Drugs › Calcium channel blocker
Generic name
Diltiazem hydrochloride: adverse event reports filed with FDA
6,082 reports list it as a suspect or interacting product, 2004–2026. Class: Calcium channel blocker. Also reported as Diltiazem Hcl Extended Release Capsules Usp, Diltiazem Hcl Injection, Diltiazem Hydrochloride Extended-Release Capsules Usp.
- 6,082
- reports as suspect product
- 0% of all reports · about 270 a year
- 504
- reports, 12 months to June 2026
- 793 in the 12 months before
- 88.3%
- marked serious by the reporter
- 87.7% across the class
- 35%
- record death among outcomes, as reported
- 2,126 reports · not verified by FDA
Between January 2004 and June 2026, 6,082 adverse event reports received by FDA list diltiazem hydrochloride, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (8,147) are left out of every figure here.
In the 12 months to June 2026, 504 reports listed it, down 36% from 793 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 270 reports a year and 0% of the 20,646,523 reports in the database, and 8% of the reports for the calcium channel blocker 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 dyspnoea (15%), pain (14.9%) and fall (13.8%). A report can list several reactions, so shares add to more than 100%; 970 different terms appear across these reports. Dyspnoea is recorded in 15% of these reports, a larger share than in the median calcium channel blocker drug (5.4%).
88.3% of the reports are marked serious by the reporter (87.7% across the class); 35% record death among the outcomes and 48.4% record hospitalisation, as reported. 48.1% of the reports came from other health professionals, and the largest patient age group is 75 and over (24.8%). 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
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
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Diltiazem hydrochloride reports recording the termmedian drug in calcium channel blocker
- Dyspnoeashortness of breath15%911
- Painpain, site not specified14.9%905
- Falla fall13.8%837
- Hypotensionlow blood pressure12.6%766
- Fatiguetiredness11.3%685
- Toxicity to various agentspoisoning or toxic effect of one or more substances10.9%660
- Arthralgiajoint pain10.7%648
- Mobility decreasedreduced ability to move about10.5%637
- Pruritusitching10.2%622
- Pyrexiafever9.9%600
- Dizzinesslight-headedness or unsteadiness9.8%596
- Condition aggravatedthe condition being treated got worse9.6%585
- Headachehead pain9.6%583
- Hypersensitivityan allergic-type reaction9.6%582
- Diarrhoealoose or frequent stools8.9%543
- Drug ineffectivethe medicine did not work as expected8.8%534
- Balance disorderproblems with balance8.8%533
- Insomniadifficulty sleeping8.6%525
- Impaired healingslow healing8.5%518
- Asthmaasthma8.5%515
- Constipationconstipation8.3%504
- Drug interactionan interaction between medicines8.2%497
- Orthostatic hypotension8.1%495
- Cognitive disorderproblems with thinking or memory8.1%492
- Pain in extremitypain in an arm or leg8%487
- Wheezingwheezing7.9%482
- Nauseafeeling sick7.9%478
- Off label useused for a purpose or in a way not on the label7.9%478
- Rashskin rash7.8%476
- Decreased appetitereduced appetite7.8%472
Top 30 of 970 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 6 drugs in the calcium channel blocker 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
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 76,049 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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 37.4% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Hypertension | 820 | 13.5% |
| Atrial fibrillation | 232 | 3.8% |
| Rheumatoid arthritis | 179 | 2.9% |
| Coronary artery disease | 115 | 1.9% |
| Angina pectoris | 109 | 1.8% |
| Cardiac disorder | 39 | 0.6% |
The indication field is filled in by the reporter and is often blank; shares are of all 6,082 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Diltiazem hydrochloride reports |
|---|---|---|
| Acetaminophen | 1,705 | 28% |
| Prednisone | 1,313 | 21.6% |
| Folic acid | 856 | 14.1% |
| Celecoxib | 855 | 14.1% |
| Adalimumab | 853 | 14% |
| Desoximetasone | 838 | 13.8% |
| Methotrexate | 825 | 13.6% |
| Enbrel | 811 | 13.3% |
| Cimzia | 805 | 13.2% |
| Furosemide | 757 | 12.4% |
Other products listed in reports where Diltiazem 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
| Measure | Diltiazem hydrochloride | Calcium channel blocker | All reports |
|---|---|---|---|
| Reports as suspect product | 6,082 | 76,049 | 20,646,523 |
| Share of that pool | — | 8% | 0% |
| Reports, latest 12 months | 504 | — | 1,332,454 |
| Marked serious | 88.3% | 87.7% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 350 | 187 | 91 |
| Hospitalisation recorded, per 1,000 reports | 484 | 391 | 213 |
| Consumer-filed share | 18.3% | 25.1% | 45.8% |
| Top term, share of reports | Dyspnoea 15% | median 5.4% | 2.7% |
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 calcium channel blocker class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Amlodipine | generic | 52,216 | 4,324 | 93.2% |
| Norvasc | brand | 12,362 | 124 | 69% |
| Verapamil hydrochloride | generic | 2,547 | 156 | 87.5% |
| Caduet | brand | 1,760 | 3 | 66% |
| Cardizem | brand | 1,082 | 15 | 68.4% |
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 Diltiazem hydrochloride reports
How many adverse event reports has FDA received for Diltiazem hydrochloride?
6,082 reports list Diltiazem hydrochloride as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 504 of them arrived in the latest 12 months. Another 8,147 list it only as a concomitant medication.
What reactions are recorded in Diltiazem hydrochloride reports?
dyspnoea (15%), pain (14.9%), fall (13.8%), hypotension (12.6%) and fatigue (11.3%). 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 Diltiazem hydrochloride was responsible.
How serious are the reports?
88.3% are marked serious by the reporter. Among the outcomes recorded, 35% of reports include death and 48.4% 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 (48.1%), physician (21.8%) and consumer or non-health professional (18.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Diltiazem hydrochloride rising?
504 reports in the 12 months to June 2026, down 36% from 793 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 Diltiazem 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 Diltiazem 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 Diltiazem hydrochloride as a suspect or interacting product; reports listing it only as a concomitant medication (8,147) 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.