Reported Reactions

Drugs › Central alpha-2 adrenergic agonist

Generic name

Methyldopa: adverse event reports filed with FDA

2,659 reports list it as a suspect or interacting product, 2004–2026. Class: Central alpha-2 adrenergic agonist. Also reported as Methyldopa Tablets, Methyldopa Tablets Usp.

2,659
reports as suspect product
0% of all reports · about 120 a year
138
reports, 12 months to June 2026
159 in the 12 months before
95.8%
marked serious by the reporter
75.5% across the class
3.2%
record death among outcomes, as reported
84 reports · not verified by FDA

2,659 adverse event reports received by FDA list methyldopa, a generic name as a suspect or interacting product, from April 2004 to June 2026. A further 2,224 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, 138 reports listed it, down 13% from 159 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 120 reports a year and 0% of the 20,646,523 reports in the database, and 8.4% of the reports for the central alpha-2 adrenergic 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 foetal exposure during pregnancy (38%), premature baby (29.3%) and maternal exposure during pregnancy (22.4%). A report can list several reactions, so shares add to more than 100%; 553 different terms appear across these reports. Foetal exposure during pregnancy is recorded in 38% of these reports, a larger share than in the median central alpha-2 adrenergic agonist drug (0.3%).

95.8% of the reports are marked serious by the reporter (75.5% across the class); 3.2% record death among the outcomes and 28.4% record hospitalisation, as reported. 60% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (36.8%). 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

01937Jul 2021: 8Aug 2021: 25Sep 2021: 23Oct 2021: 23Nov 2021: 14Dec 2021: 172022Jan 2022: 5Feb 2022: 7Mar 2022: 15Apr 2022: 13May 2022: 16Jun 2022: 37Jul 2022: 20Aug 2022: 31Sep 2022: 7Oct 2022: 8Nov 2022: 16Dec 2022: 192023Jan 2023: 9Feb 2023: 12Mar 2023: 34Apr 2023: 17May 2023: 15Jun 2023: 17Jul 2023: 5Aug 2023: 14Sep 2023: 3Oct 2023: 13Nov 2023: 24Dec 2023: 102024Jan 2024: 10Feb 2024: 30Mar 2024: 20Apr 2024: 20May 2024: 29Jun 2024: 3Jul 2024: 17Aug 2024: 21Sep 2024: 15Oct 2024: 13Nov 2024: 7Dec 2024: 212025Jan 2025: 5Feb 2025: 14Mar 2025: 4Apr 2025: 25May 2025: 12Jun 2025: 5Jul 2025: 19Aug 2025: 2Sep 2025: 2Oct 2025: 8Nov 2025: 6Dec 2025: 142026Jan 2026: 1Feb 2026: 8Mar 2026: 30Apr 2026: 22May 2026: 18Jun 2026: 8

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

01633252004: 420042005: 142006: 102007: 1020072008: 252009: 482010: 2920102011: 432012: 422013: 6020132014: 882015: 682016: 11420162017: 1362018: 3252019: 29020192020: 3162021: 2612022: 19420222023: 1732024: 2062025: 11620252026: 87

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Methyldopa reports recording the termmedian drug in central alpha-2 adrenergic agonist

  1. Foetal exposure during pregnancythe unborn baby was exposed to the medicine38%1,010
  2. Premature babya baby born early29.3%779
  3. Maternal exposure during pregnancythe mother took the medicine during pregnancy22.4%596
  4. Exposure during pregnancythe medicine was taken during pregnancy18.6%495
  5. Drug ineffectivethe medicine did not work as expected6.3%167
  6. Off label useused for a purpose or in a way not on the label6%160
  7. Live birth5.6%148
  8. Hypertensionhigh blood pressure4.3%115
  9. Pre-eclampsia4.2%112
  10. Dyspnoeashortness of breath3.5%92
  11. Blood pressure increaseda raised blood pressure reading2.4%65
  12. Small for dates baby2.3%61
  13. Anxietyanxiety2.3%60
  14. Patent ductus arteriosus2%53
  15. Hypospadias1.7%46
  16. Foetal disorder1.7%45
  17. Somnolencedrowsiness1.5%41
  18. Drug exposure during pregnancythe medicine was taken during pregnancy1.5%40
  19. Ovarian cysta cyst on an ovary1.5%40
  20. Neonatal respiratory distress syndrome1.5%39
  21. Depressionlow mood1.4%37
  22. Oedema peripheralswelling of the legs, ankles or hands1.4%37

Top 30 of 553 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 13 drugs in the central alpha-2 adrenergic 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

Death3.2%84
Life-threatening4.1%108
Hospitalisation (initial or prolonged)28.4%755
Disability0.4%11
Congenital anomaly14%371
Other serious81.2%2,158
Not serious4.2%113

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 31,745 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 26.2%165
2 to 110.1%2
12 to 170.2%5
18 to 4436.8%979
45 to 643.6%95
65 to 741.3%34
75 and over1.6%42
Age not given50.3%1,337

Patient sex

Female57.2%1,522
Male17.8%472
Not given25%665

Who reported

Physician24.9%663
Pharmacist2.3%60
Other health professional60%1,596
Lawyer0%0
Consumer or non-health professional9.5%253
Not given3.3%87

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 8.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hypertension89733.7%
Foetal exposure during pregnancy1686.3%
Gestational hypertension803%
Pre-eclampsia632.4%
Essential hypertension421.6%
Blood pressure increased311.2%

The indication field is filled in by the reporter and is often blank; shares are of all 2,659 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Methyldopa reports
Nifedipine78529.5%
Insulin47317.8%
Aspirin45317%
Metformin37214%
Amlodipine34312.9%
Metoprolol31011.7%
Folic acid28110.6%
Sildenafil2459.2%
Azathioprine2399%
Diclectin2268.5%

Other products listed in reports where Methyldopa 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

MeasureMethyldopaCentral alpha-2 adrenergic agonistAll reports
Reports as suspect product2,65931,74520,646,523
Share of that pool—8.4%0%
Reports, latest 12 months138—1,332,454
Marked serious95.8%75.5%57.4%
Death recorded among outcomes, per 1,000 reports3216291
Hospitalisation recorded, per 1,000 reports284304213
Consumer-filed share9.5%27.5%45.8%
Top term, share of reportsFoetal exposure during pregnancy 38%median 0.3%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."

Other drugs in the central alpha-2 adrenergic agonist class

DrugName typeReportsLatest 12 monthsMarked serious
Clonidinegeneric11,71271379.2%
Tizanidinegeneric4,25937669.8%
Intunivbrand2,1804875.8%
Clonidine hydrochloridegeneric1,84226077.8%
Dexmedetomidinegeneric1,65316093.2%
Guanfacinegeneric1,44521461.7%
Dexmedetomidine hydrochloridegeneric1,43613498%
Zanaflexbrand1,1661054.5%
Tizanidine hydrochloridegeneric1,05110480.3%
Clonidine transdermal systemgeneric8738615%
Catapres-TTS-1brand871018%
Precedexbrand5982078.1%

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 Methyldopa reports

How many adverse event reports has FDA received for Methyldopa?

2,659 reports list Methyldopa as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 138 of them arrived in the latest 12 months. Another 2,224 list it only as a concomitant medication.

What reactions are recorded in Methyldopa reports?

foetal exposure during pregnancy (38%), premature baby (29.3%), maternal exposure during pregnancy (22.4%), premature delivery (18.9%) and exposure during pregnancy (18.6%). 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 Methyldopa was responsible.

How serious are the reports?

95.8% are marked serious by the reporter. Among the outcomes recorded, 3.2% of reports include death and 28.4% 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?

other health professional (60%), physician (24.9%) and consumer or non-health professional (9.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Methyldopa rising?

138 reports in the 12 months to June 2026, down 13% from 159 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 Methyldopa 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 Methyldopa?

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 Methyldopa as a suspect or interacting product; reports listing it only as a concomitant medication (2,224) 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.