Reported Reactions

Drugs › Central nervous system stimulant

Brand name · Acetaminophen

Panadol: adverse event reports filed with FDA

712 reports list it as a suspect or interacting product, 2004–2026. Class: Central nervous system stimulant. Also reported as Panadol Tablets, Panadol /00020001/.

712
reports as suspect product
0% of all reports · about 32 a year
44
reports, 12 months to June 2026
231 in the 12 months before
98%
marked serious by the reporter
45% across the class
38.1%
record death among outcomes, as reported
271 reports · not verified by FDA

712 adverse event reports received by FDA list the brand name Panadol (acetaminophen) as a suspect or interacting product, from August 2004 to June 2026. A further 2,718 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, 44 reports listed it, down 81% from 231 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 32 reports a year and 0% of the 20,646,523 reports in the database, and 0.6% of the reports for the central nervous system stimulant 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 off label use (26.7%), confusional state (24.4%) and fatigue (22.3%). A report can list several reactions, so shares add to more than 100%; 488 different terms appear across these reports. Off label use is recorded in 26.7% of these reports, a larger share than in the median central nervous system stimulant drug (3.1%).

98% of the reports are marked serious by the reporter (45% across the class); 38.1% record death among the outcomes and 56.6% record hospitalisation, as reported. 54.2% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (36.7%). 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

02651Jul 2021: 9Aug 2021: 1Sep 2021: 1Oct 2021: 3Nov 2021: 0Dec 2021: 02022Jan 2022: 1Feb 2022: 0Mar 2022: 2Apr 2022: 5May 2022: 3Jun 2022: 1Jul 2022: 2Aug 2022: 2Sep 2022: 1Oct 2022: 3Nov 2022: 3Dec 2022: 22023Jan 2023: 4Feb 2023: 2Mar 2023: 5Apr 2023: 3May 2023: 1Jun 2023: 1Jul 2023: 2Aug 2023: 5Sep 2023: 9Oct 2023: 5Nov 2023: 2Dec 2023: 62024Jan 2024: 3Feb 2024: 4Mar 2024: 14Apr 2024: 15May 2024: 46Jun 2024: 40Jul 2024: 51Aug 2024: 16Sep 2024: 25Oct 2024: 20Nov 2024: 31Dec 2024: 152025Jan 2025: 22Feb 2025: 7Mar 2025: 8Apr 2025: 29May 2025: 2Jun 2025: 5Jul 2025: 1Aug 2025: 4Sep 2025: 7Oct 2025: 3Nov 2025: 4Dec 2025: 02026Jan 2026: 4Feb 2026: 10Mar 2026: 2Apr 2026: 2May 2026: 4Jun 2026: 3

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

01402802004: 120042006: 82007: 202008: 420082009: 12010: 72011: 520112012: 72013: 102014: 1520142015: 82016: 152017: 1820172018: 252019: 272020: 4420202021: 302022: 252023: 4520232024: 2802025: 922026: 252026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Panadol reports recording the termmedian drug in central nervous system stimulant

  1. Off label useused for a purpose or in a way not on the label26.7%190
  2. Confusional stateconfusion24.4%174
  3. Fatiguetiredness22.3%159
  4. Nauseafeeling sick22.3%159
  5. Painpain, site not specified22.3%159
  6. Systemic lupus erythematosuslupus, an autoimmune disease22.1%157
  7. Rashskin rash21.9%156
  8. Hypertensionhigh blood pressure21.3%152
  9. General physical health deteriorationgeneral decline in health21.2%151
  10. Hypersensitivityan allergic-type reaction20.9%149
  11. Headachehead pain20.8%148
  12. Drug ineffectivethe medicine did not work as expected20.2%144
  13. Infusion related reactiona reaction during or soon after an infusion19.7%140
  14. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease19.7%140
  15. Condition aggravatedthe condition being treated got worse19.5%139
  16. Joint swellinga swollen joint19.2%137
  17. Swellingswelling19.1%136
  18. Hepatic enzyme increasedraised liver enzymes18.1%129
  19. Wound18.1%129
  20. Abdominal discomfortstomach discomfort17.8%127
  21. Pericarditisinflammation of the sac around the heart17.7%126
  22. Synovitis17.7%126
  23. Pyrexiafever17.6%125
  24. Impaired healingslow healing17.4%124
  25. Pemphigus17.3%123
  26. Glossodynia17.1%122
  27. Vomitingbeing sick16.9%120

Top 30 of 488 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 26 drugs in the central nervous system stimulant 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

Death38.1%271
Life-threatening35.3%251
Hospitalisation (initial or prolonged)56.6%403
Disability33.6%239
Congenital anomaly14.6%104
Other serious85.1%606
Not serious2%14

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 109,804 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 21.3%9
2 to 112.8%20
12 to 172.1%15
18 to 4436.7%261
45 to 6420.1%143
65 to 745.1%36
75 and over10.4%74
Age not given21.6%154

Patient sex

Female72.1%513
Male20.9%149
Not given7%50

Who reported

Physician21.9%156
Pharmacist1.5%11
Other health professional54.2%386
Lawyer0%0
Consumer or non-health professional21.6%154
Not given0.7%5

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 3.1% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Rheumatoid arthritis13018.3%
Pain588.1%
Ill-defined disorder192.7%
Pyrexia172.4%
Migraine162.2%
Headache40.6%

The indication field is filled in by the reporter and is often blank; shares are of all 712 reports.

In context

MeasurePanadolCentral nervous system stimulantAll reports
Reports as suspect product712109,80420,646,523
Share of that pool—0.6%0%
Reports, latest 12 months44—1,332,454
Marked serious98%45%57.4%
Death recorded among outcomes, per 1,000 reports3817991
Hospitalisation recorded, per 1,000 reports566129213
Consumer-filed share21.6%57.1%45.8%
Top term, share of reportsOff label use 26.7%median 3.1%4.1%

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 nervous system stimulant class

DrugName typeReportsLatest 12 monthsMarked serious
Vyvansebrand17,54662725.7%
Daytranabrand13,703545.6%
Concertabrand10,83428165.2%
Adderallbrand10,07462238%
Methylphenidategeneric6,48373874.2%
Ritalinbrand6,14717575.2%
Methylphenidate hydrochloridegeneric5,91670357.7%
Excedrinbrand5,5304727.5%
Excedrin Migrainebrand4,6629712.1%
Amphetaminegeneric4,38848696.1%
Lisdexamfetamine dimesylategeneric4,30071373.1%
Caffeinegeneric3,72134892.8%
Excedrin Extra Strengthbrand3,2425330.1%
Quillivantbrand2,0109211.1%
Focalinbrand1,8328039.1%

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 Panadol reports

How many adverse event reports has FDA received for Panadol?

712 reports list Panadol as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 44 of them arrived in the latest 12 months. Another 2,718 list it only as a concomitant medication.

What reactions are recorded in Panadol reports?

off label use (26.7%), confusional state (24.4%), fatigue (22.3%), nausea (22.3%) and pain (22.3%). 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 Panadol was responsible.

How serious are the reports?

98% are marked serious by the reporter. Among the outcomes recorded, 38.1% of reports include death and 56.6% 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?

other health professional (54.2%), physician (21.9%) and consumer or non-health professional (21.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Panadol rising?

44 reports in the 12 months to June 2026, down 81% from 231 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 Panadol 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 Panadol?

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 Panadol as a suspect or interacting product; reports listing it only as a concomitant medication (2,718) 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.