).

87.1% of the reports are marked serious by the reporter (70.7% across the class); 31.4% record death among the outcomes and 27.4% record hospitalisation, as reported. 37.3% of the reports came from consumers, and the largest patient age group is 45 to 64 (17.6%). 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

03264Jul 2021: 9Aug 2021: 5Sep 2021: 17Oct 2021: 25Nov 2021: 10Dec 2021: 52022Jan 2022: 8Feb 2022: 10Mar 2022: 13Apr 2022: 6May 2022: 6Jun 2022: 14Jul 2022: 11Aug 2022: 17Sep 2022: 12Oct 2022: 14Nov 2022: 16Dec 2022: 122023Jan 2023: 6Feb 2023: 11Mar 2023: 5Apr 2023: 11May 2023: 8Jun 2023: 8Jul 2023: 11Aug 2023: 20Sep 2023: 22Oct 2023: 24Nov 2023: 14Dec 2023: 202024Jan 2024: 21Feb 2024: 6Mar 2024: 12Apr 2024: 26May 2024: 20Jun 2024: 27Jul 2024: 28Aug 2024: 19Sep 2024: 11Oct 2024: 23Nov 2024: 12Dec 2024: 282025Jan 2025: 22Feb 2025: 31Mar 2025: 25Apr 2025: 23May 2025: 28Jun 2025: 32Jul 2025: 44Aug 2025: 42Sep 2025: 63Oct 2025: 35Nov 2025: 42Dec 2025: 552026Jan 2026: 55Feb 2026: 44Mar 2026: 64Apr 2026: 47May 2026: 35Jun 2026: 27

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

02214422015: 4220152016: 662017: 2420172018: 302019: 6320192020: 622021: 11520212022: 1392023: 16020232024: 2332025: 44220252026: 272

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Brexpiprazole reports recording the termmedian drug in atypical antipsychotic

  1. Deaththe patient died; cause not stated by this term21.8%360
  2. Drug ineffectivethe medicine did not work as expected12.9%212
  3. Product use in unapproved indicationused for a purpose not on the label12.1%200
  4. Drug interactionan interaction between medicines8.8%145
  5. Off label useused for a purpose or in a way not on the label8.2%135
  6. Suicidal ideationthoughts of suicide7.7%127
  7. Suicide attempta suicide attempt6.6%109
  8. Condition aggravatedthe condition being treated got worse6.1%101
  9. Electrocardiogram QT prolongeda QT prolongation on the ECG5.6%92
  10. Schizoaffective disorder5.5%91
  11. Drug level increaseda raised blood level of the medicine4.8%79
  12. Product use issuea problem in how the product was used4.6%75
  13. Weight increasedweight gain4.1%68
  14. Depressionlow mood4%66
  15. Insomniadifficulty sleeping3.9%64
  16. Adverse drug reactiona harmful or unpleasant reaction reported to a medicine3.8%62
  17. Therapy non-responderthe treatment did not work3.7%61
  18. Anxietyanxiety3.3%54
  19. Akathisiainner restlessness and an urge to move3.2%53
  20. Underdoseless than the intended dose3.2%53
  21. Completed suicidedeath by suicide2.7%45
  22. Falla fall2.5%42
  23. Tremorshaking2.5%41
  24. Fatiguetiredness2.3%38
  25. Serotonin syndrometoo much serotonin activity, with agitation, fever and tremor2.3%38
  26. Extrapyramidal disordermovement problems such as stiffness or tremor2.2%37
  27. Schizophreniaschizophrenia2.2%37
  28. Somnolencedrowsiness2.2%37
  29. Toxicity to various agentspoisoning or toxic effect of one or more substances2.2%37
  30. Tardive dyskinesiainvoluntary repetitive movements2.1%35

Top 30 of 322 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 37 drugs in the atypical antipsychotic 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

Death31.4%517
Life-threatening4.2%70
Hospitalisation (initial or prolonged)27.4%451
Disability1.4%23
Congenital anomaly0%0
Other serious53.2%877
Not serious12.9%213

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 683,680 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 20.5%8
2 to 110.1%2
12 to 170.9%15
18 to 4415.4%254
45 to 6417.6%290
65 to 7410.9%180
75 and over11.7%192
Age not given42.9%707

Patient sex

Female56.5%931
Male34.6%570
Not given8.9%147

Who reported

Physician26.2%432
Pharmacist1.9%31
Other health professional33.7%556
Lawyer0.5%8
Consumer or non-health professional37.3%615
Not given0.4%6

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 61.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Major depression28417.2%
Depression1599.6%
Dementia1317.9%
Schizophrenia1237.5%
Bipolar disorder664%
Dementia alzheimer's type553.3%

The indication field is filled in by the reporter and is often blank; shares are of all 1,648 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Brexpiprazole reports
Olanzapine29117.7%
Aripiprazole24815%
Zopiclone19211.7%
Risperidone17310.5%
Quetiapine17010.3%
Clozapine16910.3%
Lorazepam1317.9%
Mirtazapine1317.9%
Gabapentin1267.6%
Bupropion1207.3%

Other products listed in reports where Brexpiprazole 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

MeasureBrexpiprazoleAtypical antipsychoticAll reports
Reports as suspect product1,648683,68020,646,523
Share of that pool—0.2%0%
Reports, latest 12 months553—1,332,454
Marked serious87.1%70.7%57.4%
Death recorded among outcomes, per 1,000 reports31412191
Hospitalisation recorded, per 1,000 reports274304213
Consumer-filed share37.3%34%45.8%
Top term, share of reportsDeath 21.8%median 1.3%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 atypical antipsychotic class

DrugName typeReportsLatest 12 monthsMarked serious
Clozapinegeneric73,0233,25293.4%
Abilifybrand54,64562558%
Risperdalgeneric54,45488248.4%
Nuplazidbrand53,7539,60250.6%
Quetiapinegeneric52,3884,19097.6%
Seroquelbrand52,27226562.9%
Clozarilbrand47,9143,08898.4%
Olanzapinegeneric46,8374,08795.3%
Risperidonegeneric44,9622,51176.9%
Aripiprazolegeneric30,1453,10287.8%
Zyprexabrand26,46912178.4%
Invega Sustennabrand23,6481,51335.8%
Quetiapine fumarategeneric19,5681,69790.7%
Invegabrand16,67223835.5%
Latudabrand16,08518340.7%

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 Brexpiprazole reports

How many adverse event reports has FDA received for Brexpiprazole?

1,648 reports list Brexpiprazole as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 553 of them arrived in the latest 12 months. Another 344 list it only as a concomitant medication.

What reactions are recorded in Brexpiprazole reports?

death (21.8%), drug ineffective (12.9%), product use in unapproved indication (12.1%), drug interaction (8.8%) and off label use (8.2%). 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 Brexpiprazole was responsible.

How serious are the reports?

87.1% are marked serious by the reporter. Among the outcomes recorded, 31.4% of reports include death and 27.4% 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 (37.3%), other health professional (33.7%) and physician (26.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Brexpiprazole rising?

553 reports in the 12 months to June 2026, up 96% from 282 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 Brexpiprazole 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 Brexpiprazole?

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 Brexpiprazole as a suspect or interacting product; reports listing it only as a concomitant medication (344) 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.