Reported Reactions

Drugs › Opioid agonist

Brand name · Hydromorphone hydrochloride

Dilaudid: adverse event reports filed with FDA

64,191 reports list it as a suspect or interacting product, 2004–2026. Class: Opioid agonist. Also reported as Dilaudid Tablet, Dilaudid Injection.

64,191
reports as suspect product
0.3% of all reports · about 2,854 a year
173
reports, 12 months to June 2026
276 in the 12 months before
95.7%
marked serious by the reporter
91.7% across the class
36.1%
record death among outcomes, as reported
23,204 reports · not verified by FDA

Between January 2004 and June 2026, 64,191 adverse event reports received by FDA list the brand name Dilaudid (hydromorphone hydrochloride) as a suspect or interacting product. Reports that mention it only as a concomitant medication (18,075) are left out of every figure here.

In the 12 months to June 2026, 173 reports listed it, down 37% from 276 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 2,854 reports a year and 0.3% of the 20,646,523 reports in the database, and 6.7% of the reports for the opioid 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 drug dependence (52.5%), overdose (34.2%) and pain (28.5%). A report can list several reactions, so shares add to more than 100%; 1,818 different terms appear across these reports. Drug dependence is recorded in 52.5% of these reports, a larger share than in the median opioid agonist drug (5.6%).

95.7% of the reports are marked serious by the reporter (91.7% across the class); 36.1% record death among the outcomes and 8.7% record hospitalisation, as reported. 69.3% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (3.5%). 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

03,1056,209Jul 2021: 95Aug 2021: 582Sep 2021: 125Oct 2021: 56Nov 2021: 164Dec 2021: 3,8462022Jan 2022: 6,209Feb 2022: 559Mar 2022: 438Apr 2022: 53May 2022: 536Jun 2022: 371Jul 2022: 45Aug 2022: 48Sep 2022: 23Oct 2022: 4,804Nov 2022: 19Dec 2022: 1882023Jan 2023: 35Feb 2023: 32Mar 2023: 18Apr 2023: 27May 2023: 33Jun 2023: 36Jul 2023: 34Aug 2023: 46Sep 2023: 32Oct 2023: 150Nov 2023: 67Dec 2023: 552024Jan 2024: 51Feb 2024: 15Mar 2024: 19Apr 2024: 39May 2024: 34Jun 2024: 25Jul 2024: 21Aug 2024: 35Sep 2024: 31Oct 2024: 26Nov 2024: 24Dec 2024: 202025Jan 2025: 22Feb 2025: 26Mar 2025: 21Apr 2025: 16May 2025: 14Jun 2025: 20Jul 2025: 26Aug 2025: 23Sep 2025: 17Oct 2025: 23Nov 2025: 7Dec 2025: 82026Jan 2026: 12Feb 2026: 10Mar 2026: 13Apr 2026: 9May 2026: 10Jun 2026: 15

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

010,65221,3042004: 5620042005: 782006: 552007: 12520072008: 942009: 972010: 10320102011: 1312012: 1832013: 58420132014: 4642015: 5362016: 90420162017: 2,3442018: 21,3042019: 63020192020: 6,7302021: 15,2832022: 13,29320222023: 5652024: 3402025: 22320252026: 69

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Dilaudid reports recording the termmedian drug in opioid agonist

  1. Drug dependencedependence on a medicine52.5%33,707
  2. Overdosea dose above the recommended amount34.2%21,956
  3. Painpain, site not specified28.5%18,278
  4. Emotional distressemotional distress26.6%17,089
  5. Drug withdrawal syndromesymptoms on stopping a medicine21.7%13,913
  6. Deaththe patient died; cause not stated by this term21%13,454
  7. Toxicity to various agentspoisoning or toxic effect of one or more substances15%9,610
  8. Drug abusemisuse of a medicine4.4%2,824
  9. Anxietyanxiety3.5%2,237
  10. Depressionlow mood3%1,935
  11. Foetal exposure during pregnancythe unborn baby was exposed to the medicine3%1,898
  12. Developmental delayslower development in a child2.1%1,343
  13. Drug ineffectivethe medicine did not work as expected1.8%1,180
  14. Nauseafeeling sick1.7%1,080
  15. Drug hypersensitivityan allergic-type reaction to a medicine1.6%1,019
  16. Unevaluable eventthe event could not be assessed1.4%910
  17. Disability1.3%811
  18. Maternal exposure during pregnancythe mother took the medicine during pregnancy1.2%793
  19. Accidental overdosean accidental overdose1.2%780
  20. Constipationconstipation1.2%746
  21. Vomitingbeing sick1.2%745
  22. Injurya physical injury1.2%742
  23. Fatiguetiredness1%667
  24. Headachehead pain0.9%599
  25. Dependence0.9%573

Top 30 of 1,818 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 42 drugs in the opioid 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

Death36.1%23,204
Life-threatening0.7%436
Hospitalisation (initial or prolonged)8.7%5,609
Disability13.5%8,651
Congenital anomaly1.8%1,135
Other serious65.3%41,946
Not serious4.3%2,754

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 965,051 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 20.2%110
2 to 110.1%35
12 to 170.1%72
18 to 442.5%1,574
45 to 643.5%2,268
65 to 741.5%992
75 and over0.6%383
Age not given91.5%58,757

Patient sex

Female29.1%18,650
Male34.3%22,042
Not given36.6%23,499

Who reported

Physician2.6%1,641
Pharmacist0.5%295
Other health professional2.5%1,601
Lawyer69.3%44,502
Consumer or non-health professional24.6%15,783
Not given0.6%369

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 95.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Pain24,34237.9%
Back pain3290.5%
Pain management1740.3%
Injury1100.2%
Foetal exposure during pregnancy990.2%
Rheumatoid arthritis970.2%

The indication field is filled in by the reporter and is often blank; shares are of all 64,191 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Dilaudid reports
OxyContin50,37578.5%
Oxycodone hydrochloride43,84068.3%
MS Contin37,90559.1%
Butrans28,07443.7%
Hysingla ER25,82540.2%
Hydromorphone24,86038.7%
Percocet24,63938.4%
Opana23,21036.2%
Opana Er22,54635.1%
Duragesic22,54335.1%

Other products listed in reports where Dilaudid 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

MeasureDilaudidOpioid agonistAll reports
Reports as suspect product64,191965,05120,646,523
Share of that pool—6.7%0.3%
Reports, latest 12 months173—1,332,454
Marked serious95.7%91.7%57.4%
Death recorded among outcomes, per 1,000 reports36135791
Hospitalisation recorded, per 1,000 reports87126213
Consumer-filed share24.6%32.5%45.8%
Top term, share of reportsDrug dependence 52.5%median 5.6%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 opioid agonist class

DrugName typeReportsLatest 12 monthsMarked serious
OxyContinbrand146,26358494.6%
Oxycodone hydrochloridegeneric113,2202,59894.7%
Morphine sulfategeneric60,0921,57779.8%
Hydrocodone bitartrate and acetaminophengeneric59,05217096.2%
Percocetbrand57,79319895.4%
Fentanylgeneric53,6563,29286.2%
MS Continbrand52,1285598.7%
Oxycodonegeneric35,6712,85391.8%
Hysingla ERbrand30,703692.1%
Morphinegeneric28,4211,42190.5%
Nucyntabrand27,57512790.4%
Tramadol hydrochloridegeneric27,4471,95292.4%
Oxycodone and acetaminophengeneric24,91911294%
Norcobrand24,6614293.1%
Methadonegeneric24,29390994.7%

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 Dilaudid reports

How many adverse event reports has FDA received for Dilaudid?

64,191 reports list Dilaudid as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 173 of them arrived in the latest 12 months. Another 18,075 list it only as a concomitant medication.

What reactions are recorded in Dilaudid reports?

drug dependence (52.5%), overdose (34.2%), pain (28.5%), emotional distress (26.6%) and drug withdrawal syndrome (21.7%). 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 Dilaudid was responsible.

How serious are the reports?

95.7% are marked serious by the reporter. Among the outcomes recorded, 36.1% of reports include death and 8.7% 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?

lawyer (69.3%), consumer or non-health professional (24.6%) and physician (2.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Dilaudid rising?

173 reports in the 12 months to June 2026, down 37% from 276 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 Dilaudid 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 Dilaudid?

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 Dilaudid as a suspect or interacting product; reports listing it only as a concomitant medication (18,075) 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.