Drugs › Sphingosine 1-phosphate receptor modulator
Brand name · Siponimod
Mayzent: adverse event reports filed with FDA
8,222 reports list it as a suspect or interacting product, 2012–2026. Class: Sphingosine 1-phosphate receptor modulator.
- 8,222
- reports as suspect product
- 0% of all reports · about 606 a year
- 251
- reports, 12 months to June 2026
- 341 in the 12 months before
- 47.1%
- marked serious by the reporter
- 49.1% across the class
- 2.1%
- record death among outcomes, as reported
- 176 reports · not verified by FDA
Between December 2012 and June 2026, 8,222 adverse event reports received by FDA list the brand name Mayzent (siponimod) as a suspect or interacting product. Reports that mention it only as a concomitant medication (104) are left out of every figure here.
In the 12 months to June 2026, 251 reports listed it, down 26% from 341 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 606 reports a year and 0% of the 20,646,523 reports in the database, and 7.9% of the reports for the sphingosine 1-phosphate receptor modulator class. 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 fatigue (11.4%), headache (10.3%) and dizziness (7.8%). A report can list several reactions, so shares add to more than 100%; 830 different terms appear across these reports. Fatigue is recorded in 11.4% of these reports, a larger share than in the median sphingosine 1-phosphate receptor modulator drug (8%).
47.1% of the reports are marked serious by the reporter (49.1% across the class); 2.1% record death among the outcomes and 15.6% record hospitalisation, as reported. 63.4% of the reports came from consumers, and the largest patient age group is 45 to 64 (27.4%). 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 Mayzent reports recording the termmedian drug in sphingosine 1-phosphate receptor modulator
- Fatiguetiredness11.4%941
- Headachehead pain10.3%850
- Dizzinesslight-headedness or unsteadiness7.8%642
- Multiple sclerosis relapsea flare of multiple sclerosis6.2%507
- Gait disturbancedifficulty walking5.8%474
- Falla fall5.7%471
- Multiple sclerosis5.3%434
- Nauseafeeling sick5%412
- Lymphocyte count decreased4.8%397
- Drug ineffectivethe medicine did not work as expected4.8%391
- Product dose omission issuea dose was missed4.7%383
- Astheniaweakness or lack of energy4.2%344
- Covid-19COVID-19 infection4.2%343
- Urinary tract infectionbladder or urinary infection4.2%343
- Painpain, site not specified3.9%322
- Malaisegeneral feeling of being unwell3.6%299
- Balance disorderproblems with balance3.6%295
- Memory impairmentmemory problems3.5%291
- Hypoaesthesianumbness3.5%289
- Feeling abnormalfeeling odd or not right3.4%281
- Hypertensionhigh blood pressure3.3%269
- White blood cell count decreasedlow white cell count3.2%265
- Visual impairmentreduced vision3.1%254
- Pain in extremitypain in an arm or leg2.9%242
- Heart rate decreased2.9%241
- Dyspnoeashortness of breath2.8%234
- Peripheral swellingswelling of the arms or legs2.8%234
- Muscular weaknessmuscle weakness2.7%219
- Vision blurredblurred vision2.7%218
- Diarrhoealoose or frequent stools2.4%199
Top 30 of 830 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 6 drugs in the sphingosine 1-phosphate receptor modulator 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 103,701 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. 75.3% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Multiple sclerosis | 2,942 | 35.8% |
| Secondary progressive multiple sclerosis | 1,637 | 19.9% |
| Relapsing-remitting multiple sclerosis | 331 | 4% |
| Relapsing multiple sclerosis | 135 | 1.6% |
| Multiple sclerosis relapse | 54 | 0.7% |
| Primary progressive multiple sclerosis | 42 | 0.5% |
The indication field is filled in by the reporter and is often blank; shares are of all 8,222 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Mayzent reports |
|---|---|---|
| Baclofen | 308 | 3.7% |
| Gabapentin | 222 | 2.7% |
| Ergocalciferol | 212 | 2.6% |
| Gilenya | 188 | 2.3% |
| Vitamin d | 153 | 1.9% |
| Dalfampridine | 147 | 1.8% |
| Vitamin B12 | 135 | 1.6% |
| Aspirin | 110 | 1.3% |
| Calcium | 76 | 0.9% |
| Ibuprofen | 74 | 0.9% |
Other products listed in reports where Mayzent 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 | Mayzent | Sphingosine 1-phosphate receptor modulator | All reports |
|---|---|---|---|
| Reports as suspect product | 8,222 | 103,701 | 20,646,523 |
| Share of that pool | — | 7.9% | 0% |
| Reports, latest 12 months | 251 | — | 1,332,454 |
| Marked serious | 47.1% | 49.1% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 21 | 14 | 91 |
| Hospitalisation recorded, per 1,000 reports | 156 | 129 | 213 |
| Consumer-filed share | 63.4% | 59.2% | 45.8% |
| Top term, share of reports | Fatigue 11.4% | median 8% | 3.7% |
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 sphingosine 1-phosphate receptor modulator class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Gilenya | brand | 81,234 | 276 | 49.7% |
| Zeposia | brand | 8,134 | 751 | 26.5% |
| Fingolimod | generic | 4,041 | 569 | 84.7% |
| Velsipity | brand | 1,539 | 484 | 36.7% |
| Siponimod | generic | 531 | 53 | 96.8% |
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 Mayzent reports
How many adverse event reports has FDA received for Mayzent?
8,222 reports list Mayzent as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 251 of them arrived in the latest 12 months. Another 104 list it only as a concomitant medication.
What reactions are recorded in Mayzent reports?
fatigue (11.4%), headache (10.3%), dizziness (7.8%), multiple sclerosis relapse (6.2%) and gait disturbance (5.8%). 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 Mayzent was responsible.
How serious are the reports?
47.1% are marked serious by the reporter. Among the outcomes recorded, 2.1% of reports include death and 15.6% 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 (63.4%), physician (19.3%) and other health professional (12.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Mayzent rising?
251 reports in the 12 months to June 2026, down 26% from 341 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 Mayzent 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 Mayzent?
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 Mayzent as a suspect or interacting product; reports listing it only as a concomitant medication (104) 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.