Reported Reactions

Drugs › Gonadotropin releasing hormone receptor antagonist

Brand name · Elagolix

Orilissa: adverse event reports filed with FDA

3,198 reports list it as a suspect or interacting product, 2018–2026. Class: Gonadotropin releasing hormone receptor antagonist.

3,198
reports as suspect product
0% of all reports · about 413 a year
29
reports, 12 months to June 2026
45 in the 12 months before
32.4%
marked serious by the reporter
23.4% across the class
0.1%
record death among outcomes, as reported
2 reports · not verified by FDA

Between October 2018 and June 2026, 3,198 adverse event reports received by FDA list the brand name Orilissa (elagolix) 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, 29 reports listed it, down 36% from 45 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 413 reports a year and 0% of the 20,646,523 reports in the database, and 11.4% of the reports for the gonadotropin releasing hormone receptor antagonist class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded hot flush (14.5%), pain (13%) and nausea (9.5%). A report can list several reactions, so shares add to more than 100%; 397 different terms appear across these reports. Hot flush is recorded in 14.5% of these reports, a larger share than in the median gonadotropin releasing hormone receptor antagonist drug (9.5%).

32.4% of the reports are marked serious by the reporter (23.4% across the class); 0.1% record death among the outcomes and 5.2% record hospitalisation, as reported. 71.3% of the reports came from consumers, and the largest patient age group is 18 to 44 (24.7%). 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

094188Jul 2021: 104Aug 2021: 19Sep 2021: 14Oct 2021: 18Nov 2021: 14Dec 2021: 82022Jan 2022: 16Feb 2022: 9Mar 2022: 15Apr 2022: 5May 2022: 9Jun 2022: 22Jul 2022: 188Aug 2022: 17Sep 2022: 22Oct 2022: 74Nov 2022: 170Dec 2022: 752023Jan 2023: 57Feb 2023: 9Mar 2023: 11Apr 2023: 19May 2023: 8Jun 2023: 7Jul 2023: 9Aug 2023: 8Sep 2023: 12Oct 2023: 12Nov 2023: 11Dec 2023: 82024Jan 2024: 4Feb 2024: 11Mar 2024: 9Apr 2024: 7May 2024: 9Jun 2024: 5Jul 2024: 8Aug 2024: 1Sep 2024: 8Oct 2024: 4Nov 2024: 1Dec 2024: 32025Jan 2025: 5Feb 2025: 3Mar 2025: 3Apr 2025: 2May 2025: 5Jun 2025: 2Jul 2025: 3Aug 2025: 6Sep 2025: 2Oct 2025: 2Nov 2025: 5Dec 2025: 22026Jan 2026: 1Feb 2026: 1Mar 2026: 2Apr 2026: 2May 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

04809592018: 4520182019: 84920192020: 95920202021: 43320212022: 62220222023: 17120232024: 7020242025: 4020252026: 92026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Orilissa reports recording the termmedian drug in gonadotropin releasing hormone receptor antagonist

  1. Hot flusha hot flush14.5%463
  2. Painpain, site not specified13%415
  3. Nauseafeeling sick9.5%305
  4. Endometriosisendometriosis8.9%286
  5. Headachehead pain8%256
  6. Drug ineffectivethe medicine did not work as expected7%224
  7. Depressionlow mood6%193
  8. Arthralgiajoint pain5.9%188
  9. Anxietyanxiety4.6%146
  10. Insomniadifficulty sleeping4.5%143
  11. Adverse drug reactiona harmful or unpleasant reaction reported to a medicine4.3%138
  12. Suicidal ideationthoughts of suicide4.3%137
  13. Surgeryan operation4%129
  14. Fatiguetiredness4%127
  15. Mood swingsmood swings3.5%111
  16. Night sweatssweating at night3.2%103
  17. Migrainemigraine3.1%100
  18. Amenorrhoeaperiods stopped2.8%91
  19. Dizzinesslight-headedness or unsteadiness2.8%90
  20. Feeling abnormalfeeling odd or not right2.6%83
  21. Maternal exposure during pregnancythe mother took the medicine during pregnancy2.6%82
  22. Abdominal painstomach or belly pain2.5%81
  23. Alopeciahair loss2.5%80
  24. Vomitingbeing sick2.5%79
  25. Muscle spasmsmuscle cramps2.3%73
  26. Weight increasedweight gain2.2%71
  27. Back painback pain2.1%66

Top 30 of 397 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 4 drugs in the gonadotropin releasing hormone receptor antagonist 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

Death0.1%2
Life-threatening0.7%22
Hospitalisation (initial or prolonged)5.2%166
Disability0.6%18
Congenital anomaly0.1%3
Other serious27.9%893
Not serious67.6%2,162

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 28,126 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%4
2 to 110%0
12 to 170.3%11
18 to 4424.7%790
45 to 642.2%69
65 to 740%0
75 and over0%0
Age not given72.7%2,324

Patient sex

Female91.4%2,922
Male0.3%8
Not given8.4%268

Who reported

Physician20.6%658
Pharmacist1.2%39
Other health professional6.7%214
Lawyer0%0
Consumer or non-health professional71.3%2,281
Not given0.2%6

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 97.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Endometriosis1,69252.9%
Uterine leiomyoma150.5%
Pelvic pain110.3%
Maternal exposure timing unspecified70.2%
Dysmenorrhoea60.2%
Heavy menstrual bleeding40.1%

The indication field is filled in by the reporter and is often blank; shares are of all 3,198 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Orilissa reports
Lupron822.6%
Lupron Depot662.1%
Pfizer-Biontech Covid-19 Vaccine451.4%
Moderna covid-19 vaccine441.4%
Ibuprofen270.8%
Mirena260.8%
Vitamin d240.8%
Gabapentin210.7%
Oriahnn210.7%
Calcium170.5%

Other products listed in reports where Orilissa 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

MeasureOrilissaGonadotropin releasing hormone receptor antagonistAll reports
Reports as suspect product3,19828,12620,646,523
Share of that pool—11.4%0%
Reports, latest 12 months29—1,332,454
Marked serious32.4%23.4%57.4%
Death recorded among outcomes, per 1,000 reports13891
Hospitalisation recorded, per 1,000 reports5280213
Consumer-filed share71.3%86.1%45.8%
Top term, share of reportsHot flush 14.5%median 9.5%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 gonadotropin releasing hormone receptor antagonist class

DrugName typeReportsLatest 12 monthsMarked serious
Orgovyxbrand22,3295,60222.5%
Myfembreebrand1,48111810.5%
Ganirelix acetategeneric1,1183032.4%

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 Orilissa reports

How many adverse event reports has FDA received for Orilissa?

3,198 reports list Orilissa as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 29 of them arrived in the latest 12 months. Another 104 list it only as a concomitant medication.

What reactions are recorded in Orilissa reports?

hot flush (14.5%), pain (13%), nausea (9.5%), endometriosis (8.9%) and headache (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 Orilissa was responsible.

How serious are the reports?

32.4% are marked serious by the reporter. Among the outcomes recorded, 0.1% of reports include death and 5.2% 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 (71.3%), physician (20.6%) and other health professional (6.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Orilissa rising?

29 reports in the 12 months to June 2026, down 36% from 45 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 Orilissa 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 Orilissa?

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 Orilissa 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.