Reported Reactions

Drugs › Proton pump inhibitor

Generic name

Pantoprazole sodium: adverse event reports filed with FDA

44,098 reports list it as a suspect or interacting product, 2004–2026. Class: Proton pump inhibitor. Also reported as Pantoprazole Sodium Delayed-Release Tablets 40mg, Pantoprazole Sodium Delayed Release, Pantoprazole Sodium Delayed-Release Tablets.

44,098
reports as suspect product
0.2% of all reports · about 1,960 a year
1,629
reports, 12 months to June 2026
1,727 in the 12 months before
90.9%
marked serious by the reporter
86.4% across the class
13.5%
record death among outcomes, as reported
5,973 reports · not verified by FDA

44,098 adverse event reports received by FDA list pantoprazole sodium, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 103,256 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, 1,629 reports listed it, close to the 1,727 of 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 1,960 reports a year and 0.2% of the 20,646,523 reports in the database, and 9.1% of the reports for the proton pump inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded chronic kidney disease (54.4%), acute kidney injury (28.3%) and renal failure (21.2%). A report can list several reactions, so shares add to more than 100%; 2,332 different terms appear across these reports. Chronic kidney disease is recorded in 54.4% of these reports, a larger share than in the median proton pump inhibitor drug (31.6%).

90.9% of the reports are marked serious by the reporter (86.4% across the class); 13.5% record death among the outcomes and 17.4% record hospitalisation, as reported. 32.1% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (20.6%). 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

0127254Jul 2021: 254Aug 2021: 229Sep 2021: 178Oct 2021: 160Nov 2021: 200Dec 2021: 2172022Jan 2022: 118Feb 2022: 245Mar 2022: 234Apr 2022: 130May 2022: 132Jun 2022: 126Jul 2022: 119Aug 2022: 136Sep 2022: 162Oct 2022: 132Nov 2022: 117Dec 2022: 1922023Jan 2023: 112Feb 2023: 143Mar 2023: 138Apr 2023: 101May 2023: 98Jun 2023: 102Jul 2023: 66Aug 2023: 163Sep 2023: 112Oct 2023: 144Nov 2023: 141Dec 2023: 1012024Jan 2024: 137Feb 2024: 153Mar 2024: 104Apr 2024: 168May 2024: 160Jun 2024: 123Jul 2024: 159Aug 2024: 119Sep 2024: 172Oct 2024: 179Nov 2024: 162Dec 2024: 1482025Jan 2025: 128Feb 2025: 159Mar 2025: 171Apr 2025: 96May 2025: 99Jun 2025: 135Jul 2025: 209Aug 2025: 126Sep 2025: 143Oct 2025: 116Nov 2025: 137Dec 2025: 1642026Jan 2026: 140Feb 2026: 126Mar 2026: 115Apr 2026: 127May 2026: 86Jun 2026: 140

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

06,79613,5912004: 12020042005: 2202006: 2772007: 18820072008: 2932009: 2282010: 68720102011: 4702012: 8432013: 59220132014: 5242015: 4782016: 54120162017: 7172018: 13,5912019: 11,71420192020: 2,5922021: 2,5582022: 1,84320222023: 1,4212024: 1,7842025: 1,68320252026: 734

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Pantoprazole sodium reports recording the termmedian drug in proton pump inhibitor

  1. Chronic kidney diseaselong-term kidney disease54.4%23,999
  2. Acute kidney injurysudden loss of kidney function28.3%12,488
  3. Renal failurekidney failure21.2%9,343
  4. End stage renal diseasekidney failure needing dialysis or transplant16.8%7,428
  5. Renal injury13.6%6,017
  6. Drug ineffectivethe medicine did not work as expected5.4%2,398
  7. Painpain, site not specified5.1%2,234
  8. Off label useused for a purpose or in a way not on the label4.6%2,024
  9. Deaththe patient died; cause not stated by this term4.4%1,926
  10. Fatiguetiredness3.7%1,617
  11. Nephrogenic anaemia3.5%1,548
  12. Dyspnoeashortness of breath3.3%1,450
  13. Headachehead pain3.3%1,437
  14. Diarrhoealoose or frequent stools3.1%1,361
  15. Hypertensionhigh blood pressure3%1,321
  16. Rebound acid hypersecretion3%1,305
  17. Drug hypersensitivityan allergic-type reaction to a medicine3%1,302
  18. Asthmaasthma2.9%1,298
  19. Condition aggravatedthe condition being treated got worse2.9%1,274
  20. Nauseafeeling sick2.8%1,224
  21. Pyrexiafever2.7%1,194
  22. Rashskin rash2.7%1,191
  23. Malaisegeneral feeling of being unwell2.6%1,149
  24. Vomitingbeing sick2.6%1,130
  25. Arthralgiajoint pain2.5%1,118
  26. Renal impairmentreduced kidney function2.4%1,075
  27. Wheezingwheezing2.3%1,033

Top 30 of 2,332 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 22 drugs in the proton pump inhibitor 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

Death13.5%5,973
Life-threatening4.8%2,131
Hospitalisation (initial or prolonged)17.4%7,685
Disability4.7%2,087
Congenital anomaly1.5%641
Other serious84.4%37,227
Not serious9.1%4,009

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 484,090 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%21
2 to 110.2%70
12 to 170.2%88
18 to 448.6%3,803
45 to 6420.6%9,102
65 to 749.1%4,012
75 and over6.2%2,750
Age not given55%24,252

Patient sex

Female40.4%17,798
Male24.6%10,839
Not given35.1%15,461

Who reported

Physician8.1%3,575
Pharmacist2.1%940
Other health professional16.1%7,116
Lawyer32.1%14,144
Consumer or non-health professional21.5%9,473
Not given20.1%8,850

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 79.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Gastrooesophageal reflux disease10,79424.5%
Dyspepsia7991.8%
Gastrointestinal disorder4591%
Prophylaxis1850.4%
Rheumatoid arthritis1760.4%
Prophylaxis against gastrointestinal ulcer1690.4%

The indication field is filled in by the reporter and is often blank; shares are of all 44,098 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Pantoprazole sodium reports
Nexium26,23859.5%
Prilosec25,05156.8%
Prevacid24,05254.5%
Nexium 24HR17,74340.2%
Dexilant17,32539.3%
Prevacid 24 HR14,64033.2%
Prilosec OTC13,21830%
Omeprazole9,36221.2%
Pantoprazole7,31116.6%
Aciphex5,14511.7%

Other products listed in reports where Pantoprazole sodium 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

MeasurePantoprazole sodiumProton pump inhibitorAll reports
Reports as suspect product44,098484,09020,646,523
Share of that pool—9.1%0.2%
Reports, latest 12 months1,629—1,332,454
Marked serious90.9%86.4%57.4%
Death recorded among outcomes, per 1,000 reports13510591
Hospitalisation recorded, per 1,000 reports174199213
Consumer-filed share21.5%26.2%45.8%
Top term, share of reportsChronic kidney disease 54.4%median 31.6%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 proton pump inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Nexiumbrand85,36757668.6%
Omeprazolegeneric61,1762,50689.4%
Pantoprazolegeneric44,9802,71095.2%
Prilosecbrand42,34311588.3%
Prevacidbrand40,15127395.8%
Nexium 24HRbrand27,75330085.1%
Lansoprazolegeneric26,5701,74994.8%
Prilosec OTCbrand24,54911978.4%
Dexilantbrand23,62123391.5%
Prevacid 24 HRbrand20,1361392.6%
Esomeprazolegeneric17,1931,29396.8%
Aciphexbrand7,246392.1%
Esomeprazole magnesiumgeneric5,01436882.5%
Omeprazole magnesiumgeneric4,12017574.9%
Rabeprazolegeneric2,69318090.8%

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 Pantoprazole sodium reports

How many adverse event reports has FDA received for Pantoprazole sodium?

44,098 reports list Pantoprazole sodium as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,629 of them arrived in the latest 12 months. Another 103,256 list it only as a concomitant medication.

What reactions are recorded in Pantoprazole sodium reports?

chronic kidney disease (54.4%), acute kidney injury (28.3%), renal failure (21.2%), end stage renal disease (16.8%) and renal injury (13.6%). 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 Pantoprazole sodium was responsible.

How serious are the reports?

90.9% are marked serious by the reporter. Among the outcomes recorded, 13.5% of reports include death and 17.4% 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?

lawyer (32.1%), consumer or non-health professional (21.5%) and not given (20.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Pantoprazole sodium rising?

1,629 reports in the 12 months to June 2026, close to the 1,727 of 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 Pantoprazole sodium 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 Pantoprazole sodium?

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 Pantoprazole sodium as a suspect or interacting product; reports listing it only as a concomitant medication (103,256) 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.