Reported Reactions

Drugs › Mood stabilizer

Generic name

Carbamazepine: adverse event reports filed with FDA

22,081 reports list it as a suspect or interacting product, 2004–2026. Class: Mood stabilizer. Also reported as Carbamazepine Tablets Usp, Carbamazepine Extended-Release, Carbamazepine Extended Release Tablets Usp 200mg.

22,081
reports as suspect product
0.1% of all reports · about 982 a year
1,516
reports, 12 months to June 2026
1,495 in the 12 months before
93.6%
marked serious by the reporter
91.4% across the class
12.5%
record death among outcomes, as reported
2,765 reports · not verified by FDA

Between January 2004 and June 2026, 22,081 adverse event reports received by FDA list carbamazepine, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (14,477) are left out of every figure here.

In the 12 months to June 2026, 1,516 reports listed it, close to the 1,495 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 982 reports a year and 0.1% of the 20,646,523 reports in the database, and 38.7% of the reports for the mood stabilizer 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 drug ineffective (11.3%), toxicity to various agents (9.7%) and drug interaction (9.6%). A report can list several reactions, so shares add to more than 100%; 2,498 different terms appear across these reports. Drug ineffective is recorded in 11.3% of these reports, about the same share as in the median mood stabilizer drug (9.9%).

93.6% of the reports are marked serious by the reporter (91.4% across the class); 12.5% record death among the outcomes and 41% record hospitalisation, as reported. 49.4% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (26%). 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

090180Jul 2021: 180Aug 2021: 113Sep 2021: 139Oct 2021: 163Nov 2021: 141Dec 2021: 1712022Jan 2022: 174Feb 2022: 113Mar 2022: 155Apr 2022: 134May 2022: 121Jun 2022: 129Jul 2022: 104Aug 2022: 115Sep 2022: 112Oct 2022: 97Nov 2022: 134Dec 2022: 1272023Jan 2023: 146Feb 2023: 103Mar 2023: 71Apr 2023: 101May 2023: 120Jun 2023: 131Jul 2023: 137Aug 2023: 126Sep 2023: 75Oct 2023: 97Nov 2023: 112Dec 2023: 1102024Jan 2024: 107Feb 2024: 82Mar 2024: 134Apr 2024: 131May 2024: 109Jun 2024: 105Jul 2024: 119Aug 2024: 143Sep 2024: 151Oct 2024: 104Nov 2024: 98Dec 2024: 1182025Jan 2025: 134Feb 2025: 139Mar 2025: 115Apr 2025: 91May 2025: 133Jun 2025: 150Jul 2025: 148Aug 2025: 119Sep 2025: 97Oct 2025: 104Nov 2025: 122Dec 2025: 1342026Jan 2026: 125Feb 2026: 150Mar 2026: 138Apr 2026: 116May 2026: 142Jun 2026: 121

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

08751,7492004: 28920042005: 4202006: 4712007: 38520072008: 5632009: 6152010: 54120102011: 6992012: 8402013: 62320132014: 7882015: 9362016: 1,01920162017: 1,1192018: 1,6052019: 1,55520192020: 1,3362021: 1,7492022: 1,51520222023: 1,3292024: 1,4012025: 1,48620252026: 792

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Carbamazepine reports recording the termmedian drug in mood stabilizer

  1. Drug ineffectivethe medicine did not work as expected11.3%2,491
  2. Toxicity to various agentspoisoning or toxic effect of one or more substances9.7%2,136
  3. Drug interactionan interaction between medicines9.6%2,130
  4. Falla fall5.2%1,152
  5. Seizurea fit or convulsion5.2%1,139
  6. Off label useused for a purpose or in a way not on the label4.8%1,063
  7. Hypotensionlow blood pressure4.4%973
  8. Pyrexiafever4.2%934
  9. Drug reaction with eosinophilia and systemic symptomsDRESS, a severe reaction with rash, fever and organ involvement4.2%925
  10. Rashskin rash4.1%896
  11. Cognitive disorderproblems with thinking or memory4%890
  12. Balance disorderproblems with balance3.9%871
  13. Painpain, site not specified3.8%850
  14. Dizzinesslight-headedness or unsteadiness3.8%845
  15. Completed suicidedeath by suicide3.8%844
  16. Overdosea dose above the recommended amount3.7%822
  17. Somnolencedrowsiness3.7%816
  18. Sedationdrowsiness from a medicine3.7%807
  19. Constipationconstipation3.5%775
  20. Condition aggravatedthe condition being treated got worse3.5%767
  21. Foetal exposure during pregnancythe unborn baby was exposed to the medicine3.3%728
  22. Fatiguetiredness2.9%643
  23. Vomitingbeing sick2.9%641
  24. Convulsion2.9%640
  25. Hyponatraemialow blood sodium2.8%620
  26. Mobility decreasedreduced ability to move about2.8%618
  27. Nauseafeeling sick2.7%596
  28. Epilepsy2.6%575

Top 30 of 2,498 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 4 drugs in the mood stabilizer 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

Death12.5%2,765
Life-threatening7.9%1,748
Hospitalisation (initial or prolonged)41%9,047
Disability2.1%461
Congenital anomaly4.3%944
Other serious61.1%13,495
Not serious6.4%1,412

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 57,019 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 21.4%309
2 to 114.4%968
12 to 174.5%986
18 to 4426%5,731
45 to 6420%4,422
65 to 748.6%1,894
75 and over8%1,765
Age not given27.2%6,006

Patient sex

Female48.1%10,632
Male36.8%8,136
Not given15%3,313

Who reported

Physician26%5,736
Pharmacist6.7%1,481
Other health professional49.4%10,909
Lawyer0.2%40
Consumer or non-health professional12%2,657
Not given5.7%1,258

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 24.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Epilepsy3,57216.2%
Seizure1,5737.1%
Trigeminal neuralgia1,1045%
Partial seizures5572.5%
Convulsion5542.5%
Bipolar disorder4852.2%

The indication field is filled in by the reporter and is often blank; shares are of all 22,081 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Carbamazepine reports
Levetiracetam3,14514.2%
Lamotrigine2,34510.6%
Valproic acid1,9008.6%
Topiramate1,8838.5%
Phenytoin1,7347.9%
Clonazepam1,5387%
Clobazam1,5346.9%
Gabapentin1,4786.7%
Acetaminophen1,3115.9%
Phenobarbital1,2515.7%

Other products listed in reports where Carbamazepine 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

MeasureCarbamazepineMood stabilizerAll reports
Reports as suspect product22,08157,01920,646,523
Share of that pool—38.7%0.1%
Reports, latest 12 months1,516—1,332,454
Marked serious93.6%91.4%57.4%
Death recorded among outcomes, per 1,000 reports12510091
Hospitalisation recorded, per 1,000 reports410433213
Consumer-filed share12%20.2%45.8%
Top term, share of reportsDrug ineffective 11.3%median 9.9%6.3%

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 mood stabilizer class

DrugName typeReportsLatest 12 monthsMarked serious
Tegretolbrand16,84447789.7%
Lithiumgeneric10,78772090.8%
Lithium carbonategeneric7,30726689.8%

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 Carbamazepine reports

How many adverse event reports has FDA received for Carbamazepine?

22,081 reports list Carbamazepine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,516 of them arrived in the latest 12 months. Another 14,477 list it only as a concomitant medication.

What reactions are recorded in Carbamazepine reports?

drug ineffective (11.3%), toxicity to various agents (9.7%), drug interaction (9.6%), fall (5.2%) and seizure (5.2%). 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 Carbamazepine was responsible.

How serious are the reports?

93.6% are marked serious by the reporter. Among the outcomes recorded, 12.5% of reports include death and 41% 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 (49.4%), physician (26%) and consumer or non-health professional (12%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Carbamazepine rising?

1,516 reports in the 12 months to June 2026, close to the 1,495 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 Carbamazepine 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 Carbamazepine?

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 Carbamazepine as a suspect or interacting product; reports listing it only as a concomitant medication (14,477) 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.