Reported Reactions

Drugs › Phenothiazine

Generic name

Chlorpromazine: adverse event reports filed with FDA

3,372 reports list it as a suspect or interacting product, 2004–2026. Class: Phenothiazine. Also reported as Chlorpromazine 25mg, Chlorpromazine /00011902/.

3,372
reports as suspect product
0% of all reports · about 150 a year
225
reports, 12 months to June 2026
235 in the 12 months before
97.3%
marked serious by the reporter
87.8% across the class
21.5%
record death among outcomes, as reported
726 reports · not verified by FDA

3,372 adverse event reports received by FDA list chlorpromazine, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 2,848 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, 225 reports listed it, close to the 235 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 150 reports a year and 0% of the 20,646,523 reports in the database, and 21.5% 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.

The MedDRA terms listed most often are drug ineffective (10.5%), toxicity to various agents (7.9%) and off label use (7.1%). A report can list several reactions, so shares add to more than 100%; 742 different terms appear across these reports. Drug ineffective is recorded in 10.5% of these reports, a larger share than in the median phenothiazine drug (6.3%).

97.3% of the reports are marked serious by the reporter (87.8% across the class); 21.5% record death among the outcomes and 44.2% record hospitalisation, as reported. 39% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (35.9%). 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

02141Jul 2021: 11Aug 2021: 25Sep 2021: 15Oct 2021: 36Nov 2021: 21Dec 2021: 392022Jan 2022: 38Feb 2022: 14Mar 2022: 20Apr 2022: 32May 2022: 25Jun 2022: 34Jul 2022: 22Aug 2022: 20Sep 2022: 32Oct 2022: 16Nov 2022: 29Dec 2022: 302023Jan 2023: 25Feb 2023: 25Mar 2023: 19Apr 2023: 33May 2023: 27Jun 2023: 29Jul 2023: 21Aug 2023: 19Sep 2023: 30Oct 2023: 34Nov 2023: 41Dec 2023: 152024Jan 2024: 23Feb 2024: 22Mar 2024: 23Apr 2024: 23May 2024: 33Jun 2024: 32Jul 2024: 26Aug 2024: 19Sep 2024: 17Oct 2024: 22Nov 2024: 9Dec 2024: 212025Jan 2025: 38Feb 2025: 22Mar 2025: 16Apr 2025: 17May 2025: 13Jun 2025: 15Jul 2025: 35Aug 2025: 14Sep 2025: 11Oct 2025: 24Nov 2025: 11Dec 2025: 182026Jan 2026: 26Feb 2026: 20Mar 2026: 26Apr 2026: 7May 2026: 17Jun 2026: 16

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

01593182004: 3820042005: 432006: 452007: 5720072008: 302009: 622010: 5920102011: 802012: 682013: 12120132014: 1172015: 1372016: 16720162017: 2082018: 1832019: 24920192020: 2012021: 2612022: 31220222023: 3182024: 2702025: 23420252026: 112

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Chlorpromazine reports recording the termmedian drug in phenothiazine

  1. Drug ineffectivethe medicine did not work as expected10.5%354
  2. Toxicity to various agentspoisoning or toxic effect of one or more substances7.9%267
  3. Off label useused for a purpose or in a way not on the label7.1%240
  4. Overdosea dose above the recommended amount6.4%217
  5. Neuroleptic malignant syndromea rare severe reaction with fever and rigidity6.3%212
  6. Drug interactionan interaction between medicines6.3%211
  7. Completed suicidedeath by suicide4.6%154
  8. Neutropenialow neutrophils, a type of white blood cell4.5%151
  9. Seizurea fit or convulsion4.3%146
  10. Suicide attempta suicide attempt4.2%140
  11. Drug abusemisuse of a medicine3.8%129
  12. Psychotic disordera loss of contact with reality3.8%128
  13. Sedationdrowsiness from a medicine3.8%128
  14. Fatiguetiredness3.8%127
  15. Extrapyramidal disordermovement problems such as stiffness or tremor3.7%125
  16. Somnolencedrowsiness3.7%125
  17. Condition aggravatedthe condition being treated got worse3.6%123
  18. Schizophreniaschizophrenia3.5%118
  19. Insomniadifficulty sleeping3.3%110
  20. Nauseafeeling sick3.2%108
  21. Foetal exposure during pregnancythe unborn baby was exposed to the medicine3.2%107
  22. Intentional overdosea deliberate overdose3.2%107
  23. Diarrhoealoose or frequent stools3.1%104
  24. Treatment failurethe treatment did not work3%101
  25. Deaththe patient died; cause not stated by this term2.8%93
  26. Coma2.7%92
  27. Anxietyanxiety2.7%91
  28. Leukopenialow white blood cells2.6%89
  29. Aggressionaggressive behaviour2.6%88

Top 30 of 742 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

Death21.5%726
Life-threatening10.8%364
Hospitalisation (initial or prolonged)44.2%1,491
Disability2.4%81
Congenital anomaly2.1%70
Other serious59.7%2,014
Not serious2.7%91

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 21.8%61
2 to 112.4%81
12 to 175.1%172
18 to 4435.9%1,210
45 to 6424.5%825
65 to 747.4%250
75 and over3.5%118
Age not given19.4%655

Patient sex

Female38.7%1,305
Male48.8%1,644
Not given12.5%423

Who reported

Physician33.5%1,129
Pharmacist13.1%443
Other health professional39%1,314
Lawyer0%1
Consumer or non-health professional10.7%362
Not given3.6%123

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 26.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Schizophrenia49914.8%
Psychotic disorder1213.6%
Hiccups1023%
Bipolar disorder782.3%
Agitation611.8%
Bipolar i disorder371.1%

The indication field is filled in by the reporter and is often blank; shares are of all 3,372 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Chlorpromazine reports
Olanzapine75722.4%
Haloperidol74722.2%
Risperidone60317.9%
Lorazepam48214.3%
Quetiapine48214.3%
Aripiprazole40211.9%
Clozapine40111.9%
Diazepam35110.4%
Lithium3259.6%
Valproic acid2858.5%

Other products listed in reports where Chlorpromazine 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

MeasureChlorpromazinePhenothiazineAll reports
Reports as suspect product3,37215,71820,646,523
Share of that pool—21.5%0%
Reports, latest 12 months225—1,332,454
Marked serious97.3%87.8%57.4%
Death recorded among outcomes, per 1,000 reports21525291
Hospitalisation recorded, per 1,000 reports442379213
Consumer-filed share10.7%16.6%45.8%
Top term, share of reportsDrug ineffective 10.5%median 6.3%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 phenothiazine class

DrugName typeReportsLatest 12 monthsMarked serious
Promethazinegeneric5,50326492.7%
Prochlorperazinegeneric1,79815885.5%
Phenerganbrand1,4963164.6%
Promethazine hydrochloridegeneric1,17611783.1%
Perphenazinegeneric1,0056691%
Chlorpromazine hydrochloridegeneric8433091.9%
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 reports

How many adverse event reports has FDA received for Chlorpromazine?

3,372 reports list Chlorpromazine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 225 of them arrived in the latest 12 months. Another 2,848 list it only as a concomitant medication.

What reactions are recorded in Chlorpromazine reports?

drug ineffective (10.5%), toxicity to various agents (7.9%), off label use (7.1%), overdose (6.4%) and neuroleptic malignant syndrome (6.3%). 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 was responsible.

How serious are the reports?

97.3% are marked serious by the reporter. Among the outcomes recorded, 21.5% of reports include death and 44.2% 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 (39%), physician (33.5%) and pharmacist (13.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Chlorpromazine rising?

225 reports in the 12 months to June 2026, close to the 235 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 Chlorpromazine 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?

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 as a suspect or interacting product; reports listing it only as a concomitant medication (2,848) 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.