Reported Reactions

Drugs › Atypical antipsychotic

Brand name · Brexpiprazole

Rexulti: adverse event reports filed with FDA

12,683 reports list it as a suspect or interacting product, 2015–2026. Class: Atypical antipsychotic.

12,683
reports as suspect product
0.1% of all reports · about 1,162 a year
630
reports, 12 months to June 2026
1,332 in the 12 months before
32.3%
marked serious by the reporter
70.7% across the class
3.7%
record death among outcomes, as reported
464 reports · not verified by FDA

12,683 adverse event reports received by FDA list the brand name Rexulti (brexpiprazole) as a suspect or interacting product, from August 2015 to June 2026. A further 1,924 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, 630 reports listed it, down 53% from 1,332 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 1,162 reports a year and 0.1% of the 20,646,523 reports in the database, and 1.9% of the reports for the atypical antipsychotic class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded weight increased (12.2%), product use in unapproved indication (8.7%) and off label use (6.9%). A report can list several reactions, so shares add to more than 100%; 812 different terms appear across these reports. Weight increased is recorded in 12.2% of these reports, a larger share than in the median atypical antipsychotic drug (5.5%).

32.3% of the reports are marked serious by the reporter (70.7% across the class); 3.7% record death among the outcomes and 8.5% record hospitalisation, as reported. 54.1% of the reports came from consumers, and the largest patient age group is 45 to 64 (14.4%). 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

0442883Jul 2021: 20Aug 2021: 20Sep 2021: 796Oct 2021: 79Nov 2021: 37Dec 2021: 322022Jan 2022: 17Feb 2022: 28Mar 2022: 25Apr 2022: 31May 2022: 23Jun 2022: 34Jul 2022: 35Aug 2022: 683Sep 2022: 26Oct 2022: 41Nov 2022: 18Dec 2022: 382023Jan 2023: 23Feb 2023: 18Mar 2023: 37Apr 2023: 26May 2023: 39Jun 2023: 24Jul 2023: 706Aug 2023: 38Sep 2023: 27Oct 2023: 40Nov 2023: 31Dec 2023: 312024Jan 2024: 24Feb 2024: 35Mar 2024: 32Apr 2024: 53May 2024: 54Jun 2024: 40Jul 2024: 883Aug 2024: 24Sep 2024: 27Oct 2024: 38Nov 2024: 36Dec 2024: 442025Jan 2025: 28Feb 2025: 65Mar 2025: 43Apr 2025: 50May 2025: 48Jun 2025: 46Jul 2025: 59Aug 2025: 64Sep 2025: 59Oct 2025: 48Nov 2025: 51Dec 2025: 492026Jan 2026: 52Feb 2026: 43Mar 2026: 66Apr 2026: 50May 2026: 37Jun 2026: 52

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

09791,9582015: 17320152016: 1,9582017: 1,40720172018: 1,2182019: 1,43120192020: 1,1262021: 1,13120212022: 9992023: 1,04020232024: 1,2902025: 61020252026: 300

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Rexulti reports recording the termmedian drug in atypical antipsychotic

  1. Weight increasedweight gain12.2%1,552
  2. Product use in unapproved indicationused for a purpose not on the label8.7%1,104
  3. Off label useused for a purpose or in a way not on the label6.9%873
  4. Akathisiainner restlessness and an urge to move6.1%778
  5. Drug ineffectivethe medicine did not work as expected4.7%597
  6. Tremorshaking4.3%543
  7. Tardive dyskinesiainvoluntary repetitive movements4.2%535
  8. Product use issuea problem in how the product was used3.5%450
  9. Anxietyanxiety3.5%439
  10. Feeling abnormalfeeling odd or not right3.1%393
  11. Insomniadifficulty sleeping3%386
  12. Depressionlow mood2.9%364
  13. Suicidal ideationthoughts of suicide2.8%353
  14. Restlessnessrestlessness2.4%305
  15. Incorrect dose administeredthe wrong dose was given2.3%298
  16. Fatiguetiredness2.3%294
  17. Somnolencedrowsiness2.2%277
  18. Dizzinesslight-headedness or unsteadiness2.2%274
  19. Nauseafeeling sick2%255
  20. Headachehead pain1.9%245
  21. Agitationrestlessness1.9%242
  22. Falla fall1.9%240
  23. Drug interactionan interaction between medicines1.8%231
  24. Electrocardiogram QT prolongeda QT prolongation on the ECG1.6%204
  25. Dyskinesiainvoluntary movements1.6%202
  26. Wrong technique in product usage processthe product was used in the wrong way1.5%196
  27. Condition aggravatedthe condition being treated got worse1.5%188

Top 30 of 812 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 37 drugs in the atypical antipsychotic 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

Death3.7%464
Life-threatening0.7%92
Hospitalisation (initial or prolonged)8.5%1,074
Disability0.9%116
Congenital anomaly0%2
Other serious25%3,176
Not serious67.7%8,585

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 683,680 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%7
2 to 110.3%35
12 to 172.3%298
18 to 4414%1,780
45 to 6414.4%1,831
65 to 745.1%642
75 and over5.6%713
Age not given58.2%7,377

Patient sex

Female60.5%7,676
Male26.8%3,397
Not given12.7%1,610

Who reported

Physician22.5%2,848
Pharmacist3.7%470
Other health professional19.4%2,459
Lawyer0.1%11
Consumer or non-health professional54.1%6,862
Not given0.3%33

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 85.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Major depression2,44119.2%
Depression1,40211.1%
Adjuvant therapy9827.7%
Schizophrenia7876.2%
Bipolar disorder4823.8%
Dementia alzheimer's type3522.8%

The indication field is filled in by the reporter and is often blank; shares are of all 12,683 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Rexulti reports
Abilify9837.8%
Bupropion hydrochloride4363.4%
Trintellix3913.1%
Aripiprazole3803%
Lexapro3592.8%
Cymbalta3542.8%
Olanzapine3472.7%
Prozac3362.6%
Lamictal3032.4%
Venlafaxine hydrochloride2862.3%

Other products listed in reports where Rexulti 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

MeasureRexultiAtypical antipsychoticAll reports
Reports as suspect product12,683683,68020,646,523
Share of that pool—1.9%0.1%
Reports, latest 12 months630—1,332,454
Marked serious32.3%70.7%57.4%
Death recorded among outcomes, per 1,000 reports3712191
Hospitalisation recorded, per 1,000 reports85304213
Consumer-filed share54.1%34%45.8%
Top term, share of reportsWeight increased 12.2%median 5.5%1.1%

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 atypical antipsychotic class

DrugName typeReportsLatest 12 monthsMarked serious
Clozapinegeneric73,0233,25293.4%
Abilifybrand54,64562558%
Risperdalgeneric54,45488248.4%
Nuplazidbrand53,7539,60250.6%
Quetiapinegeneric52,3884,19097.6%
Seroquelbrand52,27226562.9%
Clozarilbrand47,9143,08898.4%
Olanzapinegeneric46,8374,08795.3%
Risperidonegeneric44,9622,51176.9%
Aripiprazolegeneric30,1453,10287.8%
Zyprexabrand26,46912178.4%
Invega Sustennabrand23,6481,51335.8%
Quetiapine fumarategeneric19,5681,69790.7%
Invegabrand16,67223835.5%
Latudabrand16,08518340.7%

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 Rexulti reports

How many adverse event reports has FDA received for Rexulti?

12,683 reports list Rexulti as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 630 of them arrived in the latest 12 months. Another 1,924 list it only as a concomitant medication.

What reactions are recorded in Rexulti reports?

weight increased (12.2%), product use in unapproved indication (8.7%), off label use (6.9%), akathisia (6.1%) and drug ineffective (4.7%). 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 Rexulti was responsible.

How serious are the reports?

32.3% are marked serious by the reporter. Among the outcomes recorded, 3.7% of reports include death and 8.5% 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 (54.1%), physician (22.5%) and other health professional (19.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Rexulti rising?

630 reports in the 12 months to June 2026, down 53% from 1,332 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 Rexulti 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 Rexulti?

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 Rexulti as a suspect or interacting product; reports listing it only as a concomitant medication (1,924) 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.