Reported Reactions

Drugs › Histamine-2 receptor antagonist

Brand name · Famotidine

Pepcid Ac Maximum Strength: adverse event reports filed with FDA

643 reports list it as a suspect or interacting product, 2015–2026. Class: Histamine-2 receptor antagonist.

643
reports as suspect product
0% of all reports · about 58 a year
28
reports, 12 months to June 2026
28 in the 12 months before
3.6%
marked serious by the reporter
96.3% across the class
0.6%
record death among outcomes, as reported
4 reports · not verified by FDA

643 adverse event reports received by FDA list the brand name Pepcid Ac Maximum Strength (famotidine) as a suspect or interacting product, from July 2015 to June 2026. A further 29 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, 28 reports listed it, close to the 28 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 58 reports a year and 0% of the 20,646,523 reports in the database, and 0.2% of the reports for the histamine-2 receptor antagonist class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are drug ineffective (19.8%), product use in unapproved indication (12.9%) and off label use (11.8%). A report can list several reactions, so shares add to more than 100%; 108 different terms appear across these reports. Drug ineffective is recorded in 19.8% of these reports, a larger share than in the median histamine-2 receptor antagonist drug (15.3%).

3.6% of the reports are marked serious by the reporter (96.3% across the class); 0.6% record death among the outcomes and 0.9% record hospitalisation, as reported. 98.1% of the reports came from consumers, and the largest patient age group is 75 and over (13.2%). 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

01937Jul 2021: 0Aug 2021: 10Sep 2021: 2Oct 2021: 2Nov 2021: 2Dec 2021: 32022Jan 2022: 2Feb 2022: 3Mar 2022: 5Apr 2022: 1May 2022: 4Jun 2022: 4Jul 2022: 1Aug 2022: 2Sep 2022: 1Oct 2022: 2Nov 2022: 1Dec 2022: 02023Jan 2023: 3Feb 2023: 7Mar 2023: 2Apr 2023: 6May 2023: 4Jun 2023: 1Jul 2023: 7Aug 2023: 37Sep 2023: 2Oct 2023: 2Nov 2023: 2Dec 2023: 22024Jan 2024: 3Feb 2024: 4Mar 2024: 1Apr 2024: 2May 2024: 10Jun 2024: 6Jul 2024: 3Aug 2024: 3Sep 2024: 4Oct 2024: 2Nov 2024: 1Dec 2024: 52025Jan 2025: 0Feb 2025: 2Mar 2025: 0Apr 2025: 3May 2025: 3Jun 2025: 2Jul 2025: 2Aug 2025: 3Sep 2025: 3Oct 2025: 4Nov 2025: 1Dec 2025: 02026Jan 2026: 2Feb 2026: 3Mar 2026: 2Apr 2026: 3May 2026: 4Jun 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

0611222015: 12220152016: 982017: 7020172018: 722019: 3420192020: 312021: 3320212022: 262023: 7520232024: 442025: 2320252026: 15

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Pepcid Ac Maximum Strength reports recording the termmedian drug in histamine-2 receptor antagonist

  1. Drug ineffectivethe medicine did not work as expected19.8%127
  2. Product use in unapproved indicationused for a purpose not on the label12.9%83
  3. Off label useused for a purpose or in a way not on the label11.8%76
  4. Incorrect dose administeredthe wrong dose was given5.6%36
  5. Product use issuea problem in how the product was used5.3%34
  6. Diarrhoealoose or frequent stools4.5%29
  7. Dizzinesslight-headedness or unsteadiness3.7%24
  8. Abdominal pain upperupper stomach pain3.3%21
  9. Wrong technique in product usage processthe product was used in the wrong way3.3%21
  10. Exposure during pregnancythe medicine was taken during pregnancy3.1%20
  11. Dyspepsiaindigestion2.3%15
  12. Abdominal discomfortstomach discomfort1.9%12
  13. Nauseafeeling sick1.7%11
  14. Overdosea dose above the recommended amount1.7%11
  15. Headachehead pain1.6%10
  16. Inappropriate schedule of drug administrationthe medicine was taken at the wrong times1.6%10
  17. Product label issuea problem with the label1.6%10
  18. Rashskin rash1.4%9
  19. Fatiguetiredness1.2%8
  20. Intentional product use issuedeliberate use not as intended1.2%8
  21. Product packaging issuea problem with the packaging1.1%7
  22. Anxietyanxiety0.9%6
  23. Insomniadifficulty sleeping0.9%6

Top 30 of 108 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 histamine-2 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

Death0.6%4
Life-threatening0%0
Hospitalisation (initial or prolonged)0.9%6
Disability0.2%1
Congenital anomaly0%0
Other serious2.3%15
Not serious96.4%620

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 270,928 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 20.2%1
2 to 110.9%6
12 to 170.5%3
18 to 445%32
45 to 649.2%59
65 to 7411.4%73
75 and over13.2%85
Age not given59.7%384

Patient sex

Female59.7%384
Male20.8%134
Not given19.4%125

Who reported

Physician0.3%2
Pharmacist0%0
Other health professional1.4%9
Lawyer0%0
Consumer or non-health professional98.1%631
Not given0.2%1

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Dyspepsia12519.4%
Gastrooesophageal reflux disease8112.6%
Hyperchlorhydria81.2%
Gastric disorder71.1%
Abdominal discomfort60.9%
Gastritis60.9%

The indication field is filled in by the reporter and is often blank; shares are of all 643 reports.

In context

MeasurePepcid Ac Maximum StrengthHistamine-2 receptor antagonistAll reports
Reports as suspect product643270,92820,646,523
Share of that pool—0.2%0%
Reports, latest 12 months28—1,332,454
Marked serious3.6%96.3%57.4%
Death recorded among outcomes, per 1,000 reports67191
Hospitalisation recorded, per 1,000 reports936213
Consumer-filed share98.1%42.4%45.8%
Top term, share of reportsDrug ineffective 19.8%median 15.3%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 histamine-2 receptor antagonist class

DrugName typeReportsLatest 12 monthsMarked serious
Ranitidinegeneric195,20426999.1%
Ranitidine hydrochloridegeneric63,04746397.4%
Famotidinegeneric6,00968764.6%
Pepcidbrand2,58912242.7%
Pepcid Completebrand1,219808.1%
Cimetidinegeneric1,1214084.5%
Pepcid ACbrand1,0967715.1%

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 Pepcid Ac Maximum Strength reports

How many adverse event reports has FDA received for Pepcid Ac Maximum Strength?

643 reports list Pepcid Ac Maximum Strength as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 28 of them arrived in the latest 12 months. Another 29 list it only as a concomitant medication.

What reactions are recorded in Pepcid Ac Maximum Strength reports?

drug ineffective (19.8%), product use in unapproved indication (12.9%), off label use (11.8%), therapeutic response unexpected (9.5%) and incorrect dose administered (5.6%). 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 Pepcid Ac Maximum Strength was responsible.

How serious are the reports?

3.6% are marked serious by the reporter. Among the outcomes recorded, 0.6% of reports include death and 0.9% 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 (98.1%), other health professional (1.4%) and physician (0.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Pepcid Ac Maximum Strength rising?

28 reports in the 12 months to June 2026, close to the 28 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 Pepcid Ac Maximum Strength 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 Pepcid Ac Maximum Strength?

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 Pepcid Ac Maximum Strength as a suspect or interacting product; reports listing it only as a concomitant medication (29) 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.