Drugs › Cholinergic nicotinic agonist
Generic name
Nicotine polacrilex: adverse event reports filed with FDA
7,798 reports list it as a suspect or interacting product, 2004–2026. Class: Cholinergic nicotinic agonist.
- 7,798
- reports as suspect product
- 0% of all reports · about 355 a year
- 392
- reports, 12 months to June 2026
- 321 in the 12 months before
- 12.9%
- marked serious by the reporter
- 22.1% across the class
- 0.3%
- record death among outcomes, as reported
- 22 reports · not verified by FDA
7,798 adverse event reports received by FDA list nicotine polacrilex, a generic name as a suspect or interacting product, from July 2004 to June 2026. A further 220 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, 392 reports listed it, up 22% from 321 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 355 reports a year and 0% of the 20,646,523 reports in the database, and 14.4% of the reports for the cholinergic nicotinic agonist 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 drug ineffective (19.4%), nausea (11.2%) and intentional drug misuse (10.9%). A report can list several reactions, so shares add to more than 100%; 404 different terms appear across these reports. Drug ineffective is recorded in 19.4% of these reports, about the same share as in the median cholinergic nicotinic agonist drug (16.1%).
12.9% of the reports are marked serious by the reporter (22.1% across the class); 0.3% record death among the outcomes and 2.7% record hospitalisation, as reported. 93% of the reports came from consumers, and the largest patient age group is 45 to 64 (24%). 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 Nicotine polacrilex reports recording the termmedian drug in cholinergic nicotinic agonist
- Drug ineffectivethe medicine did not work as expected19.4%1,510
- Nauseafeeling sick11.2%875
- Intentional drug misuse10.9%847
- Nicotine dependence10.8%846
- Macular degenerationa disease of the central retina7.1%551
- Wrong technique in product usage processthe product was used in the wrong way5.3%417
- Oral discomfort5.1%396
- Malaisegeneral feeling of being unwell5%388
- Dyspepsiaindigestion4.7%364
- Throat irritationan irritated throat4.1%316
- Drug administration errora mistake in giving the medicine3.9%304
- Hiccups3.6%280
- Headachehead pain3.5%274
- Vomitingbeing sick3.3%260
- Dizzinesslight-headedness or unsteadiness3.2%247
- Off label useused for a purpose or in a way not on the label2.7%211
- Expired product administeredthe product was used past its expiry date2.7%208
- Product quality issuea problem with the product itself2.4%185
- Abdominal discomfortstomach discomfort2.3%182
- Paraesthesia oral2.3%179
- Stomatitissore mouth2.2%170
- Diarrhoealoose or frequent stools2.1%163
- Incorrect dose administeredthe wrong dose was given1.9%146
- Dysgeusiaaltered taste1.8%143
- Painpain, site not specified1.7%136
- Abdominal pain upperupper stomach pain1.7%134
- Weight decreasedweight loss1.7%131
- Blood glucose increasedraised blood sugar reading1.6%124
- Pyrexiafever1.6%122
Top 30 of 404 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 8 drugs in the cholinergic nicotinic 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 54,214 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. 91.3% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Smoking cessation therapy | 2,696 | 34.6% |
| Ex-tobacco user | 341 | 4.4% |
| Nicotine dependence | 201 | 2.6% |
| Tobacco user | 39 | 0.5% |
| Accidental exposure to product | 35 | 0.4% |
| Drug withdrawal maintenance therapy | 11 | 0.1% |
The indication field is filled in by the reporter and is often blank; shares are of all 7,798 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Nicotine polacrilex reports |
|---|---|---|
| Nicoderm Cq | 661 | 8.5% |
| Alprazolam | 561 | 7.2% |
| Prednisone | 556 | 7.1% |
| Nadolol | 547 | 7% |
| Pregabalin | 542 | 7% |
| Clarithromycin | 541 | 6.9% |
| Valsartan | 539 | 6.9% |
| Clotrimazole | 538 | 6.9% |
| Metronidazole | 533 | 6.8% |
| Acetaminophen | 527 | 6.8% |
Other products listed in reports where Nicotine polacrilex 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 | Nicotine polacrilex | Cholinergic nicotinic agonist | All reports |
|---|---|---|---|
| Reports as suspect product | 7,798 | 54,214 | 20,646,523 |
| Share of that pool | — | 14.4% | 0% |
| Reports, latest 12 months | 392 | — | 1,332,454 |
| Marked serious | 12.9% | 22.1% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 3 | 19 | 91 |
| Hospitalisation recorded, per 1,000 reports | 27 | 60 | 213 |
| Consumer-filed share | 93% | 88% | 45.8% |
| Top term, share of reports | Drug ineffective 19.4% | median 16.1% | 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 cholinergic nicotinic agonist class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Nicoderm Cq | brand | 15,396 | 173 | 10.8% |
| Nicorette | brand | 12,495 | 121 | 18.1% |
| Nicotine | generic | 9,015 | 368 | 62.8% |
| Nicotine transdermal system patch | generic | 4,462 | 105 | 10.2% |
| Nicotrol | brand | 2,281 | 6 | 32.4% |
| Equate Nicotine | brand | 1,691 | 0 | 1.3% |
| Nicotine transdermal system | generic | 1,076 | 165 | 13.7% |
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 Nicotine polacrilex reports
How many adverse event reports has FDA received for Nicotine polacrilex?
7,798 reports list Nicotine polacrilex as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 392 of them arrived in the latest 12 months. Another 220 list it only as a concomitant medication.
What reactions are recorded in Nicotine polacrilex reports?
drug ineffective (19.4%), nausea (11.2%), intentional drug misuse (10.9%), nicotine dependence (10.8%) and macular degeneration (7.1%). 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 Nicotine polacrilex was responsible.
How serious are the reports?
12.9% 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 (93%), other health professional (5.3%) and physician (0.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Nicotine polacrilex rising?
392 reports in the 12 months to June 2026, up 22% from 321 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 Nicotine polacrilex 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 Nicotine polacrilex?
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 Nicotine polacrilex as a suspect or interacting product; reports listing it only as a concomitant medication (220) 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.