Reported Reactions

Drugs › Central nervous system stimulant

Brand name · Acetaminophen, aspirin, and caffeine

Excedrin: adverse event reports filed with FDA

5,530 reports list it as a suspect or interacting product, 2004–2026. Class: Central nervous system stimulant. Also reported as Excedrin /00110301/, Excedrin Nos, Excedrin /00391201/.

5,530
reports as suspect product
0% of all reports · about 246 a year
47
reports, 12 months to June 2026
80 in the 12 months before
27.5%
marked serious by the reporter
45% across the class
1.3%
record death among outcomes, as reported
70 reports · not verified by FDA

Between January 2004 and June 2026, 5,530 adverse event reports received by FDA list the brand name Excedrin (acetaminophen, aspirin, and caffeine) as a suspect or interacting product. Reports that mention it only as a concomitant medication (4,281) are left out of every figure here.

In the 12 months to June 2026, 47 reports listed it, down 41% from 80 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 246 reports a year and 0% of the 20,646,523 reports in the database, and 5% 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.

Reporters most often recorded drug ineffective (37.6%), headache (4.1%) and nausea (4.1%). A report can list several reactions, so shares add to more than 100%; 487 different terms appear across these reports. Drug ineffective is recorded in 37.6% of these reports, a larger share than in the median central nervous system stimulant drug (17.8%).

27.5% of the reports are marked serious by the reporter (45% across the class); 1.3% record death among the outcomes and 6.2% record hospitalisation, as reported. 94.1% of the reports came from consumers, and the largest patient age group is 45 to 64 (8.5%). 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

01733Jul 2021: 14Aug 2021: 22Sep 2021: 33Oct 2021: 20Nov 2021: 18Dec 2021: 132022Jan 2022: 5Feb 2022: 6Mar 2022: 5Apr 2022: 6May 2022: 1Jun 2022: 3Jul 2022: 4Aug 2022: 9Sep 2022: 8Oct 2022: 8Nov 2022: 15Dec 2022: 72023Jan 2023: 8Feb 2023: 5Mar 2023: 3Apr 2023: 7May 2023: 9Jun 2023: 7Jul 2023: 13Aug 2023: 19Sep 2023: 12Oct 2023: 11Nov 2023: 3Dec 2023: 82024Jan 2024: 21Feb 2024: 10Mar 2024: 12Apr 2024: 7May 2024: 16Jun 2024: 8Jul 2024: 4Aug 2024: 1Sep 2024: 4Oct 2024: 9Nov 2024: 11Dec 2024: 172025Jan 2025: 11Feb 2025: 2Mar 2025: 4Apr 2025: 6May 2025: 8Jun 2025: 3Jul 2025: 10Aug 2025: 4Sep 2025: 3Oct 2025: 4Nov 2025: 1Dec 2025: 22026Jan 2026: 2Feb 2026: 3Mar 2026: 1Apr 2026: 4May 2026: 6Jun 2026: 7

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

06431,2862004: 3020042005: 7332006: 562007: 3720072008: 672009: 912010: 6620102011: 1262012: 4532013: 1920132014: 682015: 1142016: 81320162017: 1,2862018: 5362019: 32920192020: 1342021: 1892022: 7720222023: 1052024: 1202025: 5820252026: 23

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Drug ineffectivethe medicine did not work as expected37.6%2,079
  2. Headachehead pain4.1%228
  3. Nauseafeeling sick4.1%227
  4. Drug dependencedependence on a medicine4.1%226
  5. Product use in unapproved indicationused for a purpose not on the label4.1%224
  6. Overdosea dose above the recommended amount3.2%178
  7. Abdominal pain upperupper stomach pain3%165
  8. Vomitingbeing sick2.6%146
  9. Medication overuse headache2.6%144
  10. Insomniadifficulty sleeping2.4%134
  11. Dizzinesslight-headedness or unsteadiness2.3%128
  12. Product quality issuea problem with the product itself2.2%123
  13. Migrainemigraine2.2%121
  14. Abdominal discomfortstomach discomfort2.1%117
  15. Malaisegeneral feeling of being unwell2.1%116
  16. Medication errora mistake in prescribing, dispensing or taking a medicine2%113
  17. Incorrect dose administeredthe wrong dose was given1.7%96
  18. Feeling abnormalfeeling odd or not right1.7%94
  19. Off label useused for a purpose or in a way not on the label1.4%79
  20. Painpain, site not specified1.4%75
  21. Underdoseless than the intended dose1.3%71
  22. Drug hypersensitivityan allergic-type reaction to a medicine1.3%70
  23. Wrong technique in product usage processthe product was used in the wrong way1.2%67
  24. Product use issuea problem in how the product was used1.2%66
  25. Ulcer1.2%66
  26. Dyspnoeashortness of breath1%58

Top 30 of 487 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

Death1.3%70
Life-threatening1.4%78
Hospitalisation (initial or prolonged)6.2%343
Disability0.3%18
Congenital anomaly0%2
Other serious22.5%1,243
Not serious72.5%4,011

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 20.3%15
2 to 110.3%16
12 to 170.8%42
18 to 448%445
45 to 648.5%471
65 to 743.7%206
75 and over2.4%135
Age not given75.9%4,200

Patient sex

Female50%2,766
Male14.8%819
Not given35.2%1,945

Who reported

Physician1.8%101
Pharmacist0.8%44
Other health professional1.9%104
Lawyer0.2%12
Consumer or non-health professional94.1%5,205
Not given1.2%64

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 85.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Migraine1,45926.4%
Headache98617.8%
Pain1492.7%
Back pain330.6%
Arthritis310.6%
Sinus headache280.5%

The indication field is filled in by the reporter and is often blank; shares are of all 5,530 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Excedrin reports
Ibuprofen1192.2%
Aspirin1051.9%
Tylenol891.6%
Advil711.3%
Aleve591.1%
Excedrin Migraine581%
Imitrex531%
Excedrin Extra Strength470.8%
Acetaminophen290.5%
Lipitor190.3%

Other products listed in reports where Excedrin 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

MeasureExcedrinCentral nervous system stimulantAll reports
Reports as suspect product5,530109,80420,646,523
Share of that pool—5%0%
Reports, latest 12 months47—1,332,454
Marked serious27.5%45%57.4%
Death recorded among outcomes, per 1,000 reports137991
Hospitalisation recorded, per 1,000 reports62129213
Consumer-filed share94.1%57.1%45.8%
Top term, share of reportsDrug ineffective 37.6%median 17.8%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 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%
Excedrin Migrainebrand4,6629712.1%
Amphetaminegeneric4,38848696.1%
Lisdexamfetamine dimesylategeneric4,30071373.1%
Caffeinegeneric3,72134892.8%
Excedrin Extra Strengthbrand3,2425330.1%
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 reports

How many adverse event reports has FDA received for Excedrin?

5,530 reports list Excedrin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 47 of them arrived in the latest 12 months. Another 4,281 list it only as a concomitant medication.

What reactions are recorded in Excedrin reports?

drug ineffective (37.6%), headache (4.1%), nausea (4.1%), drug dependence (4.1%) and product use in unapproved indication (4.1%). 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 was responsible.

How serious are the reports?

27.5% are marked serious by the reporter. Among the outcomes recorded, 1.3% of reports include death and 6.2% 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 (94.1%), other health professional (1.9%) and physician (1.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Excedrin rising?

47 reports in the 12 months to June 2026, down 41% from 80 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 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?

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 as a suspect or interacting product; reports listing it only as a concomitant medication (4,281) 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.