Generic name
Glimepiride: adverse event reports filed with FDA
5,289 reports list it as a suspect or interacting product, 2004–2026. Class: Sulfonylurea. Also reported as Glimepiride Tablets 4mg, Glimepiride Tablets, Glimepiride Tablets 2mg.
- 5,289
- reports as suspect product
- 0% of all reports · about 235 a year
- 224
- reports, 12 months to June 2026
- 293 in the 12 months before
- 83.4%
- marked serious by the reporter
- 70.9% across the class
- 10.3%
- record death among outcomes, as reported
- 547 reports · not verified by FDA
5,289 adverse event reports received by FDA list glimepiride, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 33,794 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, 224 reports listed it, down 24% from 293 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 235 reports a year and 0% of the 20,646,523 reports in the database, and 34.8% of the reports for the sulfonylurea class. How many people take it is not in the data, so a count is not a rate of occurrence.
Reporters most often recorded hypoglycaemia (23.7%), blood glucose increased (8.3%) and drug ineffective (5.5%). A report can list several reactions, so shares add to more than 100%; 834 different terms appear across these reports. Hypoglycaemia is recorded in 23.7% of these reports, a larger share than in the median sulfonylurea drug (18.1%).
83.4% of the reports are marked serious by the reporter (70.9% across the class); 10.3% record death among the outcomes and 47.1% record hospitalisation, as reported. 32.1% of the reports came from physicians, and the largest patient age group is 75 and over (26.5%). 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
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
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Glimepiride reports recording the termmedian drug in sulfonylurea
- Hypoglycaemialow blood sugar23.7%1,256
- Blood glucose increasedraised blood sugar reading8.3%438
- Drug ineffectivethe medicine did not work as expected5.5%293
- Drug interactionan interaction between medicines5.4%288
- Acute kidney injurysudden loss of kidney function4.8%254
- Blood glucose decreasedlow blood sugar reading4.5%240
- Lactic acidosisa build-up of lactic acid in the blood4.3%228
- Toxicity to various agentspoisoning or toxic effect of one or more substances4.1%216
- Diarrhoealoose or frequent stools3.8%201
- Completed suicidedeath by suicide3.7%197
- Diabetes mellitus inadequate controldiabetes not well controlled3.7%197
- Hypoglycaemic coma3.7%194
- Vomitingbeing sick3.4%180
- Hypotensionlow blood pressure3.2%170
- Glycosylated haemoglobin increaseda raised HbA1c, the long-term sugar measure3.1%163
- Nauseafeeling sick2.8%148
- Dizzinesslight-headedness or unsteadiness2.7%141
- Loss of consciousnesspassing out2.5%134
- Falla fall2.4%125
- Fatiguetiredness2.3%123
- Weight increasedweight gain2.3%121
- Renal failurekidney failure2.2%119
- Malaisegeneral feeling of being unwell2.2%118
- Astheniaweakness or lack of energy2.2%115
- Weight decreasedweight loss2.1%113
- Intentional overdosea deliberate overdose2.1%111
- Hyperhidrosisexcessive sweating2%104
- Decreased appetitereduced appetite1.9%102
- Dyspnoeashortness of breath1.9%102
- Renal impairmentreduced kidney function1.9%102
Top 30 of 834 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 4 drugs in the sulfonylurea 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
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 15,194 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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 39.2% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Type 2 diabetes mellitus | 1,585 | 30% |
| Diabetes mellitus | 1,116 | 21.1% |
| Diabetes mellitus non-insulin-dependent | 45 | 0.9% |
| Blood glucose increased | 21 | 0.4% |
| Suicide attempt | 21 | 0.4% |
| Psoriasis | 17 | 0.3% |
The indication field is filled in by the reporter and is often blank; shares are of all 5,289 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Glimepiride reports |
|---|---|---|
| Metformin | 1,681 | 31.8% |
| Metformin hydrochloride | 567 | 10.7% |
| Amlodipine | 408 | 7.7% |
| Atorvastatin | 393 | 7.4% |
| Furosemide | 353 | 6.7% |
| Ramipril | 352 | 6.7% |
| Simvastatin | 344 | 6.5% |
| Metformin hcl | 321 | 6.1% |
| Aspirin | 319 | 6% |
| Lisinopril | 238 | 4.5% |
Other products listed in reports where Glimepiride 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
| Measure | Glimepiride | Sulfonylurea | All reports |
|---|---|---|---|
| Reports as suspect product | 5,289 | 15,194 | 20,646,523 |
| Share of that pool | — | 34.8% | 0% |
| Reports, latest 12 months | 224 | — | 1,332,454 |
| Marked serious | 83.4% | 70.9% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 103 | 123 | 91 |
| Hospitalisation recorded, per 1,000 reports | 471 | 363 | 213 |
| Consumer-filed share | 25.4% | 36.5% | 45.8% |
| Top term, share of reports | Hypoglycaemia 23.7% | median 18.1% | 0.2% |
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 sulfonylurea class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Glipizide | generic | 6,616 | 214 | 58.7% |
| Glyburide | generic | 2,696 | 66 | 76.9% |
| Glucotrol | brand | 593 | 0 | 69.3% |
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 Glimepiride reports
How many adverse event reports has FDA received for Glimepiride?
5,289 reports list Glimepiride as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 224 of them arrived in the latest 12 months. Another 33,794 list it only as a concomitant medication.
What reactions are recorded in Glimepiride reports?
hypoglycaemia (23.7%), blood glucose increased (8.3%), drug ineffective (5.5%), drug interaction (5.4%) and acute kidney injury (4.8%). 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 Glimepiride was responsible.
How serious are the reports?
83.4% are marked serious by the reporter. Among the outcomes recorded, 10.3% of reports include death and 47.1% 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 (32.1%), other health professional (27.7%) and consumer or non-health professional (25.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Glimepiride rising?
224 reports in the 12 months to June 2026, down 24% from 293 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 Glimepiride 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 Glimepiride?
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 Glimepiride as a suspect or interacting product; reports listing it only as a concomitant medication (33,794) 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.