Reported Reactions

Drugs › Histamine-2 receptor antagonist

Brand name · Famotidine

Pepcid AC: adverse event reports filed with FDA

1,096 reports list it as a suspect or interacting product, 2004–2026. Class: Histamine-2 receptor antagonist.

1,096
reports as suspect product
0% of all reports · about 49 a year
77
reports, 12 months to June 2026
56 in the 12 months before
15.1%
marked serious by the reporter
96.3% across the class
0.5%
record death among outcomes, as reported
6 reports · not verified by FDA

Between February 2004 and June 2026, 1,096 adverse event reports received by FDA list the brand name Pepcid AC (famotidine) as a suspect or interacting product. Reports that mention it only as a concomitant medication (4,471) are left out of every figure here.

In the 12 months to June 2026, 77 reports listed it, up 38% from 56 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 49 reports a year and 0% of the 20,646,523 reports in the database, and 0.4% 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.

Reporters most often recorded drug ineffective (19.1%), product use in unapproved indication (11.5%) and off label use (7.3%). A report can list several reactions, so shares add to more than 100%; 202 different terms appear across these reports. Drug ineffective is recorded in 19.1% of these reports, about the same share as in the median histamine-2 receptor antagonist drug (15.3%).

15.1% of the reports are marked serious by the reporter (96.3% across the class); 0.5% record death among the outcomes and 3.8% record hospitalisation, as reported. 92.8% of the reports came from consumers, and the largest patient age group is 75 and over (12%). 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

01326Jul 2021: 4Aug 2021: 8Sep 2021: 15Oct 2021: 8Nov 2021: 12Dec 2021: 62022Jan 2022: 13Feb 2022: 7Mar 2022: 7Apr 2022: 5May 2022: 14Jun 2022: 5Jul 2022: 7Aug 2022: 7Sep 2022: 8Oct 2022: 6Nov 2022: 1Dec 2022: 52023Jan 2023: 4Feb 2023: 8Mar 2023: 3Apr 2023: 5May 2023: 7Jun 2023: 6Jul 2023: 6Aug 2023: 23Sep 2023: 7Oct 2023: 7Nov 2023: 11Dec 2023: 72024Jan 2024: 8Feb 2024: 8Mar 2024: 5Apr 2024: 6May 2024: 8Jun 2024: 5Jul 2024: 2Aug 2024: 6Sep 2024: 4Oct 2024: 3Nov 2024: 2Dec 2024: 02025Jan 2025: 9Feb 2025: 5Mar 2025: 8Apr 2025: 6May 2025: 9Jun 2025: 2Jul 2025: 7Aug 2025: 6Sep 2025: 3Oct 2025: 12Nov 2025: 3Dec 2025: 22026Jan 2026: 4Feb 2026: 1Mar 2026: 5Apr 2026: 5May 2026: 26Jun 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

0621232004: 1420042005: 122006: 112007: 1820072008: 112009: 222010: 1620102011: 242012: 122013: 320132014: 42015: 1062016: 8420162017: 692018: 322019: 7020192020: 1232021: 1132022: 8520222023: 942024: 572025: 7220252026: 44

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Pepcid AC reports recording the termmedian drug in histamine-2 receptor antagonist

  1. Drug ineffectivethe medicine did not work as expected19.1%209
  2. Product use in unapproved indicationused for a purpose not on the label11.5%126
  3. Off label useused for a purpose or in a way not on the label7.3%80
  4. Dizzinesslight-headedness or unsteadiness5%55
  5. Wrong technique in product usage processthe product was used in the wrong way4.8%53
  6. Overdosea dose above the recommended amount3.8%42
  7. Product use issuea problem in how the product was used3.6%39
  8. Incorrect dose administeredthe wrong dose was given3.3%36
  9. Diarrhoealoose or frequent stools3.1%34
  10. Headachehead pain3.1%34
  11. Dyspepsiaindigestion2.9%32
  12. Nauseafeeling sick2.9%32
  13. Exposure during pregnancythe medicine was taken during pregnancy2.8%31
  14. Abdominal discomfortstomach discomfort1.9%21
  15. Abdominal pain upperupper stomach pain1.9%21
  16. Expired product administeredthe product was used past its expiry date1.6%18
  17. Chest painchest pain1.6%17
  18. Dyspnoeashortness of breath1.5%16
  19. Vomitingbeing sick1.4%15
  20. Insomniadifficulty sleeping1.3%14
  21. Palpitationsawareness of the heartbeat1.1%12
  22. Drug interactionan interaction between medicines1%11
  23. Hypersensitivityan allergic-type reaction1%11
  24. Anxietyanxiety0.9%10

Top 30 of 202 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

Death0.5%6
Life-threatening0.5%5
Hospitalisation (initial or prolonged)3.8%42
Disability0.3%3
Congenital anomaly0.1%1
Other serious11.5%126
Not serious84.9%930

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 20.1%1
2 to 111.2%13
12 to 170.5%5
18 to 446.5%71
45 to 6411%121
65 to 749.6%105
75 and over12%131
Age not given59.2%649

Patient sex

Female58.9%645
Male22.1%242
Not given19.1%209

Who reported

Physician2.4%26
Pharmacist0.5%5
Other health professional2.6%28
Lawyer0.1%1
Consumer or non-health professional92.8%1,017
Not given1.7%19

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 96.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Dyspepsia18416.8%
Gastrooesophageal reflux disease14012.8%
Antacid therapy171.6%
Gastric disorder151.4%
Abdominal pain upper111%
Abdominal discomfort100.9%

The indication field is filled in by the reporter and is often blank; shares are of all 1,096 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Pepcid AC reports
Prilosec222%
Benadryl211.9%
Lisinopril211.9%
Aspirin191.7%
Omeprazole151.4%
Zyrtec151.4%
Levothyroxine141.3%
Lipitor141.3%
Vitamin d131.2%
Tylenol121.1%

Other products listed in reports where Pepcid AC 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

MeasurePepcid ACHistamine-2 receptor antagonistAll reports
Reports as suspect product1,096270,92820,646,523
Share of that pool—0.4%0%
Reports, latest 12 months77—1,332,454
Marked serious15.1%96.3%57.4%
Death recorded among outcomes, per 1,000 reports57191
Hospitalisation recorded, per 1,000 reports3836213
Consumer-filed share92.8%42.4%45.8%
Top term, share of reportsDrug ineffective 19.1%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 Ac Maximum Strengthbrand643283.6%

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 reports

How many adverse event reports has FDA received for Pepcid AC?

1,096 reports list Pepcid AC as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 77 of them arrived in the latest 12 months. Another 4,471 list it only as a concomitant medication.

What reactions are recorded in Pepcid AC reports?

drug ineffective (19.1%), product use in unapproved indication (11.5%), off label use (7.3%), therapeutic response unexpected (5.7%) and dizziness (5%). 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 was responsible.

How serious are the reports?

15.1% are marked serious by the reporter. Among the outcomes recorded, 0.5% of reports include death and 3.8% 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 (92.8%), other health professional (2.6%) and physician (2.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Pepcid AC rising?

77 reports in the 12 months to June 2026, up 38% from 56 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 Pepcid AC 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?

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 as a suspect or interacting product; reports listing it only as a concomitant medication (4,471) 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.