Reported Reactions

Drugs › Proton pump inhibitor

Generic name

Esomeprazole magnesium: adverse event reports filed with FDA

5,014 reports list it as a suspect or interacting product, 2004–2026. Class: Proton pump inhibitor. Also reported as Esomeprazole 40 Mg, Esomeprazole 20 Mg.

5,014
reports as suspect product
0% of all reports · about 226 a year
368
reports, 12 months to June 2026
432 in the 12 months before
82.5%
marked serious by the reporter
86.4% across the class
7.4%
record death among outcomes, as reported
373 reports · not verified by FDA

5,014 adverse event reports received by FDA list esomeprazole magnesium, a generic name as a suspect or interacting product, from May 2004 to June 2026. A further 9,491 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, 368 reports listed it, down 15% from 432 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 226 reports a year and 0% of the 20,646,523 reports in the database, and 1% of the reports for the proton pump inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded drug ineffective (17.2%), chronic kidney disease (16.3%) and nausea (13.1%). A report can list several reactions, so shares add to more than 100%; 1,126 different terms appear across these reports. Drug ineffective is recorded in 17.2% of these reports, a larger share than in the median proton pump inhibitor drug (5.7%).

82.5% of the reports are marked serious by the reporter (86.4% across the class); 7.4% record death among the outcomes and 31.3% record hospitalisation, as reported. 33.8% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (29.7%). 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

052103Jul 2021: 30Aug 2021: 33Sep 2021: 103Oct 2021: 47Nov 2021: 48Dec 2021: 642022Jan 2022: 42Feb 2022: 40Mar 2022: 69Apr 2022: 42May 2022: 32Jun 2022: 57Jul 2022: 40Aug 2022: 55Sep 2022: 81Oct 2022: 33Nov 2022: 48Dec 2022: 542023Jan 2023: 39Feb 2023: 41Mar 2023: 44Apr 2023: 88May 2023: 59Jun 2023: 27Jul 2023: 25Aug 2023: 31Sep 2023: 46Oct 2023: 52Nov 2023: 29Dec 2023: 542024Jan 2024: 35Feb 2024: 44Mar 2024: 41Apr 2024: 32May 2024: 32Jun 2024: 25Jul 2024: 30Aug 2024: 31Sep 2024: 27Oct 2024: 35Nov 2024: 39Dec 2024: 402025Jan 2025: 51Feb 2025: 60Mar 2025: 27Apr 2025: 32May 2025: 31Jun 2025: 29Jul 2025: 19Aug 2025: 29Sep 2025: 74Oct 2025: 22Nov 2025: 42Dec 2025: 252026Jan 2026: 26Feb 2026: 21Mar 2026: 20Apr 2026: 29May 2026: 28Jun 2026: 33

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

03727442004: 420042005: 52006: 182007: 4020072008: 582009: 542010: 5420102011: 592012: 712013: 2220132014: 502015: 742016: 10020162017: 1282018: 5722019: 74420192020: 3382021: 4862022: 59320222023: 5352024: 4112025: 44120252026: 157

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Esomeprazole magnesium reports recording the termmedian drug in proton pump inhibitor

  1. Drug ineffectivethe medicine did not work as expected17.2%861
  2. Chronic kidney diseaselong-term kidney disease16.3%817
  3. Nauseafeeling sick13.1%657
  4. Headachehead pain12.8%644
  5. Acute kidney injurysudden loss of kidney function12.4%620
  6. Off label useused for a purpose or in a way not on the label11.5%578
  7. Dyspnoeashortness of breath8.8%440
  8. Diarrhoealoose or frequent stools8.7%436
  9. Fatiguetiredness8.2%410
  10. Painpain, site not specified8.2%409
  11. Malaisegeneral feeling of being unwell7.2%361
  12. Arthralgiajoint pain7%352
  13. Hyperhidrosisexcessive sweating6.9%347
  14. Muscular weaknessmuscle weakness6.3%318
  15. Anxietyanxiety6.1%306
  16. Product use in unapproved indicationused for a purpose not on the label6%303
  17. Vomitingbeing sick5.6%283
  18. Hypertensionhigh blood pressure5.5%278
  19. Abdominal pain upperupper stomach pain5.5%276
  20. Pyrexiafever5.2%261
  21. Falla fall5.1%258
  22. Coughcough5.1%256
  23. Renal failurekidney failure5%252
  24. Nephrolithiasiskidney stones4.9%247
  25. Dizzinesslight-headedness or unsteadiness4.6%233
  26. Arthritis4.6%230
  27. Rashskin rash4.5%227
  28. Nightmarenightmares4.4%223

Top 30 of 1,126 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 22 drugs in the proton pump 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

Death7.4%373
Life-threatening7%353
Hospitalisation (initial or prolonged)31.3%1,569
Disability5.5%275
Congenital anomaly0.6%28
Other serious67.6%3,387
Not serious17.5%876

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 484,090 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%11
2 to 110.4%20
12 to 170.6%28
18 to 449.5%474
45 to 6429.7%1,488
65 to 7413.1%657
75 and over10.2%509
Age not given36.4%1,827

Patient sex

Female49.6%2,485
Male32%1,603
Not given18.5%926

Who reported

Physician21.9%1,100
Pharmacist3.8%191
Other health professional33.8%1,695
Lawyer6.7%337
Consumer or non-health professional31%1,555
Not given2.7%136

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 38.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Gastrooesophageal reflux disease88817.7%
Dyspepsia1593.2%
Migraine831.7%
Reflux laryngitis791.6%
Gastritis511%
Helicobacter infection491%

The indication field is filled in by the reporter and is often blank; shares are of all 5,014 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Esomeprazole magnesium reports
Pantoprazole sodium90618.1%
Nexium85517.1%
Omeprazole84916.9%
Pantoprazole78615.7%
Acetaminophen78315.6%
Prevacid73514.7%
Prednisone72414.4%
Prilosec70714.1%
Lansoprazole64812.9%
Nexium 24HR61912.3%

Other products listed in reports where Esomeprazole magnesium 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

MeasureEsomeprazole magnesiumProton pump inhibitorAll reports
Reports as suspect product5,014484,09020,646,523
Share of that pool—1%0%
Reports, latest 12 months368—1,332,454
Marked serious82.5%86.4%57.4%
Death recorded among outcomes, per 1,000 reports7410591
Hospitalisation recorded, per 1,000 reports313199213
Consumer-filed share31%26.2%45.8%
Top term, share of reportsDrug ineffective 17.2%median 5.7%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 proton pump inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Nexiumbrand85,36757668.6%
Omeprazolegeneric61,1762,50689.4%
Pantoprazolegeneric44,9802,71095.2%
Pantoprazole sodiumgeneric44,0981,62990.9%
Prilosecbrand42,34311588.3%
Prevacidbrand40,15127395.8%
Nexium 24HRbrand27,75330085.1%
Lansoprazolegeneric26,5701,74994.8%
Prilosec OTCbrand24,54911978.4%
Dexilantbrand23,62123391.5%
Prevacid 24 HRbrand20,1361392.6%
Esomeprazolegeneric17,1931,29396.8%
Aciphexbrand7,246392.1%
Omeprazole magnesiumgeneric4,12017574.9%
Rabeprazolegeneric2,69318090.8%

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 Esomeprazole magnesium reports

How many adverse event reports has FDA received for Esomeprazole magnesium?

5,014 reports list Esomeprazole magnesium as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 368 of them arrived in the latest 12 months. Another 9,491 list it only as a concomitant medication.

What reactions are recorded in Esomeprazole magnesium reports?

drug ineffective (17.2%), chronic kidney disease (16.3%), nausea (13.1%), headache (12.8%) and acute kidney injury (12.4%). 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 Esomeprazole magnesium was responsible.

How serious are the reports?

82.5% are marked serious by the reporter. Among the outcomes recorded, 7.4% of reports include death and 31.3% 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 (33.8%), consumer or non-health professional (31%) and physician (21.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Esomeprazole magnesium rising?

368 reports in the 12 months to June 2026, down 15% from 432 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 Esomeprazole magnesium 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 Esomeprazole magnesium?

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 Esomeprazole magnesium as a suspect or interacting product; reports listing it only as a concomitant medication (9,491) 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.