Reported Reactions

Drugs › Serotonin reuptake inhibitor

Generic name

Escitalopram: adverse event reports filed with FDA

24,176 reports list it as a suspect or interacting product, 2004–2026. Class: Serotonin reuptake inhibitor. Also reported as Escitalopram 20mg, Escitalopram Tablets Usp 5mg, Escitalopram Tablets Usp 10mg.

24,176
reports as suspect product
0.1% of all reports · about 1,079 a year
1,839
reports, 12 months to June 2026
2,231 in the 12 months before
92.5%
marked serious by the reporter
83.7% across the class
14.7%
record death among outcomes, as reported
3,543 reports · not verified by FDA

Between February 2004 and June 2026, 24,176 adverse event reports received by FDA list escitalopram, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (34,197) are left out of every figure here.

In the 12 months to June 2026, 1,839 reports listed it, down 18% from 2,231 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 1,079 reports a year and 0.1% of the 20,646,523 reports in the database, and 8.9% of the reports for the serotonin reuptake inhibitor 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 interaction (8.4%), drug ineffective (7.9%) and completed suicide (7.3%). A report can list several reactions, so shares add to more than 100%; 2,338 different terms appear across these reports. Drug interaction is recorded in 8.4% of these reports, about the same share as in the median serotonin reuptake inhibitor drug (7.9%).

92.5% of the reports are marked serious by the reporter (83.7% across the class); 14.7% record death among the outcomes and 41.6% record hospitalisation, as reported. 35.7% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (27%). 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

0128255Jul 2021: 155Aug 2021: 143Sep 2021: 175Oct 2021: 108Nov 2021: 137Dec 2021: 1342022Jan 2022: 142Feb 2022: 175Mar 2022: 161Apr 2022: 118May 2022: 104Jun 2022: 121Jul 2022: 115Aug 2022: 165Sep 2022: 149Oct 2022: 140Nov 2022: 163Dec 2022: 1222023Jan 2023: 179Feb 2023: 185Mar 2023: 134Apr 2023: 190May 2023: 157Jun 2023: 143Jul 2023: 198Aug 2023: 177Sep 2023: 143Oct 2023: 160Nov 2023: 152Dec 2023: 1902024Jan 2024: 243Feb 2024: 185Mar 2024: 251Apr 2024: 170May 2024: 160Jun 2024: 157Jul 2024: 199Aug 2024: 189Sep 2024: 189Oct 2024: 179Nov 2024: 144Dec 2024: 2052025Jan 2025: 255Feb 2025: 161Mar 2025: 214Apr 2025: 199May 2025: 167Jun 2025: 130Jul 2025: 181Aug 2025: 145Sep 2025: 123Oct 2025: 132Nov 2025: 131Dec 2025: 1252026Jan 2026: 141Feb 2026: 165Mar 2026: 178Apr 2026: 179May 2026: 161Jun 2026: 178

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

01,1362,2712004: 3220042005: 222006: 462007: 16020072008: 3222009: 4032010: 58320102011: 4952012: 6942013: 76420132014: 8332015: 9302016: 96420162017: 1,1932018: 1,8512019: 2,16020192020: 2,1262021: 1,6792022: 1,67520222023: 2,0082024: 2,2712025: 1,96320252026: 1,002

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Escitalopram reports recording the termmedian drug in serotonin reuptake inhibitor

  1. Drug interactionan interaction between medicines8.4%2,034
  2. Drug ineffectivethe medicine did not work as expected7.9%1,919
  3. Completed suicidedeath by suicide7.3%1,772
  4. Toxicity to various agentspoisoning or toxic effect of one or more substances5.7%1,373
  5. Anxietyanxiety5.3%1,276
  6. Somnolencedrowsiness5.1%1,230
  7. Headachehead pain4.9%1,180
  8. Intentional overdosea deliberate overdose4.7%1,141
  9. Nauseafeeling sick4.7%1,139
  10. Serotonin syndrometoo much serotonin activity, with agitation, fever and tremor4.6%1,113
  11. Suicide attempta suicide attempt4.5%1,096
  12. Condition aggravatedthe condition being treated got worse4.4%1,053
  13. Fatiguetiredness4.2%1,019
  14. Dizzinesslight-headedness or unsteadiness4.2%1,004
  15. Depressionlow mood4%979
  16. Off label useused for a purpose or in a way not on the label4%962
  17. Insomniadifficulty sleeping3.8%922
  18. Suicidal ideationthoughts of suicide3.8%917
  19. Falla fall3.6%881
  20. Foetal exposure during pregnancythe unborn baby was exposed to the medicine3.5%857
  21. Electrocardiogram QT prolongeda QT prolongation on the ECG3.5%835
  22. Tremorshaking3.2%783
  23. Diarrhoealoose or frequent stools3.2%779
  24. Vomitingbeing sick3.2%777
  25. Confusional stateconfusion3.2%772
  26. Overdosea dose above the recommended amount3%718
  27. Dyspnoeashortness of breath2.8%689
  28. Hyponatraemialow blood sodium2.8%673
  29. Malaisegeneral feeling of being unwell2.8%673
  30. Coma2.5%604

Top 30 of 2,338 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 21 drugs in the serotonin reuptake inhibitor 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

Death14.7%3,543
Life-threatening10.7%2,586
Hospitalisation (initial or prolonged)41.6%10,052
Disability5.6%1,343
Congenital anomaly2.5%601
Other serious56.7%13,699
Not serious7.5%1,823

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 273,115 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 22%488
2 to 110.3%72
12 to 173%726
18 to 4427%6,535
45 to 6422.6%5,452
65 to 748.5%2,065
75 and over11.2%2,705
Age not given25.4%6,133

Patient sex

Female53.3%12,885
Male31.4%7,601
Not given15.3%3,690

Who reported

Physician32.5%7,869
Pharmacist8.5%2,052
Other health professional35.7%8,638
Lawyer0.1%22
Consumer or non-health professional19.9%4,821
Not given3.2%774

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 28.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Depression5,64723.4%
Anxiety1,5886.6%
Major depression7273%
Generalised anxiety disorder1830.8%
Antidepressant therapy1610.7%
Suicide attempt1610.7%

The indication field is filled in by the reporter and is often blank; shares are of all 24,176 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Escitalopram reports
Quetiapine1,5786.5%
Mirtazapine1,3615.6%
Acetaminophen1,2995.4%
Alprazolam1,2905.3%
Lorazepam1,2135%
Olanzapine1,1614.8%
Sertraline1,1314.7%
Gabapentin1,0664.4%
Amlodipine1,0584.4%
Venlafaxine1,0304.3%

Other products listed in reports where Escitalopram 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

MeasureEscitalopramSerotonin reuptake inhibitorAll reports
Reports as suspect product24,176273,11520,646,523
Share of that pool—8.9%0.1%
Reports, latest 12 months1,839—1,332,454
Marked serious92.5%83.7%57.4%
Death recorded among outcomes, per 1,000 reports14715991
Hospitalisation recorded, per 1,000 reports416321213
Consumer-filed share19.9%30.8%45.8%
Top term, share of reportsDrug interaction 8.4%median 7.9%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 serotonin reuptake inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Sertralinegeneric44,8143,71493%
Citalopramgeneric30,4141,16995.2%
Fluoxetinegeneric28,3191,73493%
Paxilbrand24,1935657%
Zoloftbrand21,31129565.5%
Paroxetinegeneric16,2041,17093%
Prozacbrand11,54727669.5%
Sertraline hydrochloridegeneric11,0771,08085.2%
Citalopram hydrobromidegeneric10,67523496.4%
Lexaprobrand9,42431864.4%
Paroxetine hydrochloridegeneric8,93526884.2%
Sertraline hclgeneric7,592067.7%
Fluoxetine hydrochloridegeneric6,20964891.9%
Escitalopram oxalategeneric5,06339992.8%
Trazodone hydrochloridegeneric4,21336482.2%

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 Escitalopram reports

How many adverse event reports has FDA received for Escitalopram?

24,176 reports list Escitalopram as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,839 of them arrived in the latest 12 months. Another 34,197 list it only as a concomitant medication.

What reactions are recorded in Escitalopram reports?

drug interaction (8.4%), drug ineffective (7.9%), completed suicide (7.3%), toxicity to various agents (5.7%) and anxiety (5.3%). 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 Escitalopram was responsible.

How serious are the reports?

92.5% are marked serious by the reporter. Among the outcomes recorded, 14.7% of reports include death and 41.6% 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 (35.7%), physician (32.5%) and consumer or non-health professional (19.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Escitalopram rising?

1,839 reports in the 12 months to June 2026, down 18% from 2,231 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 Escitalopram 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 Escitalopram?

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 Escitalopram as a suspect or interacting product; reports listing it only as a concomitant medication (34,197) 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.