Brand name · Omeprazole magnesium
Prilosec OTC: adverse event reports filed with FDA
24,549 reports list it as a suspect or interacting product, 2004–2026. Class: Proton pump inhibitor. Also reported as Prilosec Otc Tab.
- 24,549
- reports as suspect product
- 0.1% of all reports · about 1,104 a year
- 119
- reports, 12 months to June 2026
- 73 in the 12 months before
- 78.4%
- marked serious by the reporter
- 86.4% across the class
- 8.6%
- record death among outcomes, as reported
- 2,100 reports · not verified by FDA
Between April 2004 and June 2026, 24,549 adverse event reports received by FDA list the brand name Prilosec OTC (omeprazole magnesium) as a suspect or interacting product. Reports that mention it only as a concomitant medication (1,711) are left out of every figure here.
In the 12 months to June 2026, 119 reports listed it, up 63% from 73 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 1,104 reports a year and 0.1% of the 20,646,523 reports in the database, and 5.1% 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.
The MedDRA terms listed most often are chronic kidney disease (66.4%), acute kidney injury (34.6%) and renal failure (28.9%). A report can list several reactions, so shares add to more than 100%; 973 different terms appear across these reports. Chronic kidney disease is recorded in 66.4% of these reports, a larger share than in the median proton pump inhibitor drug (31.6%).
78.4% of the reports are marked serious by the reporter (86.4% across the class); 8.6% record death among the outcomes and 9.3% record hospitalisation, as reported. 26.2% of the reports came from consumers, and the largest patient age group is 45 to 64 (25.3%). 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
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
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Prilosec OTC reports recording the termmedian drug in proton pump inhibitor
- Chronic kidney diseaselong-term kidney disease66.4%16,296
- Acute kidney injurysudden loss of kidney function34.6%8,495
- Renal failurekidney failure28.9%7,090
- End stage renal diseasekidney failure needing dialysis or transplant21%5,159
- Renal injury20.2%4,965
- Tubulointerstitial nephritis8.7%2,138
- Hyperchlorhydria8.7%2,130
- Rebound effect8.1%1,977
- Painpain, site not specified7.5%1,831
- Drug dependencedependence on a medicine6.8%1,668
- Gastrooesophageal reflux diseaseacid reflux6.5%1,600
- Nephrogenic anaemia5.9%1,457
- Drug ineffectivethe medicine did not work as expected5.6%1,378
- Rebound acid hypersecretion5%1,227
- Deaththe patient died; cause not stated by this term4.6%1,137
- Dyspepsiaindigestion3.6%896
- Hyperparathyroidism secondary2.9%711
- Drug dose omissiona dose was missed2.5%616
- Renal impairmentreduced kidney function2.3%568
- Off label useused for a purpose or in a way not on the label2%499
- Diarrhoealoose or frequent stools1.7%418
- Nauseafeeling sick1.7%414
- Abdominal pain upperupper stomach pain1.7%406
- Nephropathy1.7%406
- Chronic kidney disease-mineral and bone disorder1.5%376
- Renal haemangioma1.5%376
- Malaisegeneral feeling of being unwell1.5%362
- Inappropriate schedule of drug administrationthe medicine was taken at the wrong times1.4%348
- Condition aggravatedthe condition being treated got worse1.3%326
Top 30 of 973 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
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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.8% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Gastrooesophageal reflux disease | 6,034 | 24.6% |
| Gastrointestinal disorder | 1,199 | 4.9% |
| Dyspepsia | 1,107 | 4.5% |
| Gastric ph decreased | 103 | 0.4% |
| Gastric disorder | 43 | 0.2% |
| Abdominal discomfort | 35 | 0.1% |
The indication field is filled in by the reporter and is often blank; shares are of all 24,549 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Prilosec OTC reports |
|---|---|---|
| Prilosec | 17,115 | 69.7% |
| Nexium | 16,733 | 68.2% |
| Prevacid | 14,091 | 57.4% |
| Nexium 24HR | 13,859 | 56.5% |
| Pantoprazole sodium | 13,369 | 54.5% |
| Prevacid 24 HR | 10,610 | 43.2% |
| Dexilant | 9,975 | 40.6% |
| Lisinopril | 3,551 | 14.5% |
| Aciphex | 3,109 | 12.7% |
| Aspirin | 3,097 | 12.6% |
Other products listed in reports where Prilosec OTC 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
| Measure | Prilosec OTC | Proton pump inhibitor | All reports |
|---|---|---|---|
| Reports as suspect product | 24,549 | 484,090 | 20,646,523 |
| Share of that pool | — | 5.1% | 0.1% |
| Reports, latest 12 months | 119 | — | 1,332,454 |
| Marked serious | 78.4% | 86.4% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 86 | 105 | 91 |
| Hospitalisation recorded, per 1,000 reports | 93 | 199 | 213 |
| Consumer-filed share | 26.2% | 26.2% | 45.8% |
| Top term, share of reports | Chronic kidney disease 66.4% | 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
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Nexium | brand | 85,367 | 576 | 68.6% |
| Omeprazole | generic | 61,176 | 2,506 | 89.4% |
| Pantoprazole | generic | 44,980 | 2,710 | 95.2% |
| Pantoprazole sodium | generic | 44,098 | 1,629 | 90.9% |
| Prilosec | brand | 42,343 | 115 | 88.3% |
| Prevacid | brand | 40,151 | 273 | 95.8% |
| Nexium 24HR | brand | 27,753 | 300 | 85.1% |
| Lansoprazole | generic | 26,570 | 1,749 | 94.8% |
| Dexilant | brand | 23,621 | 233 | 91.5% |
| Prevacid 24 HR | brand | 20,136 | 13 | 92.6% |
| Esomeprazole | generic | 17,193 | 1,293 | 96.8% |
| Aciphex | brand | 7,246 | 3 | 92.1% |
| Esomeprazole magnesium | generic | 5,014 | 368 | 82.5% |
| Omeprazole magnesium | generic | 4,120 | 175 | 74.9% |
| Rabeprazole | generic | 2,693 | 180 | 90.8% |
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 Prilosec OTC reports
How many adverse event reports has FDA received for Prilosec OTC?
24,549 reports list Prilosec OTC as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 119 of them arrived in the latest 12 months. Another 1,711 list it only as a concomitant medication.
What reactions are recorded in Prilosec OTC reports?
chronic kidney disease (66.4%), acute kidney injury (34.6%), renal failure (28.9%), end stage renal disease (21%) and renal injury (20.2%). 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 Prilosec OTC was responsible.
How serious are the reports?
78.4% are marked serious by the reporter. Among the outcomes recorded, 8.6% of reports include death and 9.3% 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?
not given (45.2%), consumer or non-health professional (26.2%) and lawyer (25.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Prilosec OTC rising?
119 reports in the 12 months to June 2026, up 63% from 73 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 Prilosec OTC 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 Prilosec OTC?
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 Prilosec OTC as a suspect or interacting product; reports listing it only as a concomitant medication (1,711) 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.