Reported Reactions

Drugs › Partial opioid agonist

Generic name

Buprenorphine hydrochloride: adverse event reports filed with FDA

4,069 reports list it as a suspect or interacting product, 2004–2026. Class: Partial opioid agonist. Also reported as Buprenorphine Hydrochloride 8mg, Buprenorphine Hydrochloride Injection.

4,069
reports as suspect product
0% of all reports · about 181 a year
210
reports, 12 months to June 2026
273 in the 12 months before
94.1%
marked serious by the reporter
60.2% across the class
20.5%
record death among outcomes, as reported
835 reports · not verified by FDA

Between January 2004 and June 2026, 4,069 adverse event reports received by FDA list buprenorphine hydrochloride, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (599) are left out of every figure here.

In the 12 months to June 2026, 210 reports listed it, down 23% from 273 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 181 reports a year and 0% of the 20,646,523 reports in the database, and 4.3% of the reports for the partial opioid agonist class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded dependence (55.8%), overdose (29.6%) and death (8.3%). A report can list several reactions, so shares add to more than 100%; 614 different terms appear across these reports. Dependence is recorded in 55.8% of these reports, a larger share than in the median partial opioid agonist drug (0.8%).

94.1% of the reports are marked serious by the reporter (60.2% across the class); 20.5% record death among the outcomes and 14.7% record hospitalisation, as reported. 69.2% of the reports came from consumers, and the largest patient age group is 18 to 44 (12.5%). 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

0401801Jul 2021: 3Aug 2021: 4Sep 2021: 2Oct 2021: 5Nov 2021: 12Dec 2021: 82022Jan 2022: 4Feb 2022: 6Mar 2022: 15Apr 2022: 8May 2022: 10Jun 2022: 6Jul 2022: 27Aug 2022: 6Sep 2022: 8Oct 2022: 6Nov 2022: 9Dec 2022: 22023Jan 2023: 8Feb 2023: 13Mar 2023: 6Apr 2023: 10May 2023: 10Jun 2023: 26Jul 2023: 11Aug 2023: 457Sep 2023: 43Oct 2023: 523Nov 2023: 801Dec 2023: 3832024Jan 2024: 22Feb 2024: 20Mar 2024: 36Apr 2024: 132May 2024: 22Jun 2024: 30Jul 2024: 31Aug 2024: 30Sep 2024: 30Oct 2024: 29Nov 2024: 17Dec 2024: 212025Jan 2025: 21Feb 2025: 15Mar 2025: 26Apr 2025: 9May 2025: 4Jun 2025: 40Jul 2025: 23Aug 2025: 13Sep 2025: 20Oct 2025: 17Nov 2025: 20Dec 2025: 132026Jan 2026: 16Feb 2026: 17Mar 2026: 10Apr 2026: 15May 2026: 26Jun 2026: 20

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

01,1462,2912004: 5120042005: 42006: 192007: 120072008: 212009: 92010: 2820102011: 222012: 222013: 15020132014: 282015: 662016: 4920162017: 522018: 852019: 11620192020: 1242021: 792022: 10720222023: 2,2912024: 4202025: 22120252026: 104

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Buprenorphine hydrochloride reports recording the termmedian drug in partial opioid agonist

  1. Dependence55.8%2,271
  2. Overdosea dose above the recommended amount29.6%1,205
  3. Deaththe patient died; cause not stated by this term8.3%336
  4. Foetal exposure during pregnancythe unborn baby was exposed to the medicine6.7%274
  5. Maternal exposure during pregnancythe mother took the medicine during pregnancy5.8%235
  6. Ill-defined disordera condition that was not clearly described5.2%210
  7. Depressionlow mood5.1%208
  8. Toxicity to various agentspoisoning or toxic effect of one or more substances4.5%184
  9. Drug abusemisuse of a medicine3.6%148
  10. Off label useused for a purpose or in a way not on the label3.5%143
  11. Dizzinesslight-headedness or unsteadiness3.3%134
  12. Anxietyanxiety3.1%125
  13. Nauseafeeling sick3.1%125
  14. Vomitingbeing sick2.9%120
  15. Drug ineffectivethe medicine did not work as expected2.9%117
  16. Diarrhoealoose or frequent stools2.8%112
  17. Arthralgiajoint pain2.6%107
  18. Insomniadifficulty sleeping2.6%106
  19. Headachehead pain2.6%104
  20. Painpain, site not specified2.6%104
  21. Product quality issuea problem with the product itself2.4%98
  22. Abdominal pain upperupper stomach pain2.4%97
  23. Premature babya baby born early2.4%97
  24. Astheniaweakness or lack of energy2.1%87
  25. General physical health deteriorationgeneral decline in health2.1%87
  26. Memory impairmentmemory problems2.1%87

Top 30 of 614 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 partial opioid agonist 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

Death20.5%835
Life-threatening5.6%226
Hospitalisation (initial or prolonged)14.7%600
Disability3.9%157
Congenital anomaly3.4%137
Other serious78.8%3,206
Not serious5.9%242

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 94,902 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 21.2%49
2 to 110.2%9
12 to 170.2%9
18 to 4412.5%510
45 to 644.1%167
65 to 741.1%43
75 and over1.3%54
Age not given79.3%3,228

Patient sex

Female38.1%1,551
Male46.9%1,908
Not given15%610

Who reported

Physician8%324
Pharmacist3.6%146
Other health professional16.3%662
Lawyer1%42
Consumer or non-health professional69.2%2,816
Not given1.9%79

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 70% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Drug dependence1804.4%
Pain832%
Drug use disorder260.6%
Back pain230.6%
Foetal exposure during pregnancy220.5%
Drug withdrawal maintenance therapy180.4%

The indication field is filled in by the reporter and is often blank; shares are of all 4,069 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Buprenorphine hydrochloride reports
Percocet1,93347.5%
Acetaminophen Oxycodone Hydrochloride1,82344.8%
Tramadol hydrochloride1,43835.3%
Acetaminophen Hydrocodone Bitartrate1,36933.6%
Endocet1,24730.6%
Acetaminophen and codeine1,16528.6%
Morphine sulfate86821.3%
Opana69417.1%
Fentanyl citrate69117%
Oxymorphone hydrochloride67716.6%

Other products listed in reports where Buprenorphine hydrochloride 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

MeasureBuprenorphine hydrochloridePartial opioid agonistAll reports
Reports as suspect product4,06994,90220,646,523
Share of that pool—4.3%0%
Reports, latest 12 months210—1,332,454
Marked serious94.1%60.2%57.4%
Death recorded among outcomes, per 1,000 reports20528691
Hospitalisation recorded, per 1,000 reports14799213
Consumer-filed share69.2%46.8%45.8%
Top term, share of reportsDependence 55.8%median 0.8%0.3%

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 partial opioid agonist class

DrugName typeReportsLatest 12 monthsMarked serious
Butransbrand60,02959057.3%
Buprenorphinegeneric19,2401,74979.3%
Sublocadebrand5,02843420.3%
Belbucabrand3,03928460.4%
Brixadibrand1,9736807.3%
Buprenorphine Transdermal Systembrand95516911.7%
Buprenorphine hclgeneric569092.1%

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 Buprenorphine hydrochloride reports

How many adverse event reports has FDA received for Buprenorphine hydrochloride?

4,069 reports list Buprenorphine hydrochloride as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 210 of them arrived in the latest 12 months. Another 599 list it only as a concomitant medication.

What reactions are recorded in Buprenorphine hydrochloride reports?

dependence (55.8%), overdose (29.6%), death (8.3%), foetal exposure during pregnancy (6.7%) and drug withdrawal syndrome neonatal (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 Buprenorphine hydrochloride was responsible.

How serious are the reports?

94.1% are marked serious by the reporter. Among the outcomes recorded, 20.5% of reports include death and 14.7% 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 (69.2%), other health professional (16.3%) and physician (8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Buprenorphine hydrochloride rising?

210 reports in the 12 months to June 2026, down 23% from 273 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 Buprenorphine hydrochloride 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 Buprenorphine hydrochloride?

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 Buprenorphine hydrochloride as a suspect or interacting product; reports listing it only as a concomitant medication (599) 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.