Reported Reactions

Drugs › Central alpha-2 adrenergic agonist

Generic name

Clonidine transdermal system: adverse event reports filed with FDA

873 reports list it as a suspect or interacting product, 2011–2026. Class: Central alpha-2 adrenergic agonist. Also reported as Clonidine Transdermal System Usp.

873
reports as suspect product
0% of all reports · about 59 a year
86
reports, 12 months to June 2026
32 in the 12 months before
15%
marked serious by the reporter
75.5% across the class
2.9%
record death among outcomes, as reported
25 reports · not verified by FDA

873 adverse event reports received by FDA list clonidine transdermal system, a generic name as a suspect or interacting product, from August 2011 to June 2026. A further 33 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, 86 reports listed it, up 169% from 32 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 59 reports a year and 0% of the 20,646,523 reports in the database, and 2.8% of the reports for the central alpha-2 adrenergic agonist class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are application site pruritus (21.6%), drug ineffective (20.3%) and product adhesion issue (17.4%). A report can list several reactions, so shares add to more than 100%; 126 different terms appear across these reports. Application site pruritus is recorded in 21.6% of these reports, with no counterpart in the median central alpha-2 adrenergic agonist drug (0%).

15% of the reports are marked serious by the reporter (75.5% across the class); 2.9% record death among the outcomes and 5.2% record hospitalisation, as reported. 79.8% of the reports came from consumers, and the largest patient age group is 75 and over (16.3%). 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

0815Jul 2021: 8Aug 2021: 8Sep 2021: 3Oct 2021: 4Nov 2021: 2Dec 2021: 32022Jan 2022: 6Feb 2022: 7Mar 2022: 2Apr 2022: 3May 2022: 4Jun 2022: 4Jul 2022: 8Aug 2022: 6Sep 2022: 4Oct 2022: 3Nov 2022: 0Dec 2022: 52023Jan 2023: 4Feb 2023: 7Mar 2023: 3Apr 2023: 2May 2023: 9Jun 2023: 2Jul 2023: 5Aug 2023: 3Sep 2023: 8Oct 2023: 7Nov 2023: 4Dec 2023: 72024Jan 2024: 2Feb 2024: 2Mar 2024: 2Apr 2024: 5May 2024: 1Jun 2024: 3Jul 2024: 4Aug 2024: 1Sep 2024: 3Oct 2024: 2Nov 2024: 3Dec 2024: 32025Jan 2025: 2Feb 2025: 2Mar 2025: 2Apr 2025: 4May 2025: 3Jun 2025: 3Jul 2025: 5Aug 2025: 5Sep 2025: 15Oct 2025: 9Nov 2025: 7Dec 2025: 92026Jan 2026: 8Feb 2026: 5Mar 2026: 2Apr 2026: 7May 2026: 2Jun 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

0551102011: 120112012: 32013: 3020132014: 402015: 4920152016: 652017: 9920172018: 792019: 11020192020: 682021: 8320212022: 522023: 6120232024: 312025: 6620252026: 36

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Clonidine transdermal system reports recording the termmedian drug in central alpha-2 adrenergic agonist

  1. Application site pruritusitching where the product was applied21.6%189
  2. Drug ineffectivethe medicine did not work as expected20.3%177
  3. Application site erythemaredness where the product was applied17.3%151
  4. Wrong technique in product usage processthe product was used in the wrong way10.7%93
  5. Blood pressure increaseda raised blood pressure reading9.2%80
  6. Product quality issuea problem with the product itself8%70
  7. Hypertensionhigh blood pressure4.8%42
  8. Off label useused for a purpose or in a way not on the label4.7%41
  9. Drug effect decreasedthe medicine had less effect3.1%27
  10. Application site burn3%26
  11. Headachehead pain2.9%25
  12. Pruritusitching2.9%25
  13. Dizzinesslight-headedness or unsteadiness2.3%20
  14. Product dose omission issuea dose was missed2.2%19
  15. Application site swelling1.8%16
  16. Fatiguetiredness1.8%16
  17. Rashskin rash1.8%16
  18. Application site discolouration1.5%13
  19. Product use issuea problem in how the product was used1.5%13
  20. Application site reactiona reaction where the product was applied1.4%12
  21. Blood pressure decreaseda low blood pressure reading1.4%12
  22. Incorrect dose administeredthe wrong dose was given1.4%12
  23. Completed suicidedeath by suicide1.3%11

Top 30 of 126 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 13 drugs in the central alpha-2 adrenergic 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

Death2.9%25
Life-threatening0.6%5
Hospitalisation (initial or prolonged)5.2%45
Disability0.7%6
Congenital anomaly0%0
Other serious11%96
Not serious85%742

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 31,745 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 20.6%5
2 to 112.4%21
12 to 171%9
18 to 442.4%21
45 to 6410.8%94
65 to 7412.3%107
75 and over16.3%142
Age not given54.3%474

Patient sex

Female68.4%597
Male27.6%241
Not given4%35

Who reported

Physician3%26
Pharmacist12.1%106
Other health professional4.1%36
Lawyer0%0
Consumer or non-health professional79.8%697
Not given0.9%8

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 100% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hypertension36341.6%
Blood pressure abnormal687.8%
Blood pressure increased526%
Blood pressure measurement526%
Blood pressure management141.6%
Hot flush70.8%

The indication field is filled in by the reporter and is often blank; shares are of all 873 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Clonidine transdermal system reports
Clonidine819.3%
Lisinopril384.4%
Losartan364.1%
Amlodipine343.9%
Carvedilol313.6%
Metoprolol293.3%
Aspirin242.7%
Atorvastatin212.4%
Hydralazine202.3%
Furosemide182.1%

Other products listed in reports where Clonidine transdermal system 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

MeasureClonidine transdermal systemCentral alpha-2 adrenergic agonistAll reports
Reports as suspect product87331,74520,646,523
Share of that pool—2.8%0%
Reports, latest 12 months86—1,332,454
Marked serious15%75.5%57.4%
Death recorded among outcomes, per 1,000 reports2916291
Hospitalisation recorded, per 1,000 reports52304213
Consumer-filed share79.8%27.5%45.8%
Top term, share of reportsApplication site pruritus 21.6%median 0%0.1%

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 central alpha-2 adrenergic agonist class

DrugName typeReportsLatest 12 monthsMarked serious
Clonidinegeneric11,71271379.2%
Tizanidinegeneric4,25937669.8%
Methyldopageneric2,65913895.8%
Intunivbrand2,1804875.8%
Clonidine hydrochloridegeneric1,84226077.8%
Dexmedetomidinegeneric1,65316093.2%
Guanfacinegeneric1,44521461.7%
Dexmedetomidine hydrochloridegeneric1,43613498%
Zanaflexbrand1,1661054.5%
Tizanidine hydrochloridegeneric1,05110480.3%
Catapres-TTS-1brand871018%
Precedexbrand5982078.1%

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 Clonidine transdermal system reports

How many adverse event reports has FDA received for Clonidine transdermal system?

873 reports list Clonidine transdermal system as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 86 of them arrived in the latest 12 months. Another 33 list it only as a concomitant medication.

What reactions are recorded in Clonidine transdermal system reports?

application site pruritus (21.6%), drug ineffective (20.3%), product adhesion issue (17.4%), application site erythema (17.3%) and wrong technique in product usage process (10.7%). 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 Clonidine transdermal system was responsible.

How serious are the reports?

15% are marked serious by the reporter. Among the outcomes recorded, 2.9% of reports include death and 5.2% 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?

consumer or non-health professional (79.8%), pharmacist (12.1%) and other health professional (4.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Clonidine transdermal system rising?

86 reports in the 12 months to June 2026, up 169% from 32 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 Clonidine transdermal system 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 Clonidine transdermal system?

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 Clonidine transdermal system as a suspect or interacting product; reports listing it only as a concomitant medication (33) 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.