Reported Reactions

Drugs › Proton pump inhibitor

Brand name · Omeprazole magnesium

Prilosec: adverse event reports filed with FDA

42,343 reports list it as a suspect or interacting product, 2004–2026. Class: Proton pump inhibitor. Also reported as Prilosec /00661201/, Prilosec Delayed Release, Prilosec Delayed-Release Capsules.

42,343
reports as suspect product
0.2% of all reports · about 1,882 a year
115
reports, 12 months to June 2026
78 in the 12 months before
88.3%
marked serious by the reporter
86.4% across the class
10.2%
record death among outcomes, as reported
4,304 reports · not verified by FDA

42,343 adverse event reports received by FDA list the brand name Prilosec (omeprazole magnesium) as a suspect or interacting product, from January 2004 to June 2026. A further 63,582 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, 115 reports listed it, up 47% from 78 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 1,882 reports a year and 0.2% of the 20,646,523 reports in the database, and 8.7% 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 reactions recorded most often are chronic kidney disease (69.4%), acute kidney injury (34.5%) and renal failure (27.6%). A report can list several reactions, so shares add to more than 100%; 1,561 different terms appear across these reports. Chronic kidney disease is recorded in 69.4% of these reports, a larger share than in the median proton pump inhibitor drug (31.6%).

88.3% of the reports are marked serious by the reporter (86.4% across the class); 10.2% record death among the outcomes and 9.1% record hospitalisation, as reported. 33.3% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (22.3%). 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

0141281Jul 2021: 281Aug 2021: 273Sep 2021: 191Oct 2021: 98Nov 2021: 75Dec 2021: 992022Jan 2022: 54Feb 2022: 175Mar 2022: 124Apr 2022: 52May 2022: 56Jun 2022: 25Jul 2022: 34Aug 2022: 63Sep 2022: 66Oct 2022: 24Nov 2022: 21Dec 2022: 1302023Jan 2023: 11Feb 2023: 22Mar 2023: 29Apr 2023: 11May 2023: 15Jun 2023: 16Jul 2023: 10Aug 2023: 46Sep 2023: 6Oct 2023: 15Nov 2023: 4Dec 2023: 112024Jan 2024: 20Feb 2024: 18Mar 2024: 8Apr 2024: 12May 2024: 17Jun 2024: 6Jul 2024: 12Aug 2024: 8Sep 2024: 3Oct 2024: 5Nov 2024: 1Dec 2024: 92025Jan 2025: 0Feb 2025: 24Mar 2025: 7Apr 2025: 6May 2025: 2Jun 2025: 1Jul 2025: 20Aug 2025: 5Sep 2025: 15Oct 2025: 7Nov 2025: 5Dec 2025: 152026Jan 2026: 2Feb 2026: 3Mar 2026: 9Apr 2026: 18May 2026: 10Jun 2026: 6

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

07,22514,4492004: 6420042005: 702006: 492007: 14020072008: 1542009: 2302010: 31920102011: 7272012: 1,8392013: 48420132014: 4512015: 6602016: 62420162017: 7762018: 14,2162019: 14,44920192020: 3,2572021: 2,5402022: 82420222023: 1962024: 1192025: 10720252026: 48

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Prilosec reports recording the termmedian drug in proton pump inhibitor

  1. Chronic kidney diseaselong-term kidney disease69.4%29,396
  2. Acute kidney injurysudden loss of kidney function34.5%14,622
  3. Renal failurekidney failure27.6%11,671
  4. End stage renal diseasekidney failure needing dialysis or transplant20.4%8,644
  5. Renal injury19.2%8,112
  6. Drug ineffectivethe medicine did not work as expected5.6%2,387
  7. Nephrogenic anaemia5.1%2,147
  8. Rebound acid hypersecretion4.5%1,901
  9. Deaththe patient died; cause not stated by this term4.4%1,878
  10. Painpain, site not specified3.8%1,603
  11. Renal impairmentreduced kidney function2.9%1,226
  12. Drug dependencedependence on a medicine2.7%1,151
  13. Dyspepsiaindigestion2.7%1,148
  14. Drug dose omissiona dose was missed2.5%1,052
  15. Hyperparathyroidism secondary2.3%977
  16. Off label useused for a purpose or in a way not on the label1.9%802
  17. Renal haemangioma1.9%786
  18. Depressionlow mood1.6%670
  19. Malaisegeneral feeling of being unwell1.5%647
  20. Nauseafeeling sick1.4%580
  21. Vomitingbeing sick1.3%540
  22. Chronic kidney disease-mineral and bone disorder1.3%537
  23. Hypertensionhigh blood pressure1.2%514
  24. Abdominal pain upperupper stomach pain1.2%506
  25. Diarrhoealoose or frequent stools1.1%486

Top 30 of 1,561 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

Death10.2%4,304
Life-threatening0.5%208
Hospitalisation (initial or prolonged)9.1%3,872
Disability1.8%742
Congenital anomaly0.1%31
Other serious85.6%36,229
Not serious11.7%4,966

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 20.1%38
2 to 110.1%40
12 to 170.1%48
18 to 445.5%2,319
45 to 6422.3%9,436
65 to 748.4%3,542
75 and over4%1,677
Age not given59.6%25,243

Patient sex

Female36.5%15,450
Male23.6%9,978
Not given39.9%16,915

Who reported

Physician2.3%955
Pharmacist0.3%128
Other health professional7.2%3,051
Lawyer33.3%14,117
Consumer or non-health professional21.7%9,203
Not given35.2%14,889

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
Gastrooesophageal reflux disease14,48834.2%
Dyspepsia1,0372.4%
Gastrointestinal disorder8592%
Gastric ph decreased1430.3%
Barrett's oesophagus1060.3%
Abdominal discomfort970.2%

The indication field is filled in by the reporter and is often blank; shares are of all 42,343 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Prilosec reports
Nexium32,85877.6%
Prevacid28,57567.5%
Pantoprazole sodium25,37559.9%
Nexium 24HR20,25647.8%
Dexilant17,61841.6%
Prilosec OTC17,11540.4%
Prevacid 24 HR16,82139.7%
Omeprazole9,52822.5%
Pantoprazole6,49815.3%
Lisinopril6,15314.5%

Other products listed in reports where Prilosec 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

MeasurePrilosecProton pump inhibitorAll reports
Reports as suspect product42,343484,09020,646,523
Share of that pool—8.7%0.2%
Reports, latest 12 months115—1,332,454
Marked serious88.3%86.4%57.4%
Death recorded among outcomes, per 1,000 reports10210591
Hospitalisation recorded, per 1,000 reports91199213
Consumer-filed share21.7%26.2%45.8%
Top term, share of reportsChronic kidney disease 69.4%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%
Pantoprazole sodiumgeneric44,0981,62990.9%
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 Prilosec reports

How many adverse event reports has FDA received for Prilosec?

42,343 reports list Prilosec as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 115 of them arrived in the latest 12 months. Another 63,582 list it only as a concomitant medication.

What reactions are recorded in Prilosec reports?

chronic kidney disease (69.4%), acute kidney injury (34.5%), renal failure (27.6%), end stage renal disease (20.4%) and renal injury (19.2%). 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 was responsible.

How serious are the reports?

88.3% are marked serious by the reporter. Among the outcomes recorded, 10.2% of reports include death and 9.1% 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 (35.2%), lawyer (33.3%) and consumer or non-health professional (21.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Prilosec rising?

115 reports in the 12 months to June 2026, up 47% from 78 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 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?

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 as a suspect or interacting product; reports listing it only as a concomitant medication (63,582) 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.