Reported Reactions

Drugs

Product name as reported

Herbals Mitragynine: adverse event reports filed with FDA

897 reports list it as a suspect or interacting product, 2016–2026.

897
reports as suspect product
0% of all reports · about 94 a year
147
reports, 12 months to June 2026
163 in the 12 months before
92.4%
marked serious by the reporter
57.4% across all reports
40%
record death among outcomes, as reported
359 reports · not verified by FDA

897 adverse event reports received by FDA list the product name "Herbals Mitragynine" as reporters wrote it as a suspect or interacting product, from December 2016 to June 2026. A further 83 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, 147 reports listed it, down 10% from 163 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 94 reports a year and 0% of the 20,646,523 reports in the database. 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 abuse (16.3%), toxicity to various agents (15.9%) and drug dependence (14.9%). A report can list several reactions, so shares add to more than 100%; 197 different terms appear across these reports. Drug abuse is recorded in 16.3% of these reports, against 0.4% of all reports in the database.

92.4% of the reports are marked serious by the reporter; 40% record death among the outcomes and 28.5% record hospitalisation, as reported. 39.7% of the reports came from consumers, and the largest patient age group is 18 to 44 (60.8%). 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

02243Jul 2021: 0Aug 2021: 0Sep 2021: 1Oct 2021: 9Nov 2021: 8Dec 2021: 142022Jan 2022: 28Feb 2022: 22Mar 2022: 28Apr 2022: 7May 2022: 5Jun 2022: 10Jul 2022: 8Aug 2022: 30Sep 2022: 4Oct 2022: 16Nov 2022: 9Dec 2022: 282023Jan 2023: 43Feb 2023: 27Mar 2023: 8Apr 2023: 18May 2023: 19Jun 2023: 28Jul 2023: 14Aug 2023: 16Sep 2023: 9Oct 2023: 12Nov 2023: 5Dec 2023: 72024Jan 2024: 33Feb 2024: 37Mar 2024: 13Apr 2024: 15May 2024: 23Jun 2024: 13Jul 2024: 11Aug 2024: 12Sep 2024: 11Oct 2024: 16Nov 2024: 13Dec 2024: 82025Jan 2025: 25Feb 2025: 11Mar 2025: 9Apr 2025: 22May 2025: 12Jun 2025: 13Jul 2025: 19Aug 2025: 24Sep 2025: 17Oct 2025: 10Nov 2025: 5Dec 2025: 62026Jan 2026: 16Feb 2026: 11Mar 2026: 9Apr 2026: 5May 2026: 11Jun 2026: 14

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

01032062016: 120162017: 120172019: 620192020: 1220202021: 3220212022: 19520222023: 20620232024: 20520242025: 17320252026: 662026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Herbals Mitragynine reports recording the termall reports in the database

  1. Drug abusemisuse of a medicine16.3%146
  2. Toxicity to various agentspoisoning or toxic effect of one or more substances15.9%143
  3. Drug dependencedependence on a medicine14.9%134
  4. Drug interactionan interaction between medicines13.8%124
  5. Serotonin syndrometoo much serotonin activity, with agitation, fever and tremor11.3%101
  6. Overdosea dose above the recommended amount5.7%51
  7. Substance use5.6%50
  8. Vomitingbeing sick5.6%50
  9. Deaththe patient died; cause not stated by this term5%45
  10. Seizurea fit or convulsion5%45
  11. Completed suicidedeath by suicide4.9%44
  12. Electrocardiogram QT prolongeda QT prolongation on the ECG4.9%44
  13. Nauseafeeling sick4.7%42
  14. Drug withdrawal syndromesymptoms on stopping a medicine4.6%41
  15. Anxietyanxiety3.9%35
  16. Insomniadifficulty sleeping3.2%29
  17. Depressionlow mood3%27
  18. Hyperhidrosisexcessive sweating3%27
  19. Cardiac arrestthe heart stopped2.9%26
  20. Herbal interaction2.9%26
  21. Tremorshaking2.8%25
  22. Cardio-respiratory arrestthe heart and breathing stopped2.2%20
  23. Renal impairmentreduced kidney function2.2%20
  24. Diarrhoealoose or frequent stools2.1%19
  25. Psychotic disordera loss of contact with reality2.1%19
  26. Drug ineffectivethe medicine did not work as expected2%18

Top 30 of 197 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 share of all reports in the database; 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

Death40%359
Life-threatening9.9%89
Hospitalisation (initial or prolonged)28.5%256
Disability9.6%86
Congenital anomaly0.1%1
Other serious53.3%478
Not serious7.6%68

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 20,646,523 reports. 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%3
2 to 110.1%1
12 to 172%18
18 to 4460.8%545
45 to 6420.6%185
65 to 743.5%31
75 and over0.2%2
Age not given12.5%112

Patient sex

Female26.4%237
Male66.8%599
Not given6.8%61

Who reported

Physician26.2%235
Pharmacist5%45
Other health professional26.3%236
Lawyer0%0
Consumer or non-health professional39.7%356
Not given2.8%25

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 92.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Pain556.1%
Anxiety485.4%
Drug abuse343.8%
Depression171.9%
Drug dependence161.8%
Substance use141.6%

The indication field is filled in by the reporter and is often blank; shares are of all 897 reports.

In context

MeasureHerbals MitragynineAll reports
Reports as suspect product89720,646,523
Share of that pool—0%
Reports, latest 12 months1471,332,454
Marked serious92.4%57.4%
Death recorded among outcomes, per 1,000 reports40091
Hospitalisation recorded, per 1,000 reports285213
Consumer-filed share39.7%45.8%
Top term, share of reportsDrug abuse 16.3%0.4%

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."

Questions about Herbals Mitragynine reports

How many adverse event reports has FDA received for Herbals Mitragynine?

897 reports list Herbals Mitragynine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 147 of them arrived in the latest 12 months. Another 83 list it only as a concomitant medication.

What reactions are recorded in Herbals Mitragynine reports?

drug abuse (16.3%), toxicity to various agents (15.9%), drug dependence (14.9%), drug interaction (13.8%) and serotonin syndrome (11.3%). 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 Herbals Mitragynine was responsible.

How serious are the reports?

92.4% are marked serious by the reporter. Among the outcomes recorded, 40% of reports include death and 28.5% 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?

consumer or non-health professional (39.7%), other health professional (26.3%) and physician (26.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Herbals Mitragynine rising?

147 reports in the 12 months to June 2026, down 10% from 163 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 Herbals Mitragynine 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 Herbals Mitragynine?

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 Herbals Mitragynine as a suspect or interacting product; reports listing it only as a concomitant medication (83) 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.