Reported Reactions

Drugs › Anti-epileptic agent

Generic name

Ethosuximide: adverse event reports filed with FDA

1,197 reports list it as a suspect or interacting product, 2004–2026. Class: Anti-epileptic agent.

1,197
reports as suspect product
0% of all reports · about 53 a year
90
reports, 12 months to June 2026
165 in the 12 months before
87.5%
marked serious by the reporter
78.1% across the class
0.9%
record death among outcomes, as reported
11 reports · not verified by FDA

Between January 2004 and June 2026, 1,197 adverse event reports received by FDA list ethosuximide, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (681) are left out of every figure here.

In the 12 months to June 2026, 90 reports listed it, down 45% from 165 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 53 reports a year and 0% of the 20,646,523 reports in the database, and 0.4% of the reports for the anti-epileptic agent 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 ineffective (29.9%), seizure (11.3%) and off label use (10.8%). A report can list several reactions, so shares add to more than 100%; 312 different terms appear across these reports. Drug ineffective is recorded in 29.9% of these reports, a larger share than in the median anti-epileptic agent drug (11.3%).

87.5% of the reports are marked serious by the reporter (78.1% across the class); 0.9% record death among the outcomes and 21.3% record hospitalisation, as reported. 47.4% of the reports came from other health professionals, and the largest patient age group is 2 to 11 (34.4%). 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

02142Jul 2021: 18Aug 2021: 13Sep 2021: 9Oct 2021: 9Nov 2021: 2Dec 2021: 42022Jan 2022: 8Feb 2022: 10Mar 2022: 11Apr 2022: 5May 2022: 32Jun 2022: 15Jul 2022: 15Aug 2022: 11Sep 2022: 13Oct 2022: 3Nov 2022: 12Dec 2022: 72023Jan 2023: 9Feb 2023: 5Mar 2023: 10Apr 2023: 7May 2023: 18Jun 2023: 13Jul 2023: 12Aug 2023: 9Sep 2023: 4Oct 2023: 3Nov 2023: 8Dec 2023: 422024Jan 2024: 17Feb 2024: 9Mar 2024: 25Apr 2024: 12May 2024: 4Jun 2024: 3Jul 2024: 16Aug 2024: 15Sep 2024: 5Oct 2024: 8Nov 2024: 8Dec 2024: 222025Jan 2025: 30Feb 2025: 16Mar 2025: 9Apr 2025: 10May 2025: 15Jun 2025: 11Jul 2025: 5Aug 2025: 7Sep 2025: 8Oct 2025: 8Nov 2025: 6Dec 2025: 132026Jan 2026: 1Feb 2026: 3Mar 2026: 9Apr 2026: 7May 2026: 15Jun 2026: 8

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

0721442004: 320042005: 142006: 72007: 720072008: 62009: 102010: 1620102011: 112012: 192013: 2120132014: 252015: 322016: 2620162017: 512018: 712019: 8220192020: 682021: 1212022: 14220222023: 1402024: 1442025: 13820252026: 43

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Ethosuximide reports recording the termmedian drug in anti-epileptic agent

  1. Drug ineffectivethe medicine did not work as expected29.9%358
  2. Seizurea fit or convulsion11.3%135
  3. Off label useused for a purpose or in a way not on the label10.8%129
  4. Treatment failurethe treatment did not work8.4%101
  5. Multiple-drug resistance7.2%86
  6. Somnolencedrowsiness6.7%80
  7. Ataxia5%60
  8. Drug interactionan interaction between medicines4.8%58
  9. Aggressionaggressive behaviour4%48
  10. Epilepsy3.8%46
  11. Fatiguetiredness3.8%45
  12. Condition aggravatedthe condition being treated got worse3.5%42
  13. Cognitive disorderproblems with thinking or memory3.2%38
  14. Lupus-like syndromelupus-like symptoms2.6%31
  15. Tremorshaking2.5%30
  16. Developmental delayslower development in a child2.3%28
  17. Headachehead pain2.3%28
  18. Suicidal ideationthoughts of suicide2.3%28
  19. Gait disturbancedifficulty walking2.3%27
  20. Psychotic disordera loss of contact with reality2.3%27
  21. Rashskin rash2.2%26
  22. Intellectual disability2.1%25
  23. Myoclonic epilepsy2%24

Top 30 of 312 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 23 drugs in the anti-epileptic agent 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

Death0.9%11
Life-threatening5%60
Hospitalisation (initial or prolonged)21.3%255
Disability2.2%26
Congenital anomaly1.3%16
Other serious74.6%893
Not serious12.5%150

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 269,757 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 21.8%22
2 to 1134.4%412
12 to 1711.7%140
18 to 4416.9%202
45 to 644.1%49
65 to 740.6%7
75 and over0.6%7
Age not given29.9%358

Patient sex

Female50%598
Male36.9%442
Not given13.1%157

Who reported

Physician33.4%400
Pharmacist2.3%28
Other health professional47.4%567
Lawyer0.1%1
Consumer or non-health professional13.8%165
Not given3%36

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 41% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Epilepsy29024.2%
Petit mal epilepsy20116.8%
Seizure1199.9%
Epilepsy with myoclonic-atonic seizures352.9%
Generalised tonic-clonic seizure242%
Idiopathic generalised epilepsy231.9%

The indication field is filled in by the reporter and is often blank; shares are of all 1,197 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Ethosuximide reports
Levetiracetam60650.6%
Lamotrigine50942.5%
Clobazam43636.4%
Valproic acid33427.9%
Topiramate30125.1%
Clonazepam23419.5%
Zonisamide21818.2%
Valproate18015%
Phenobarbital16513.8%
Carbamazepine13811.5%

Other products listed in reports where Ethosuximide 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

MeasureEthosuximideAnti-epileptic agentAll reports
Reports as suspect product1,197269,75720,646,523
Share of that pool—0.4%0%
Reports, latest 12 months90—1,332,454
Marked serious87.5%78.1%57.4%
Death recorded among outcomes, per 1,000 reports912691
Hospitalisation recorded, per 1,000 reports213314213
Consumer-filed share13.8%30.1%45.8%
Top term, share of reportsDrug ineffective 29.9%median 11.3%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 anti-epileptic agent class

DrugName typeReportsLatest 12 monthsMarked serious
Gabapentingeneric74,3164,44768.7%
Lamotriginegeneric44,5202,80688%
Lamictalbrand32,36899665.4%
Valproic acidgeneric21,1771,03196.7%
Depakotebrand14,21929765.4%
Phenytoingeneric12,61846492.9%
Valproate sodiumgeneric11,58870897.5%
Sabrilbrand10,90913963.5%
Oxcarbazepinegeneric8,07871587.7%
Dilantinbrand8,0117871.7%
Trileptalbrand7,66415785.7%
Zonisamidegeneric4,88536387.3%
Divalproex sodiumgeneric4,07139982.4%
Vigabatringeneric3,66426380.6%
Phenytoin sodiumgeneric2,9746884.4%

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 Ethosuximide reports

How many adverse event reports has FDA received for Ethosuximide?

1,197 reports list Ethosuximide as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 90 of them arrived in the latest 12 months. Another 681 list it only as a concomitant medication.

What reactions are recorded in Ethosuximide reports?

drug ineffective (29.9%), seizure (11.3%), off label use (10.8%), treatment failure (8.4%) and multiple-drug resistance (7.2%). 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 Ethosuximide was responsible.

How serious are the reports?

87.5% are marked serious by the reporter. Among the outcomes recorded, 0.9% of reports include death and 21.3% 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 (47.4%), physician (33.4%) and consumer or non-health professional (13.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Ethosuximide rising?

90 reports in the 12 months to June 2026, down 45% from 165 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 Ethosuximide 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 Ethosuximide?

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 Ethosuximide as a suspect or interacting product; reports listing it only as a concomitant medication (681) 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.