Reported Reactions

Drugs › Phenothiazine

Generic name

Chlorpromazine hydrochloride: adverse event reports filed with FDA

843 reports list it as a suspect or interacting product, 2004–2026. Class: Phenothiazine. Also reported as Chlorpromazine Hcl, Chlorpromazine Hydrochloride Tab, Chlorpromazine Hcl Tablets Usp.

843
reports as suspect product
0% of all reports · about 38 a year
30
reports, 12 months to June 2026
65 in the 12 months before
91.9%
marked serious by the reporter
87.8% across the class
17.4%
record death among outcomes, as reported
147 reports · not verified by FDA

Between February 2004 and June 2026, 843 adverse event reports received by FDA list chlorpromazine hydrochloride, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (674) are left out of every figure here.

In the 12 months to June 2026, 30 reports listed it, down 54% from 65 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 38 reports a year and 0% of the 20,646,523 reports in the database, and 5.4% of the reports for the phenothiazine class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded toxicity to various agents (10.8%), drug ineffective (7.2%) and overdose (5.5%). A report can list several reactions, so shares add to more than 100%; 357 different terms appear across these reports. Toxicity to various agents is recorded in 10.8% of these reports, about the same share as in the median phenothiazine drug (9.4%).

91.9% of the reports are marked serious by the reporter (87.8% across the class); 17.4% record death among the outcomes and 40% record hospitalisation, as reported. 35.9% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (35.6%). 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

0612Jul 2021: 5Aug 2021: 12Sep 2021: 3Oct 2021: 5Nov 2021: 8Dec 2021: 122022Jan 2022: 9Feb 2022: 4Mar 2022: 4Apr 2022: 5May 2022: 2Jun 2022: 7Jul 2022: 5Aug 2022: 6Sep 2022: 6Oct 2022: 3Nov 2022: 7Dec 2022: 52023Jan 2023: 8Feb 2023: 7Mar 2023: 6Apr 2023: 4May 2023: 7Jun 2023: 6Jul 2023: 2Aug 2023: 3Sep 2023: 12Oct 2023: 7Nov 2023: 4Dec 2023: 62024Jan 2024: 5Feb 2024: 8Mar 2024: 5Apr 2024: 7May 2024: 6Jun 2024: 10Jul 2024: 6Aug 2024: 3Sep 2024: 4Oct 2024: 11Nov 2024: 2Dec 2024: 32025Jan 2025: 6Feb 2025: 5Mar 2025: 4Apr 2025: 7May 2025: 3Jun 2025: 11Jul 2025: 1Aug 2025: 1Sep 2025: 2Oct 2025: 4Nov 2025: 3Dec 2025: 22026Jan 2026: 5Feb 2026: 3Mar 2026: 0Apr 2026: 2May 2026: 3Jun 2026: 4

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

040792004: 1120042005: 192006: 192007: 2520072008: 272009: 122010: 2220102011: 382012: 792013: 3120132014: 212015: 282016: 2020162017: 282018: 412019: 4420192020: 392021: 682022: 6320222023: 722024: 702025: 4920252026: 17

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Chlorpromazine hydrochloride reports recording the termmedian drug in phenothiazine

  1. Toxicity to various agentspoisoning or toxic effect of one or more substances10.8%91
  2. Drug ineffectivethe medicine did not work as expected7.2%61
  3. Overdosea dose above the recommended amount5.5%46
  4. Neuroleptic malignant syndromea rare severe reaction with fever and rigidity4.4%37
  5. Drug abusemisuse of a medicine4.2%35
  6. Off label useused for a purpose or in a way not on the label4.2%35
  7. Maternal exposure during pregnancythe mother took the medicine during pregnancy3.6%30
  8. Foetal exposure during pregnancythe unborn baby was exposed to the medicine3.4%29
  9. Myocarditisinflammation of the heart muscle2.7%23
  10. Coma2.6%22
  11. Completed suicidedeath by suicide2.6%22
  12. Delusiona fixed false belief2.6%22
  13. Drug interactionan interaction between medicines2.6%22
  14. Foetal disorder2.6%22
  15. Neutropenialow neutrophils, a type of white blood cell2.6%22
  16. Premature babya baby born early2.6%22
  17. Psychotic disordera loss of contact with reality2.6%22
  18. Tachycardiafast heart rate2.6%22
  19. Aggressionaggressive behaviour2.5%21
  20. Headachehead pain2.3%19
  21. Condition aggravatedthe condition being treated got worse2.1%18
  22. Confusional stateconfusion2.1%18
  23. Dizzinesslight-headedness or unsteadiness2.1%18
  24. Cardio-respiratory arrestthe heart and breathing stopped2%17
  25. Fatiguetiredness2%17
  26. Hypotensionlow blood pressure2%17
  27. Malaisegeneral feeling of being unwell2%17
  28. Product use in unapproved indicationused for a purpose not on the label2%17

Top 30 of 357 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 phenothiazine 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

Death17.4%147
Life-threatening5%42
Hospitalisation (initial or prolonged)40%337
Disability1.4%12
Congenital anomaly2.5%21
Other serious56.3%475
Not serious8.1%68

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 15,718 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 23.4%29
2 to 110.8%7
12 to 174.5%38
18 to 4435.6%300
45 to 6417.3%146
65 to 748.8%74
75 and over3.1%26
Age not given26.5%223

Patient sex

Female40.3%340
Male44.7%377
Not given14.9%126

Who reported

Physician29.5%249
Pharmacist12%101
Other health professional35.9%303
Lawyer0%0
Consumer or non-health professional15.9%134
Not given6.6%56

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 23.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Schizophrenia819.6%
Hiccups182.1%
Psychotic disorder121.4%
Bipolar disorder91.1%
Depression80.9%
Bipolar i disorder60.7%

The indication field is filled in by the reporter and is often blank; shares are of all 843 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Chlorpromazine hydrochloride reports
Olanzapine11313.4%
Risperidone9110.8%
Aripiprazole688.1%
Clozapine688.1%
Diazepam597%
Haloperidol546.4%
Gabapentin485.7%
Lorazepam435.1%
Carbamazepine404.7%
Quetiapine404.7%

Other products listed in reports where Chlorpromazine 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

MeasureChlorpromazine hydrochloridePhenothiazineAll reports
Reports as suspect product84315,71820,646,523
Share of that pool—5.4%0%
Reports, latest 12 months30—1,332,454
Marked serious91.9%87.8%57.4%
Death recorded among outcomes, per 1,000 reports17425291
Hospitalisation recorded, per 1,000 reports400379213
Consumer-filed share15.9%16.6%45.8%
Top term, share of reportsToxicity to various agents 10.8%median 9.4%0.8%

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 phenothiazine class

DrugName typeReportsLatest 12 monthsMarked serious
Promethazinegeneric5,50326492.7%
Chlorpromazinegeneric3,37222597.3%
Prochlorperazinegeneric1,79815885.5%
Phenerganbrand1,4963164.6%
Promethazine hydrochloridegeneric1,17611783.1%
Perphenazinegeneric1,0056691%
Promethazine hclgeneric525046.3%

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 Chlorpromazine hydrochloride reports

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

843 reports list Chlorpromazine hydrochloride as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 30 of them arrived in the latest 12 months. Another 674 list it only as a concomitant medication.

What reactions are recorded in Chlorpromazine hydrochloride reports?

toxicity to various agents (10.8%), drug ineffective (7.2%), overdose (5.5%), neuroleptic malignant syndrome (4.4%) and drug abuse (4.2%). 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 Chlorpromazine hydrochloride was responsible.

How serious are the reports?

91.9% are marked serious by the reporter. Among the outcomes recorded, 17.4% of reports include death and 40% 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 (35.9%), physician (29.5%) and consumer or non-health professional (15.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Chlorpromazine hydrochloride rising?

30 reports in the 12 months to June 2026, down 54% from 65 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 Chlorpromazine 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 Chlorpromazine 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 Chlorpromazine hydrochloride as a suspect or interacting product; reports listing it only as a concomitant medication (674) 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.