Reported Reactions

Drugs › Nondepolarizing neuromuscular blocker

Generic name

Rocuronium bromide: adverse event reports filed with FDA

4,046 reports list it as a suspect or interacting product, 2004–2026. Class: Nondepolarizing neuromuscular blocker. Also reported as Rocuronium Bromide Injection.

4,046
reports as suspect product
0% of all reports · about 180 a year
517
reports, 12 months to June 2026
402 in the 12 months before
83%
marked serious by the reporter
90% across the class
5.6%
record death among outcomes, as reported
226 reports · not verified by FDA

Between January 2004 and June 2026, 4,046 adverse event reports received by FDA list rocuronium bromide, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (1,601) are left out of every figure here.

In the 12 months to June 2026, 517 reports listed it, up 29% from 402 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 180 reports a year and 0% of the 20,646,523 reports in the database, and 42.8% of the reports for the nondepolarizing neuromuscular blocker 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 (15.1%), anaphylactic shock (14.3%) and anaphylactic reaction (12.5%). A report can list several reactions, so shares add to more than 100%; 542 different terms appear across these reports. Drug ineffective is recorded in 15.1% of these reports, a larger share than in the median nondepolarizing neuromuscular blocker drug (7.4%).

83% of the reports are marked serious by the reporter (90% across the class); 5.6% record death among the outcomes and 26.8% record hospitalisation, as reported. 34.3% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (25.1%). 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

04589Jul 2021: 14Aug 2021: 16Sep 2021: 27Oct 2021: 18Nov 2021: 24Dec 2021: 152022Jan 2022: 13Feb 2022: 13Mar 2022: 10Apr 2022: 25May 2022: 27Jun 2022: 26Jul 2022: 38Aug 2022: 7Sep 2022: 39Oct 2022: 33Nov 2022: 52Dec 2022: 332023Jan 2023: 18Feb 2023: 23Mar 2023: 33Apr 2023: 36May 2023: 40Jun 2023: 35Jul 2023: 26Aug 2023: 29Sep 2023: 46Oct 2023: 32Nov 2023: 29Dec 2023: 262024Jan 2024: 27Feb 2024: 38Mar 2024: 31Apr 2024: 42May 2024: 45Jun 2024: 18Jul 2024: 29Aug 2024: 22Sep 2024: 20Oct 2024: 19Nov 2024: 43Dec 2024: 402025Jan 2025: 41Feb 2025: 45Mar 2025: 27Apr 2025: 42May 2025: 36Jun 2025: 38Jul 2025: 27Aug 2025: 29Sep 2025: 35Oct 2025: 37Nov 2025: 51Dec 2025: 382026Jan 2026: 39Feb 2026: 40Mar 2026: 63Apr 2026: 89May 2026: 29Jun 2026: 40

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

02234462004: 1220042005: 402006: 292007: 3120072008: 452009: 1092010: 11820102011: 1322012: 1432013: 7620132014: 1192015: 1092016: 20320162017: 1472018: 2302019: 28220192020: 2202021: 1922022: 31620222023: 3732024: 3742025: 44620252026: 300

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Rocuronium bromide reports recording the termmedian drug in nondepolarizing neuromuscular blocker

  1. Drug ineffectivethe medicine did not work as expected15.1%612
  2. Anaphylactic shocka severe allergic reaction with collapse14.3%580
  3. Anaphylactic reactiona severe, sudden allergic reaction12.5%506
  4. Hypotensionlow blood pressure9.3%376
  5. Cardiac arrestthe heart stopped6.3%253
  6. Tachycardiafast heart rate4.5%181
  7. Bronchospasmtightening of the airways4.2%168
  8. Rashskin rash4%160
  9. Bradycardiaslow heart rate3.4%138
  10. Urticariahives3.3%133
  11. Circulatory collapsecollapse of the circulation2.3%95
  12. Erythemaskin redness2.2%89
  13. Hypoxialow oxygen2.1%83
  14. Off label useused for a purpose or in a way not on the label2%79
  15. Condition aggravatedthe condition being treated got worse1.9%77
  16. Respiratory failurethe lungs could not supply enough oxygen1.8%74
  17. Drug interactionan interaction between medicines1.8%71
  18. Neuromuscular block prolonged1.7%69
  19. Blood pressure decreaseda low blood pressure reading1.7%68
  20. Product quality issuea problem with the product itself1.4%57
  21. Paralysis1.4%55
  22. Hyperthermia malignant1.3%54
  23. Respiratory arrestbreathing stopped1.3%53
  24. Drug hypersensitivityan allergic-type reaction to a medicine1.3%52
  25. Maternal exposure during pregnancythe mother took the medicine during pregnancy1.3%52
  26. Foetal exposure during pregnancythe unborn baby was exposed to the medicine1.3%51
  27. Recurrence of neuromuscular blockade1.2%50
  28. Dyspnoeashortness of breath1.2%48

Top 30 of 542 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 5 drugs in the nondepolarizing neuromuscular blocker 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

Death5.6%226
Life-threatening28.6%1,158
Hospitalisation (initial or prolonged)26.8%1,083
Disability1.2%48
Congenital anomaly0.2%9
Other serious51.1%2,068
Not serious17%687

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 9,444 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 22.3%92
2 to 112.6%107
12 to 172%79
18 to 4420.4%827
45 to 6425.1%1,014
65 to 7413.8%559
75 and over9%364
Age not given24.8%1,004

Patient sex

Female42.7%1,728
Male38.2%1,545
Not given19.1%773

Who reported

Physician34%1,375
Pharmacist18.9%766
Other health professional34.3%1,389
Lawyer0.1%3
Consumer or non-health professional7.5%303
Not given5.2%210

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 31.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Anaesthesia52613%
Induction of anaesthesia46911.6%
General anaesthesia43910.9%
Neuromuscular blocking therapy1664.1%
Endotracheal intubation1443.6%
Muscle relaxant therapy1122.8%

The indication field is filled in by the reporter and is often blank; shares are of all 4,046 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Rocuronium bromide reports
Propofol1,86646.1%
Fentanyl92722.9%
Sevoflurane51712.8%
Midazolam49012.1%
Dexamethasone48111.9%
Sufentanil3649%
Ketamine3498.6%
Lidocaine3418.4%
Bridion2616.5%
Remifentanil2446%

Other products listed in reports where Rocuronium bromide 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

MeasureRocuronium bromideNondepolarizing neuromuscular blockerAll reports
Reports as suspect product4,0469,44420,646,523
Share of that pool—42.8%0%
Reports, latest 12 months517—1,332,454
Marked serious83%90%57.4%
Death recorded among outcomes, per 1,000 reports566991
Hospitalisation recorded, per 1,000 reports268302213
Consumer-filed share7.5%5.4%45.8%
Top term, share of reportsDrug ineffective 15.1%median 7.4%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 nondepolarizing neuromuscular blocker class

DrugName typeReportsLatest 12 monthsMarked serious
Rocuroniumgeneric3,35862896.2%
Cisatracuriumbrand7865398.5%
Vecuronium bromidegeneric7433186.9%
Atracurium besylategeneric5114296.9%

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 Rocuronium bromide reports

How many adverse event reports has FDA received for Rocuronium bromide?

4,046 reports list Rocuronium bromide as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 517 of them arrived in the latest 12 months. Another 1,601 list it only as a concomitant medication.

What reactions are recorded in Rocuronium bromide reports?

drug ineffective (15.1%), anaphylactic shock (14.3%), anaphylactic reaction (12.5%), hypotension (9.3%) and cardiac arrest (6.3%). 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 Rocuronium bromide was responsible.

How serious are the reports?

83% are marked serious by the reporter. Among the outcomes recorded, 5.6% of reports include death and 26.8% 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?

other health professional (34.3%), physician (34%) and pharmacist (18.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Rocuronium bromide rising?

517 reports in the 12 months to June 2026, up 29% from 402 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 Rocuronium bromide 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 Rocuronium bromide?

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 Rocuronium bromide as a suspect or interacting product; reports listing it only as a concomitant medication (1,601) 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.