Drugs › Melatonin receptor agonist
Brand name · Tasimelteon
Hetlioz: adverse event reports filed with FDA
5,638 reports list it as a suspect or interacting product, 2014–2026. Class: Melatonin receptor agonist.
- 5,638
- reports as suspect product
- 0% of all reports · about 473 a year
- 150
- reports, 12 months to June 2026
- 332 in the 12 months before
- 10.2%
- marked serious by the reporter
- 14.3% across the class
- 2.9%
- record death among outcomes, as reported
- 165 reports · not verified by FDA
5,638 adverse event reports received by FDA list the brand name Hetlioz (tasimelteon) as a suspect or interacting product, from August 2014 to May 2026. A further 29 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, 150 reports listed it, down 55% from 332 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 473 reports a year and 0% of the 20,646,523 reports in the database, and 63.7% of the reports for the melatonin receptor agonist 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 (28.7%), insomnia (12.6%) and product dose omission issue (8.2%). A report can list several reactions, so shares add to more than 100%; 385 different terms appear across these reports. Drug ineffective is recorded in 28.7% of these reports, about the same share as in the median melatonin receptor agonist drug (25.9%).
10.2% of the reports are marked serious by the reporter (14.3% across the class); 2.9% record death among the outcomes and 4.9% record hospitalisation, as reported. 61.5% of the reports came from consumers, and the largest patient age group is 45 to 64 (22.5%). 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 Hetlioz reports recording the termmedian drug in melatonin receptor agonist
- Drug ineffectivethe medicine did not work as expected28.7%1,616
- Insomniadifficulty sleeping12.6%712
- Product dose omission issuea dose was missed8.2%462
- Middle insomnia7.2%404
- Somnolencedrowsiness7.2%404
- Headachehead pain6.8%381
- Nightmarenightmares4.7%264
- Abnormal dreamsunusual dreams4%223
- Fatiguetiredness3.9%221
- Sleep disordera sleep problem3.2%181
- Inappropriate schedule of product administrationthe product was taken at the wrong times3.2%178
- Poor quality sleep2.7%152
- Initial insomnia2.7%151
- Nauseafeeling sick2.6%144
- Product dose omissiona dose was missed2.4%137
- Deaththe patient died; cause not stated by this term2.3%128
- Feeling abnormalfeeling odd or not right2.1%121
- Malaisegeneral feeling of being unwell2.1%120
- Anxietyanxiety1.9%109
- Dizzinesslight-headedness or unsteadiness1.8%101
- Therapeutic product effect delayed1.6%91
- Falla fall1.6%88
- Hypersomniasleeping too much1.5%87
- Urinary tract infectionbladder or urinary infection1.5%82
- Migrainemigraine1.3%75
- Drug interactionan interaction between medicines1.3%74
- Depressionlow mood1.3%71
- Weight decreasedweight loss1.2%70
Top 30 of 385 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 2 drugs in the melatonin receptor agonist 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 8,851 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. 99.7% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Non-24-hour sleep-wake disorder | 3,553 | 63% |
| Circadian rhythm sleep disorder | 1,300 | 23.1% |
| Blindness | 131 | 2.3% |
| Insomnia | 47 | 0.8% |
| Smith-magenis syndrome | 41 | 0.7% |
| Sleep disorder | 40 | 0.7% |
The indication field is filled in by the reporter and is often blank; shares are of all 5,638 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Hetlioz reports |
|---|---|---|
| Ergocalciferol | 312 | 5.5% |
| Gabapentin | 311 | 5.5% |
| Omeprazole | 239 | 4.2% |
| Aspirin | 224 | 4% |
| Lisinopril | 217 | 3.8% |
| Melatonin | 156 | 2.8% |
| Clonazepam | 130 | 2.3% |
| Simvastatin | 127 | 2.3% |
| Levothyroxine | 122 | 2.2% |
| Atorvastatin calcium | 117 | 2.1% |
Other products listed in reports where Hetlioz 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 | Hetlioz | Melatonin receptor agonist | All reports |
|---|---|---|---|
| Reports as suspect product | 5,638 | 8,851 | 20,646,523 |
| Share of that pool | — | 63.7% | 0% |
| Reports, latest 12 months | 150 | — | 1,332,454 |
| Marked serious | 10.2% | 14.3% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 29 | 28 | 91 |
| Hospitalisation recorded, per 1,000 reports | 49 | 61 | 213 |
| Consumer-filed share | 61.5% | 53.7% | 45.8% |
| Top term, share of reports | Drug ineffective 28.7% | median 25.9% | 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 melatonin receptor agonist class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Rozerem | brand | 3,213 | 10 | 21.4% |
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 Hetlioz reports
How many adverse event reports has FDA received for Hetlioz?
5,638 reports list Hetlioz as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 150 of them arrived in the latest 12 months. Another 29 list it only as a concomitant medication.
What reactions are recorded in Hetlioz reports?
drug ineffective (28.7%), insomnia (12.6%), product dose omission issue (8.2%), middle insomnia (7.2%) and somnolence (7.2%). 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 Hetlioz was responsible.
How serious are the reports?
10.2% are marked serious by the reporter. Among the outcomes recorded, 2.9% of reports include death and 4.9% 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 (61.5%), other health professional (21.4%) and physician (11.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Hetlioz rising?
150 reports in the 12 months to June 2026, down 55% from 332 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 Hetlioz 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 Hetlioz?
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 Hetlioz as a suspect or interacting product; reports listing it only as a concomitant medication (29) 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.