Reported Reactions

Drugs › Expectorant

Brand name · Dextromethorphan

Delsym: adverse event reports filed with FDA

3,579 reports list it as a suspect or interacting product, 2004–2026. Class: Expectorant.

3,579
reports as suspect product
0% of all reports · about 159 a year
144
reports, 12 months to June 2026
118 in the 12 months before
15%
marked serious by the reporter
33.2% across the class
0.3%
record death among outcomes, as reported
10 reports · not verified by FDA

Between January 2004 and June 2026, 3,579 adverse event reports received by FDA list the brand name Delsym (dextromethorphan) as a suspect or interacting product. Reports that mention it only as a concomitant medication (740) are left out of every figure here.

In the 12 months to June 2026, 144 reports listed it, up 22% from 118 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 159 reports a year and 0% of the 20,646,523 reports in the database, and 7% of the reports for the expectorant 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 drug ineffective (32.5%), overdose (11.6%) and accidental overdose (9.1%). A report can list several reactions, so shares add to more than 100%; 251 different terms appear across these reports. Drug ineffective is recorded in 32.5% of these reports, a larger share than in the median expectorant drug (18.8%).

15% of the reports are marked serious by the reporter (33.2% across the class); 0.3% record death among the outcomes and 2.7% record hospitalisation, as reported. 94.2% of the reports came from consumers, and the largest patient age group is 2 to 11 (19%). 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

0103205Jul 2021: 5Aug 2021: 0Sep 2021: 1Oct 2021: 2Nov 2021: 0Dec 2021: 832022Jan 2022: 3Feb 2022: 1Mar 2022: 2Apr 2022: 3May 2022: 3Jun 2022: 0Jul 2022: 0Aug 2022: 1Sep 2022: 2Oct 2022: 0Nov 2022: 2Dec 2022: 1692023Jan 2023: 1Feb 2023: 0Mar 2023: 1Apr 2023: 0May 2023: 0Jun 2023: 0Jul 2023: 2Aug 2023: 1Sep 2023: 0Oct 2023: 0Nov 2023: 1Dec 2023: 2052024Jan 2024: 1Feb 2024: 0Mar 2024: 0Apr 2024: 0May 2024: 1Jun 2024: 0Jul 2024: 0Aug 2024: 1Sep 2024: 1Oct 2024: 0Nov 2024: 2Dec 2024: 1052025Jan 2025: 0Feb 2025: 0Mar 2025: 1Apr 2025: 1May 2025: 4Jun 2025: 3Jul 2025: 1Aug 2025: 1Sep 2025: 1Oct 2025: 0Nov 2025: 112Dec 2025: 222026Jan 2026: 1Feb 2026: 2Mar 2026: 1Apr 2026: 1May 2026: 0Jun 2026: 2

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

03326642004: 920042005: 62006: 132007: 1320072008: 92009: 102010: 5820102011: 342012: 602013: 2720132014: 362015: 6642016: 57620162017: 4792018: 3102019: 28120192020: 2382021: 952022: 18620222023: 2112024: 1112025: 14620252026: 7

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Delsym reports recording the termmedian drug in expectorant

  1. Drug ineffectivethe medicine did not work as expected32.5%1,164
  2. Overdosea dose above the recommended amount11.6%415
  3. Accidental overdosean accidental overdose9.1%324
  4. Dizzinesslight-headedness or unsteadiness9%322
  5. Diarrhoealoose or frequent stools7%250
  6. No adverse eventno adverse event was reported6.6%236
  7. Somnolencedrowsiness3.9%139
  8. Nauseafeeling sick3.8%137
  9. Feeling abnormalfeeling odd or not right3.5%125
  10. Insomniadifficulty sleeping3.4%123
  11. Coughcough3.2%113
  12. Vomitingbeing sick2.8%100
  13. Headachehead pain2.6%92
  14. Drug abusemisuse of a medicine2.2%79
  15. Inappropriate schedule of product administrationthe product was taken at the wrong times2.2%77
  16. Abdominal pain upperupper stomach pain2%71
  17. Hallucinationseeing or hearing things that are not there1.8%66
  18. Inappropriate schedule of drug administrationthe medicine was taken at the wrong times1.8%63
  19. Condition aggravatedthe condition being treated got worse1.5%55
  20. Expired product administeredthe product was used past its expiry date1.4%51
  21. Fatiguetiredness1.3%47
  22. Confusional stateconfusion1.3%46
  23. Abdominal discomfortstomach discomfort1.2%44
  24. Blood pressure increaseda raised blood pressure reading1.2%44
  25. Malaisegeneral feeling of being unwell1.2%44
  26. Dyspnoeashortness of breath1.2%42

Top 30 of 251 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 10 drugs in the expectorant 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

Death0.3%10
Life-threatening0.3%12
Hospitalisation (initial or prolonged)2.7%95
Disability0.1%5
Congenital anomaly0%0
Other serious13.2%474
Not serious85%3,042

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 51,345 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%20
2 to 1119%679
12 to 173.8%137
18 to 4410.5%377
45 to 6412.7%453
65 to 749.2%330
75 and over13.2%473
Age not given31%1,110

Patient sex

Female59.5%2,130
Male36.2%1,295
Not given4.3%154

Who reported

Physician0.5%19
Pharmacist0.3%10
Other health professional3.4%122
Lawyer0%0
Consumer or non-health professional94.2%3,373
Not given1.5%55

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Cough1,36938.3%
Nasopharyngitis661.8%
Drug abuse371%
Respiratory tract congestion120.3%
Antitussive therapy100.3%
Viral upper respiratory tract infection80.2%

The indication field is filled in by the reporter and is often blank; shares are of all 3,579 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Delsym reports
Mucinex411.1%
Tylenol290.8%
Lisinopril220.6%
Metoprolol200.6%
Metformin180.5%
Levothyroxine170.5%
Zyrtec170.5%
Aspirin160.4%
Motrin150.4%
Amoxicillin140.4%

Other products listed in reports where Delsym 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

MeasureDelsymExpectorantAll reports
Reports as suspect product3,57951,34520,646,523
Share of that pool—7%0%
Reports, latest 12 months144—1,332,454
Marked serious15%33.2%57.4%
Death recorded among outcomes, per 1,000 reports35091
Hospitalisation recorded, per 1,000 reports2796213
Consumer-filed share94.2%80.8%45.8%
Top term, share of reportsDrug ineffective 32.5%median 18.8%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 expectorant class

DrugName typeReportsLatest 12 monthsMarked serious
Tylenolbrand30,7265,53639.8%
Mucinexbrand5,10735119.8%
Mucinex Dm Maximum Strengthbrand3,32817711.5%
Mucinex DMbrand2,42211928%
Mucinex Maximum Strengthbrand2,2271877.1%
Dextromethorphan hydrobromidegeneric1,67011675.5%
Guaifenesingeneric1,20810845.6%
Dextromethorphan hydrobromide,guaifenesingeneric57613912.7%
Mucinex Dbrand5022434.1%

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 Delsym reports

How many adverse event reports has FDA received for Delsym?

3,579 reports list Delsym as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 144 of them arrived in the latest 12 months. Another 740 list it only as a concomitant medication.

What reactions are recorded in Delsym reports?

drug ineffective (32.5%), overdose (11.6%), accidental overdose (9.1%), dizziness (9%) and diarrhoea (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 Delsym was responsible.

How serious are the reports?

15% are marked serious by the reporter. Among the outcomes recorded, 0.3% of reports include death and 2.7% 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 (94.2%), other health professional (3.4%) and not given (1.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Delsym rising?

144 reports in the 12 months to June 2026, up 22% from 118 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 Delsym 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 Delsym?

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 Delsym as a suspect or interacting product; reports listing it only as a concomitant medication (740) 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.