Reported Reactions

Drugs › Histamine-1 receptor antagonist

Generic name

Chlorpheniramine maleate: adverse event reports filed with FDA

942 reports list it as a suspect or interacting product, 2004–2026. Class: Histamine-1 receptor antagonist.

942
reports as suspect product
0% of all reports · about 42 a year
81
reports, 12 months to June 2026
77 in the 12 months before
96.6%
marked serious by the reporter
57.7% across the class
29.4%
record death among outcomes, as reported
277 reports · not verified by FDA

Between February 2004 and June 2026, 942 adverse event reports received by FDA list chlorpheniramine maleate, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (4,752) are left out of every figure here.

In the 12 months to June 2026, 81 reports listed it, close to the 77 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, and 0.7% of the reports for the histamine-1 receptor antagonist 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 off label use (13.7%), toxicity to various agents (10.7%) and drug hypersensitivity (8.8%). A report can list several reactions, so shares add to more than 100%; 521 different terms appear across these reports. Off label use is recorded in 13.7% of these reports, a larger share than in the median histamine-1 receptor antagonist drug (3.8%).

96.6% of the reports are marked serious by the reporter (57.7% across the class); 29.4% record death among the outcomes and 40.2% record hospitalisation, as reported. 45.1% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (27%). 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

01325Jul 2021: 8Aug 2021: 5Sep 2021: 2Oct 2021: 2Nov 2021: 13Dec 2021: 72022Jan 2022: 17Feb 2022: 9Mar 2022: 2Apr 2022: 1May 2022: 6Jun 2022: 8Jul 2022: 5Aug 2022: 18Sep 2022: 9Oct 2022: 14Nov 2022: 4Dec 2022: 252023Jan 2023: 10Feb 2023: 15Mar 2023: 4Apr 2023: 23May 2023: 18Jun 2023: 11Jul 2023: 7Aug 2023: 11Sep 2023: 7Oct 2023: 6Nov 2023: 1Dec 2023: 72024Jan 2024: 3Feb 2024: 19Mar 2024: 13Apr 2024: 6May 2024: 10Jun 2024: 4Jul 2024: 6Aug 2024: 2Sep 2024: 9Oct 2024: 5Nov 2024: 5Dec 2024: 42025Jan 2025: 6Feb 2025: 10Mar 2025: 10Apr 2025: 7May 2025: 5Jun 2025: 8Jul 2025: 6Aug 2025: 2Sep 2025: 15Oct 2025: 6Nov 2025: 3Dec 2025: 02026Jan 2026: 8Feb 2026: 8Mar 2026: 14Apr 2026: 4May 2026: 3Jun 2026: 12

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

0601202004: 720042005: 42006: 92007: 2420072008: 522009: 362010: 4520102011: 422012: 462013: 1420132014: 142015: 212016: 820162017: 172018: 102019: 2420192020: 532021: 652022: 11820222023: 1202024: 862025: 7820252026: 49

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Chlorpheniramine maleate reports recording the termmedian drug in histamine-1 receptor antagonist

  1. Off label useused for a purpose or in a way not on the label13.7%129
  2. Toxicity to various agentspoisoning or toxic effect of one or more substances10.7%101
  3. Drug hypersensitivityan allergic-type reaction to a medicine8.8%83
  4. Drug ineffectivethe medicine did not work as expected8.7%82
  5. Nauseafeeling sick8.7%82
  6. Somnolencedrowsiness8.7%82
  7. Dyspnoeashortness of breath8.3%78
  8. Condition aggravatedthe condition being treated got worse7.4%70
  9. Product use in unapproved indicationused for a purpose not on the label7.4%70
  10. Vomitingbeing sick7.1%67
  11. Sepsisa severe body-wide response to infection6.5%61
  12. Abdominal painstomach or belly pain6.4%60
  13. Dry mouthdry mouth5.7%54
  14. Pyrexiafever5.7%54
  15. Drug abusemisuse of a medicine5.1%48
  16. Hypotensionlow blood pressure5.1%48
  17. Pneumonialung infection4.9%46
  18. Sleep disordera sleep problem4.8%45
  19. Drug intolerancethe medicine was not tolerated4.6%43
  20. Flushingsudden reddening or warmth of the skin4.6%43
  21. General physical health deteriorationgeneral decline in health4.6%43
  22. Hyponatraemialow blood sodium4.6%43
  23. Swellingswelling4.5%42
  24. Overdosea dose above the recommended amount4.4%41
  25. Intentional product misusedeliberate use not as intended4.1%39
  26. Ventricular fibrillationa chaotic rhythm from the lower heart chambers4.1%39
  27. Coughcough4%38
  28. Drug interactionan interaction between medicines4%38
  29. Paraesthesiatingling or pins and needles4%38
  30. Constipationconstipation3.9%37

Top 30 of 521 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 34 drugs in the histamine-1 receptor antagonist 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

Death29.4%277
Life-threatening14.4%136
Hospitalisation (initial or prolonged)40.2%379
Disability7.1%67
Congenital anomaly4%38
Other serious63.4%597
Not serious3.4%32

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 135,666 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 22.4%23
2 to 113.4%32
12 to 175.3%50
18 to 4427%254
45 to 6421%198
65 to 748.6%81
75 and over10.2%96
Age not given22.1%208

Patient sex

Female45.9%432
Male40.6%382
Not given13.6%128

Who reported

Physician30.1%284
Pharmacist8.3%78
Other health professional45.1%425
Lawyer0.1%1
Consumer or non-health professional12.2%115
Not given4.1%39

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 20.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Prophylaxis384%
Thrombosis373.9%
Premedication303.2%
Non-hodgkin's lymphoma171.8%
Ill-defined disorder121.3%
Pruritus111.2%

The indication field is filled in by the reporter and is often blank; shares are of all 942 reports.

In context

MeasureChlorpheniramine maleateHistamine-1 receptor antagonistAll reports
Reports as suspect product942135,66620,646,523
Share of that pool—0.7%0%
Reports, latest 12 months81—1,332,454
Marked serious96.6%57.7%57.4%
Death recorded among outcomes, per 1,000 reports29419091
Hospitalisation recorded, per 1,000 reports402203213
Consumer-filed share12.2%50.8%45.8%
Top term, share of reportsOff label use 13.7%median 3.8%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 histamine-1 receptor antagonist class

DrugName typeReportsLatest 12 monthsMarked serious
Zyrtecbrand20,34292916.7%
Cetirizine hydrochloridegeneric19,0922,04377.5%
Diphenhydraminegeneric15,3391,15796%
Cetirizinegeneric12,5221,54891.7%
Benadrylbrand9,61243266.6%
Allegra Allergybrand7,8683043.6%
Diphenhydramine hydrochloridegeneric5,55653894.6%
Xyzal Allergy 24HRbrand5,3021473.3%
Cetirizine hydrochloride, pseudoephedrine hydrochloridegeneric4,91490999.3%
Xyzalbrand3,82418144.6%
Fexofenadinegeneric3,14233562.5%
Diphenhydramine hclgeneric2,741091%
Desloratadinegeneric2,69919093.6%
Azelastine hydrochloridegeneric2,5021515.7%
Aleve PMbrand1,877136.4%

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 Chlorpheniramine maleate reports

How many adverse event reports has FDA received for Chlorpheniramine maleate?

942 reports list Chlorpheniramine maleate as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 81 of them arrived in the latest 12 months. Another 4,752 list it only as a concomitant medication.

What reactions are recorded in Chlorpheniramine maleate reports?

off label use (13.7%), toxicity to various agents (10.7%), drug hypersensitivity (8.8%), drug ineffective (8.7%) and nausea (8.7%). 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 Chlorpheniramine maleate was responsible.

How serious are the reports?

96.6% are marked serious by the reporter. Among the outcomes recorded, 29.4% of reports include death and 40.2% 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 (45.1%), physician (30.1%) and consumer or non-health professional (12.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Chlorpheniramine maleate rising?

81 reports in the 12 months to June 2026, close to the 77 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 Chlorpheniramine maleate 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 Chlorpheniramine maleate?

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 Chlorpheniramine maleate as a suspect or interacting product; reports listing it only as a concomitant medication (4,752) 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.