Reported Reactions

Drugs

Product name as reported

Niaspan: adverse event reports filed with FDA

32,180 reports list it as a suspect or interacting product, 2004–2025.

32,180
reports as suspect product
0.2% of all reports · about 1,431 a year
1
reports, 12 months to June 2026
2 in the 12 months before
6.2%
marked serious by the reporter
57.4% across all reports
0.3%
record death among outcomes, as reported
81 reports · not verified by FDA

Between January 2004 and September 2025, 32,180 adverse event reports received by FDA list the product name "Niaspan" as reporters wrote it as a suspect or interacting product. Reports that mention it only as a concomitant medication (5,024) are left out of every figure here.

In the 12 months to June 2026, 1 report listed it, down 50% from 2 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 1,431 reports a year and 0.2% 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.

Reporters most often recorded flushing (53%), pruritus (19.3%) and feeling hot (12.3%). A report can list several reactions, so shares add to more than 100%; 856 different terms appear across these reports. Flushing is recorded in 53% of these reports, against 0.5% of all reports in the database.

6.2% of the reports are marked serious by the reporter; 0.3% record death among the outcomes and 2.7% record hospitalisation, as reported. 62.2% of the reports came from consumers, and the largest patient age group is 45 to 64 (4.4%). 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

036Jul 2021: 6Aug 2021: 0Sep 2021: 0Oct 2021: 0Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 0May 2022: 0Jun 2022: 1Jul 2022: 6Aug 2022: 0Sep 2022: 0Oct 2022: 1Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 1Apr 2023: 0May 2023: 0Jun 2023: 0Jul 2023: 1Aug 2023: 0Sep 2023: 2Oct 2023: 0Nov 2023: 1Dec 2023: 02024Jan 2024: 0Feb 2024: 1Mar 2024: 0Apr 2024: 0May 2024: 3Jun 2024: 0Jul 2024: 0Aug 2024: 0Sep 2024: 1Oct 2024: 0Nov 2024: 0Dec 2024: 02025Jan 2025: 1Feb 2025: 0Mar 2025: 0Apr 2025: 0May 2025: 0Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 1Oct 2025: 0Nov 2025: 0Dec 2025: 02026Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 0

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

04,2958,5892004: 7520042005: 1212006: 812007: 8320072008: 1,1682009: 6,0132010: 8,58920102011: 7,6422012: 4,2762013: 3,22620132014: 6152015: 712016: 6120162017: 552018: 222019: 3720192020: 172021: 82022: 820222023: 52024: 52025: 22025

Reactions recorded in the reports

share of Niaspan reports recording the termall reports in the database

  1. Flushingsudden reddening or warmth of the skin53%17,053
  2. Pruritusitching19.3%6,210
  3. Feeling hotfeeling hot12.3%3,959
  4. Paraesthesiatingling or pins and needles10.7%3,450
  5. Erythemaskin redness9.2%2,968
  6. Skin burning sensationburning skin6.4%2,046
  7. Blood glucose increasedraised blood sugar reading4.8%1,559
  8. Dizzinesslight-headedness or unsteadiness3.9%1,244
  9. Burning sensationa burning feeling3.7%1,191
  10. Headachehead pain3.5%1,122
  11. Nauseafeeling sick3.4%1,086
  12. Hot flusha hot flush3%972
  13. Rashskin rash2.9%936
  14. Diarrhoealoose or frequent stools2.8%890
  15. Myalgiamuscle pain2.5%793
  16. Hyperhidrosisexcessive sweating2.3%725
  17. Insomniadifficulty sleeping1.9%599
  18. Fatiguetiredness1.7%540
  19. Abdominal discomfortstomach discomfort1.6%528
  20. Painpain, site not specified1.6%505
  21. Pain in extremitypain in an arm or leg1.6%505
  22. Dyspnoeashortness of breath1.5%476
  23. Muscle spasmsmuscle cramps1.5%473
  24. Urticariahives1.4%447
  25. Feeling abnormalfeeling odd or not right1.2%399
  26. Palpitationsawareness of the heartbeat1.2%391
  27. Astheniaweakness or lack of energy1.2%388
  28. Arthralgiajoint pain1.2%381

Top 30 of 856 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

Death0.3%81
Life-threatening0.2%75
Hospitalisation (initial or prolonged)2.7%860
Disability0.2%56
Congenital anomaly0%0
Other serious4.1%1,319
Not serious93.8%30,174

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%0
2 to 110%0
12 to 170%1
18 to 441%313
45 to 644.4%1,415
65 to 742.2%714
75 and over0.9%301
Age not given91.5%29,436

Patient sex

Female38.6%12,410
Male58.7%18,905
Not given2.7%865

Who reported

Physician4.3%1,398
Pharmacist0.9%301
Other health professional2.3%726
Lawyer0%12
Consumer or non-health professional62.2%20,030
Not given30.2%9,713

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 98.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Blood cholesterol increased6,78821.1%
High density lipoprotein decreased4,68414.6%
Blood triglycerides increased2,6548.2%
Low density lipoprotein increased1,9706.1%
Hyperlipidaemia1,2623.9%
Blood cholesterol7442.3%

The indication field is filled in by the reporter and is often blank; shares are of all 32,180 reports.

In context

MeasureNiaspanAll reports
Reports as suspect product32,18020,646,523
Share of that pool—0.2%
Reports, latest 12 months11,332,454
Marked serious6.2%57.4%
Death recorded among outcomes, per 1,000 reports391
Hospitalisation recorded, per 1,000 reports27213
Consumer-filed share62.2%45.8%
Top term, share of reportsFlushing 53%0.5%

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 Niaspan reports

How many adverse event reports has FDA received for Niaspan?

32,180 reports list Niaspan as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1 of them arrived in the latest 12 months. Another 5,024 list it only as a concomitant medication.

What reactions are recorded in Niaspan reports?

flushing (53%), pruritus (19.3%), feeling hot (12.3%), paraesthesia (10.7%) and erythema (9.2%). 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 Niaspan was responsible.

How serious are the reports?

6.2% are marked serious by the reporter. Among the outcomes recorded, 0.3% of reports include death and 2.7% 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 (62.2%), not given (30.2%) and physician (4.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Niaspan rising?

1 reports in the 12 months to June 2026, down 50% from 2 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 Niaspan 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 Niaspan?

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 Niaspan as a suspect or interacting product; reports listing it only as a concomitant medication (5,024) 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.