Reported Reactions

Drugs › Atypical antipsychotic

Brand name · Iloperidone

Fanapt: adverse event reports filed with FDA

1,157 reports list it as a suspect or interacting product, 2010–2026. Class: Atypical antipsychotic. Also reported as Fanapt Tablet.

1,157
reports as suspect product
0% of all reports · about 71 a year
84
reports, 12 months to June 2026
61 in the 12 months before
44%
marked serious by the reporter
70.7% across the class
4.1%
record death among outcomes, as reported
48 reports · not verified by FDA

Between February 2010 and June 2026, 1,157 adverse event reports received by FDA list the brand name Fanapt (iloperidone) as a suspect or interacting product. Reports that mention it only as a concomitant medication (190) are left out of every figure here.

In the 12 months to June 2026, 84 reports listed it, up 38% from 61 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 71 reports a year and 0% of the 20,646,523 reports in the database, and 0.2% of the reports for the atypical antipsychotic class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are dizziness (8.6%), weight increased (5.4%) and drug ineffective (3.7%). A report can list several reactions, so shares add to more than 100%; 223 different terms appear across these reports. Dizziness is recorded in 8.6% of these reports, a larger share than in the median atypical antipsychotic drug (1.8%).

44% of the reports are marked serious by the reporter (70.7% across the class); 4.1% record death among the outcomes and 12.5% record hospitalisation, as reported. 42.7% of the reports came from physicians, and the largest patient age group is 18 to 44 (21.6%). 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

03774Jul 2021: 0Aug 2021: 0Sep 2021: 0Oct 2021: 1Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 1Mar 2022: 1Apr 2022: 0May 2022: 24Jun 2022: 1Jul 2022: 0Aug 2022: 1Sep 2022: 0Oct 2022: 1Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 2Apr 2023: 0May 2023: 14Jun 2023: 0Jul 2023: 1Aug 2023: 0Sep 2023: 0Oct 2023: 0Nov 2023: 0Dec 2023: 02024Jan 2024: 0Feb 2024: 0Mar 2024: 0Apr 2024: 0May 2024: 0Jun 2024: 18Jul 2024: 0Aug 2024: 0Sep 2024: 1Oct 2024: 0Nov 2024: 1Dec 2024: 22025Jan 2025: 1Feb 2025: 2Mar 2025: 2Apr 2025: 0May 2025: 51Jun 2025: 1Jul 2025: 3Aug 2025: 1Sep 2025: 0Oct 2025: 0Nov 2025: 3Dec 2025: 02026Jan 2026: 0Feb 2026: 0Mar 2026: 2Apr 2026: 0May 2026: 1Jun 2026: 74

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

01903792010: 6820102011: 1222012: 37920122013: 582014: 5720142015: 222016: 3320162017: 422018: 5620182019: 532020: 3220202021: 262022: 2920222023: 172024: 2220242025: 642026: 772026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Fanapt reports recording the termmedian drug in atypical antipsychotic

  1. Dizzinesslight-headedness or unsteadiness8.6%100
  2. Weight increasedweight gain5.4%63
  3. Drug ineffectivethe medicine did not work as expected3.7%43
  4. Nauseafeeling sick3.7%43
  5. Insomniadifficulty sleeping3.1%36
  6. Dyspnoeashortness of breath3%35
  7. Tachycardiafast heart rate2.8%32
  8. Retrograde ejaculation2.7%31
  9. Vomitingbeing sick2.7%31
  10. Falla fall2.6%30
  11. Somnolencedrowsiness2.6%30
  12. Fatiguetiredness2.1%24
  13. Heart rate increaseda fast heart rate reading2.1%24
  14. Hypotensionlow blood pressure2.1%24
  15. Dry mouthdry mouth2%23
  16. Oedema peripheralswelling of the legs, ankles or hands2%23
  17. Priapism1.9%22
  18. Gait disturbancedifficulty walking1.8%21
  19. Loss of consciousnesspassing out1.7%20
  20. Off label useused for a purpose or in a way not on the label1.7%20
  21. Feeling abnormalfeeling odd or not right1.6%19
  22. Urinary incontinenceleaking urine1.6%19
  23. Headachehead pain1.6%18
  24. Akathisiainner restlessness and an urge to move1.5%17
  25. Anxietyanxiety1.4%16
  26. Deaththe patient died; cause not stated by this term1.4%16
  27. Nasal congestiona blocked nose1.4%16
  28. Psychotic disordera loss of contact with reality1.4%16
  29. Enuresis1.3%15

Top 30 of 223 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 37 drugs in the atypical antipsychotic 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

Death4.1%48
Life-threatening2%23
Hospitalisation (initial or prolonged)12.5%145
Disability1.5%17
Congenital anomaly0%0
Other serious29.6%342
Not serious56%648

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 683,680 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 110.3%3
12 to 172.2%26
18 to 4421.6%250
45 to 6410.7%124
65 to 741.7%20
75 and over0.6%7
Age not given62.8%727

Patient sex

Female47.3%547
Male40.9%473
Not given11.8%137

Who reported

Physician42.7%494
Pharmacist3.1%36
Other health professional22.8%264
Lawyer0%0
Consumer or non-health professional28.8%333
Not given2.6%30

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Schizophrenia26823.2%
Bipolar disorder675.8%
Psychotic disorder232%
Bipolar i disorder221.9%
Schizoaffective disorder211.8%
Depression30.3%

The indication field is filled in by the reporter and is often blank; shares are of all 1,157 reports.

In context

MeasureFanaptAtypical antipsychoticAll reports
Reports as suspect product1,157683,68020,646,523
Share of that pool—0.2%0%
Reports, latest 12 months84—1,332,454
Marked serious44%70.7%57.4%
Death recorded among outcomes, per 1,000 reports4112191
Hospitalisation recorded, per 1,000 reports125304213
Consumer-filed share28.8%34%45.8%
Top term, share of reportsDizziness 8.6%median 1.8%2.4%

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 atypical antipsychotic class

DrugName typeReportsLatest 12 monthsMarked serious
Clozapinegeneric73,0233,25293.4%
Abilifybrand54,64562558%
Risperdalgeneric54,45488248.4%
Nuplazidbrand53,7539,60250.6%
Quetiapinegeneric52,3884,19097.6%
Seroquelbrand52,27226562.9%
Clozarilbrand47,9143,08898.4%
Olanzapinegeneric46,8374,08795.3%
Risperidonegeneric44,9622,51176.9%
Aripiprazolegeneric30,1453,10287.8%
Zyprexabrand26,46912178.4%
Invega Sustennabrand23,6481,51335.8%
Quetiapine fumarategeneric19,5681,69790.7%
Invegabrand16,67223835.5%
Latudabrand16,08518340.7%

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 Fanapt reports

How many adverse event reports has FDA received for Fanapt?

1,157 reports list Fanapt as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 84 of them arrived in the latest 12 months. Another 190 list it only as a concomitant medication.

What reactions are recorded in Fanapt reports?

dizziness (8.6%), weight increased (5.4%), drug ineffective (3.7%), nausea (3.7%) and orthostatic hypotension (3.4%). 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 Fanapt was responsible.

How serious are the reports?

44% are marked serious by the reporter. Among the outcomes recorded, 4.1% of reports include death and 12.5% 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?

physician (42.7%), consumer or non-health professional (28.8%) and other health professional (22.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Fanapt rising?

84 reports in the 12 months to June 2026, up 38% from 61 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 Fanapt 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 Fanapt?

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 Fanapt as a suspect or interacting product; reports listing it only as a concomitant medication (190) 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.