Reported Reactions

Drugs › Central nervous system stimulant

Brand name · Acetaminophen, aspirin, and caffeine

Excedrin Extra Strength: adverse event reports filed with FDA

3,242 reports list it as a suspect or interacting product, 2009–2026. Class: Central nervous system stimulant. Also reported as Excedrin Extra Strength Tablets.

3,242
reports as suspect product
0% of all reports · about 187 a year
53
reports, 12 months to June 2026
1,930 in the 12 months before
30.1%
marked serious by the reporter
45% across the class
1.4%
record death among outcomes, as reported
44 reports · not verified by FDA

3,242 adverse event reports received by FDA list the brand name Excedrin Extra Strength (acetaminophen, aspirin, and caffeine) as a suspect or interacting product, from March 2009 to June 2026. A further 1,176 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, 53 reports listed it, down 97% from 1,930 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 187 reports a year and 0% of the 20,646,523 reports in the database, and 3% of the reports for the central nervous system stimulant 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 product use in unapproved indication (57.6%), drug effective for unapproved indication (55.3%) and drug ineffective (7.4%). A report can list several reactions, so shares add to more than 100%; 384 different terms appear across these reports. Product use in unapproved indication is recorded in 57.6% of these reports, a larger share than in the median central nervous system stimulant drug (0.9%).

30.1% of the reports are marked serious by the reporter (45% across the class); 1.4% record death among the outcomes and 3.6% record hospitalisation, as reported. 98.3% of the reports came from consumers, and the largest patient age group is 45 to 64 (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

05491,097Jul 2021: 3Aug 2021: 21Sep 2021: 6Oct 2021: 5Nov 2021: 2Dec 2021: 32022Jan 2022: 1Feb 2022: 0Mar 2022: 3Apr 2022: 0May 2022: 1Jun 2022: 0Jul 2022: 1Aug 2022: 1Sep 2022: 0Oct 2022: 0Nov 2022: 1Dec 2022: 102023Jan 2023: 17Feb 2023: 0Mar 2023: 2Apr 2023: 2May 2023: 1Jun 2023: 2Jul 2023: 2Aug 2023: 1Sep 2023: 0Oct 2023: 2Nov 2023: 2Dec 2023: 12024Jan 2024: 5Feb 2024: 0Mar 2024: 1Apr 2024: 9May 2024: 4Jun 2024: 6Jul 2024: 17Aug 2024: 11Sep 2024: 11Oct 2024: 147Nov 2024: 43Dec 2024: 1,0972025Jan 2025: 437Feb 2025: 72Mar 2025: 38Apr 2025: 33May 2025: 13Jun 2025: 11Jul 2025: 5Aug 2025: 8Sep 2025: 7Oct 2025: 4Nov 2025: 6Dec 2025: 42026Jan 2026: 2Feb 2026: 6Mar 2026: 1Apr 2026: 3May 2026: 4Jun 2026: 3

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

06761,3512009: 620092010: 32011: 220112012: 5342013: 24320132014: 722015: 3120152016: 852017: 5020172018: 192019: 1420192020: 472021: 7820212022: 182023: 3220232024: 1,3512025: 63820252026: 19

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Excedrin Extra Strength reports recording the termmedian drug in central nervous system stimulant

  1. Product use in unapproved indicationused for a purpose not on the label57.6%1,866
  2. Drug ineffectivethe medicine did not work as expected7.4%241
  3. Underdoseless than the intended dose5.8%189
  4. Incorrect dose administeredthe wrong dose was given5.2%168
  5. Off label useused for a purpose or in a way not on the label4.3%141
  6. Headachehead pain3.5%112
  7. Drug dependencedependence on a medicine2.6%83
  8. Abdominal discomfortstomach discomfort2.4%78
  9. Hypertensionhigh blood pressure2.2%72
  10. Nauseafeeling sick2.1%68
  11. Dizzinesslight-headedness or unsteadiness1.9%60
  12. Malaisegeneral feeling of being unwell1.7%56
  13. Product use issuea problem in how the product was used1.7%54
  14. Feeling abnormalfeeling odd or not right1.6%53
  15. Abdominal pain upperupper stomach pain1.6%51
  16. Arthritis1.5%50
  17. Painpain, site not specified1.4%47
  18. Falla fall1.4%46
  19. Wrong technique in drug usage processthe medicine was used in the wrong way1.4%44
  20. Overdosea dose above the recommended amount1.3%43
  21. Migrainemigraine1.3%41
  22. Diabetes mellitusdiabetes1.2%39
  23. Insomniadifficulty sleeping1.2%39
  24. Vomitingbeing sick1.2%39
  25. Inappropriate schedule of drug administrationthe medicine was taken at the wrong times1.1%36

Top 30 of 384 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 26 drugs in the central nervous system stimulant 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

Death1.4%44
Life-threatening0.7%24
Hospitalisation (initial or prolonged)3.6%116
Disability0.5%15
Congenital anomaly0%1
Other serious27.1%877
Not serious69.9%2,267

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 109,804 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%0
2 to 110.1%2
12 to 170.2%6
18 to 443.1%99
45 to 648%259
65 to 748%258
75 and over5.4%174
Age not given75.4%2,444

Patient sex

Female28.4%920
Male11%355
Not given60.7%1,967

Who reported

Physician0.4%14
Pharmacist0.1%2
Other health professional0.5%16
Lawyer0%1
Consumer or non-health professional98.3%3,187
Not given0.7%22

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Migraine1,44944.7%
Headache89227.5%
Pain1665.1%
Back pain521.6%
Tension headache511.6%
Arthritis331%

The indication field is filled in by the reporter and is often blank; shares are of all 3,242 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Excedrin Extra Strength reports
Excedrin Migraine2618.1%
Excedrin491.5%
Ibuprofen461.4%
Advil300.9%
Tylenol260.8%
Aleve110.3%
Aspirin100.3%
Vicodin100.3%
Insulin90.3%
Tramadol90.3%

Other products listed in reports where Excedrin Extra Strength 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

MeasureExcedrin Extra StrengthCentral nervous system stimulantAll reports
Reports as suspect product3,242109,80420,646,523
Share of that pool—3%0%
Reports, latest 12 months53—1,332,454
Marked serious30.1%45%57.4%
Death recorded among outcomes, per 1,000 reports147991
Hospitalisation recorded, per 1,000 reports36129213
Consumer-filed share98.3%57.1%45.8%
Top term, share of reportsProduct use in unapproved indication 57.6%median 0.9%1.2%

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 central nervous system stimulant class

DrugName typeReportsLatest 12 monthsMarked serious
Vyvansebrand17,54662725.7%
Daytranabrand13,703545.6%
Concertabrand10,83428165.2%
Adderallbrand10,07462238%
Methylphenidategeneric6,48373874.2%
Ritalinbrand6,14717575.2%
Methylphenidate hydrochloridegeneric5,91670357.7%
Excedrinbrand5,5304727.5%
Excedrin Migrainebrand4,6629712.1%
Amphetaminegeneric4,38848696.1%
Lisdexamfetamine dimesylategeneric4,30071373.1%
Caffeinegeneric3,72134892.8%
Quillivantbrand2,0109211.1%
Focalinbrand1,8328039.1%
Amphetamine sulfategeneric1,4748993.7%

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 Excedrin Extra Strength reports

How many adverse event reports has FDA received for Excedrin Extra Strength?

3,242 reports list Excedrin Extra Strength as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 53 of them arrived in the latest 12 months. Another 1,176 list it only as a concomitant medication.

What reactions are recorded in Excedrin Extra Strength reports?

product use in unapproved indication (57.6%), drug effective for unapproved indication (55.3%), drug ineffective (7.4%), underdose (5.8%) and incorrect drug administration duration (5.6%). 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 Excedrin Extra Strength was responsible.

How serious are the reports?

30.1% are marked serious by the reporter. Among the outcomes recorded, 1.4% of reports include death and 3.6% 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?

consumer or non-health professional (98.3%), not given (0.7%) and other health professional (0.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Excedrin Extra Strength rising?

53 reports in the 12 months to June 2026, down 97% from 1,930 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 Excedrin Extra Strength 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 Excedrin Extra Strength?

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 Excedrin Extra Strength as a suspect or interacting product; reports listing it only as a concomitant medication (1,176) 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.