Reported Reactions

Drugs › Antihistamine

Generic name

Hydroxyzine pamoate: adverse event reports filed with FDA

1,138 reports list it as a suspect or interacting product, 2004–2026. Class: Antihistamine. Also reported as Hydroxyzine Pamoate Capsules Usp, Hydroxyzine Pamoate 25mg Capsules.

1,138
reports as suspect product
0% of all reports · about 51 a year
73
reports, 12 months to June 2026
85 in the 12 months before
65.8%
marked serious by the reporter
74.8% across the class
47.1%
record death among outcomes, as reported
536 reports · not verified by FDA

1,138 adverse event reports received by FDA list hydroxyzine pamoate, a generic name as a suspect or interacting product, from May 2004 to June 2026. A further 2,494 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, 73 reports listed it, down 14% from 85 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 51 reports a year and 0% of the 20,646,523 reports in the database, and 7.2% of the reports for the antihistamine 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 completed suicide (25.7%), drug hypersensitivity (12.7%) and drug abuse (11.2%). A report can list several reactions, so shares add to more than 100%; 181 different terms appear across these reports. Completed suicide is recorded in 25.7% of these reports, a larger share than in the median antihistamine drug (17%).

65.8% of the reports are marked serious by the reporter (74.8% across the class); 47.1% record death among the outcomes and 25.8% record hospitalisation, as reported. 50.6% of the reports came from physicians, and the largest patient age group is 18 to 44 (33.1%). 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

03570Jul 2021: 1Aug 2021: 0Sep 2021: 3Oct 2021: 0Nov 2021: 5Dec 2021: 32022Jan 2022: 3Feb 2022: 70Mar 2022: 1Apr 2022: 6May 2022: 16Jun 2022: 7Jul 2022: 2Aug 2022: 5Sep 2022: 2Oct 2022: 4Nov 2022: 6Dec 2022: 22023Jan 2023: 10Feb 2023: 67Mar 2023: 8Apr 2023: 4May 2023: 4Jun 2023: 3Jul 2023: 2Aug 2023: 4Sep 2023: 6Oct 2023: 5Nov 2023: 5Dec 2023: 12024Jan 2024: 42Feb 2024: 2Mar 2024: 4Apr 2024: 1May 2024: 7Jun 2024: 3Jul 2024: 5Aug 2024: 8Sep 2024: 3Oct 2024: 5Nov 2024: 4Dec 2024: 22025Jan 2025: 47Feb 2025: 5Mar 2025: 1Apr 2025: 1May 2025: 1Jun 2025: 3Jul 2025: 2Aug 2025: 1Sep 2025: 5Oct 2025: 2Nov 2025: 2Dec 2025: 12026Jan 2026: 1Feb 2026: 50Mar 2026: 1Apr 2026: 5May 2026: 2Jun 2026: 1

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

0621242004: 220042005: 22006: 12007: 620072008: 72009: 32010: 1320102011: 132012: 332013: 5920132014: 762015: 672016: 4020162017: 592018: 692019: 8620192020: 702021: 722022: 12420222023: 1192024: 862025: 7120252026: 60

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Hydroxyzine pamoate reports recording the termmedian drug in antihistamine

  1. Completed suicidedeath by suicide25.7%293
  2. Drug hypersensitivityan allergic-type reaction to a medicine12.7%144
  3. Drug abusemisuse of a medicine11.2%127
  4. Cardiac arrestthe heart stopped10.2%116
  5. Respiratory arrestbreathing stopped9.6%109
  6. Drug ineffectivethe medicine did not work as expected8%91
  7. Deaththe patient died; cause not stated by this term4.5%51
  8. Toxicity to various agentspoisoning or toxic effect of one or more substances4.2%48
  9. Somnolencedrowsiness3.3%37
  10. Off label useused for a purpose or in a way not on the label3%34
  11. Overdosea dose above the recommended amount2.4%27
  12. Pruritusitching2.1%24
  13. Drug interactionan interaction between medicines1.9%22
  14. Anxietyanxiety1.8%21
  15. Dizzinesslight-headedness or unsteadiness1.8%20
  16. Fatiguetiredness1.7%19
  17. Nauseafeeling sick1.3%15
  18. Astheniaweakness or lack of energy1.1%13
  19. Vomitingbeing sick1.1%13
  20. Headachehead pain1.1%12
  21. Insomniadifficulty sleeping1.1%12
  22. Hypotensionlow blood pressure1%11
  23. Rashskin rash1%11
  24. Urticariahives1%11
  25. Depressionlow mood0.9%10
  26. Condition aggravatedthe condition being treated got worse0.8%9
  27. Dyspnoeashortness of breath0.8%9
  28. Tremorshaking0.8%9

Top 30 of 181 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 5 drugs in the antihistamine 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

Death47.1%536
Life-threatening2.5%29
Hospitalisation (initial or prolonged)25.8%294
Disability0.4%5
Congenital anomaly0.6%7
Other serious38.3%436
Not serious34.2%389

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 15,698 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 20.1%1
2 to 110.8%9
12 to 172.3%26
18 to 4433.1%377
45 to 6432.7%372
65 to 747.8%89
75 and over4.6%52
Age not given18.6%212

Patient sex

Female59.8%680
Male33.7%384
Not given6.5%74

Who reported

Physician50.6%576
Pharmacist8.3%94
Other health professional16.5%188
Lawyer0.5%6
Consumer or non-health professional22.2%253
Not given1.8%21

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 96.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Anxiety524.6%
Pruritus343%
Urticaria121.1%
Sleep disorder80.7%
Rash70.6%
Dermatitis atopic40.4%

The indication field is filled in by the reporter and is often blank; shares are of all 1,138 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Hydroxyzine pamoate reports
Gabapentin11510.1%
Trazodone796.9%
Fentanyl citrate746.5%
Bupropion625.4%
Acetaminophen554.8%
Quetiapine514.5%
Ibuprofen494.3%
Alprazolam474.1%
Clonazepam474.1%
Citalopram464%

Other products listed in reports where Hydroxyzine pamoate 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

MeasureHydroxyzine pamoateAntihistamineAll reports
Reports as suspect product1,13815,69820,646,523
Share of that pool—7.2%0%
Reports, latest 12 months73—1,332,454
Marked serious65.8%74.8%57.4%
Death recorded among outcomes, per 1,000 reports47135291
Hospitalisation recorded, per 1,000 reports258291213
Consumer-filed share22.2%26.5%45.8%
Top term, share of reportsCompleted suicide 25.7%median 17%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."

Other drugs in the antihistamine class

DrugName typeReportsLatest 12 monthsMarked serious
Hydroxyzinegeneric8,64390792.5%
Hydroxyzine hydrochloridegeneric2,50041783.4%
Doxylamine succinategeneric1,85825243.3%
Unisom SleepTabsbrand1,559877.6%

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 Hydroxyzine pamoate reports

How many adverse event reports has FDA received for Hydroxyzine pamoate?

1,138 reports list Hydroxyzine pamoate as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 73 of them arrived in the latest 12 months. Another 2,494 list it only as a concomitant medication.

What reactions are recorded in Hydroxyzine pamoate reports?

completed suicide (25.7%), drug hypersensitivity (12.7%), drug abuse (11.2%), cardiac arrest (10.2%) and respiratory arrest (9.6%). 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 Hydroxyzine pamoate was responsible.

How serious are the reports?

65.8% are marked serious by the reporter. Among the outcomes recorded, 47.1% of reports include death and 25.8% 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 (50.6%), consumer or non-health professional (22.2%) and other health professional (16.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Hydroxyzine pamoate rising?

73 reports in the 12 months to June 2026, down 14% from 85 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 Hydroxyzine pamoate 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 Hydroxyzine pamoate?

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 Hydroxyzine pamoate as a suspect or interacting product; reports listing it only as a concomitant medication (2,494) 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.