Reported Reactions

Drugs › Nonergot dopamine agonist

Generic name

Rotigotine: adverse event reports filed with FDA

3,595 reports list it as a suspect or interacting product, 2007–2026. Class: Nonergot dopamine agonist. Also reported as Rotigotine Patch.

3,595
reports as suspect product
0% of all reports · about 186 a year
261
reports, 12 months to June 2026
521 in the 12 months before
92.2%
marked serious by the reporter
70.7% across the class
32.5%
record death among outcomes, as reported
1,167 reports · not verified by FDA

Between March 2007 and June 2026, 3,595 adverse event reports received by FDA list rotigotine, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (893) are left out of every figure here.

In the 12 months to June 2026, 261 reports listed it, down 50% from 521 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 186 reports a year and 0% of the 20,646,523 reports in the database, and 18.8% of the reports for the nonergot dopamine agonist class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded death (15%), off label use (12.4%) and fall (9.6%). A report can list several reactions, so shares add to more than 100%; 615 different terms appear across these reports. Death is recorded in 15% of these reports, a larger share than in the median nonergot dopamine agonist drug (1%).

92.2% of the reports are marked serious by the reporter (70.7% across the class); 32.5% record death among the outcomes and 35.5% record hospitalisation, as reported. 76% of the reports came from consumers, and the largest patient age group is 75 and over (30.5%). 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

052103Jul 2021: 103Aug 2021: 33Sep 2021: 27Oct 2021: 21Nov 2021: 27Dec 2021: 332022Jan 2022: 67Feb 2022: 42Mar 2022: 35Apr 2022: 37May 2022: 41Jun 2022: 40Jul 2022: 35Aug 2022: 35Sep 2022: 39Oct 2022: 29Nov 2022: 31Dec 2022: 442023Jan 2023: 28Feb 2023: 37Mar 2023: 23Apr 2023: 15May 2023: 17Jun 2023: 14Jul 2023: 29Aug 2023: 14Sep 2023: 18Oct 2023: 33Nov 2023: 19Dec 2023: 242024Jan 2024: 16Feb 2024: 25Mar 2024: 32Apr 2024: 15May 2024: 23Jun 2024: 16Jul 2024: 48Aug 2024: 53Sep 2024: 60Oct 2024: 55Nov 2024: 45Dec 2024: 522025Jan 2025: 42Feb 2025: 44Mar 2025: 49Apr 2025: 33May 2025: 22Jun 2025: 18Jul 2025: 18Aug 2025: 10Sep 2025: 24Oct 2025: 22Nov 2025: 13Dec 2025: 192026Jan 2026: 18Feb 2026: 37Mar 2026: 42Apr 2026: 30May 2026: 17Jun 2026: 11

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

02384752007: 1320072008: 142009: 5520092010: 652011: 4120112012: 262013: 4320132014: 472015: 7220152016: 812017: 17420172018: 2782019: 29320192020: 3062021: 43220212022: 4752023: 27120232024: 4402025: 31420252026: 155

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Rotigotine reports recording the termmedian drug in nonergot dopamine agonist

  1. Deaththe patient died; cause not stated by this term15%539
  2. Off label useused for a purpose or in a way not on the label12.4%447
  3. Falla fall9.6%345
  4. Drug ineffectivethe medicine did not work as expected5.7%206
  5. Tremorshaking4.6%167
  6. Pneumonialung infection4.5%162
  7. Overdosea dose above the recommended amount4.1%149
  8. Hallucinationseeing or hearing things that are not there4.1%146
  9. Dizzinesslight-headedness or unsteadiness4%145
  10. Anxietyanxiety3.7%133
  11. Insomniadifficulty sleeping3.4%121
  12. Gait disturbancedifficulty walking3.1%112
  13. Vomitingbeing sick2.9%104
  14. Painpain, site not specified2.8%101
  15. Dysphagiadifficulty swallowing2.8%100
  16. Nauseafeeling sick2.7%98
  17. Urinary tract infectionbladder or urinary infection2.7%97
  18. Constipationconstipation2.6%92
  19. Dyskinesiainvoluntary movements2.4%88
  20. Somnolencedrowsiness2.4%88
  21. Balance disorderproblems with balance2.4%87
  22. Product availability issuethe product was not available2.4%86
  23. Application site erythemaredness where the product was applied2.3%83
  24. Astheniaweakness or lack of energy2.3%83
  25. Application site pruritusitching where the product was applied2.3%81
  26. Loss of consciousnesspassing out2.1%75

Top 30 of 615 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 6 drugs in the nonergot dopamine agonist 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

Death32.5%1,167
Life-threatening1.2%42
Hospitalisation (initial or prolonged)35.5%1,278
Disability2.1%77
Congenital anomaly0%1
Other serious55.2%1,983
Not serious7.8%280

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 19,168 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%0
2 to 110%0
12 to 170.2%6
18 to 441.4%52
45 to 6414.1%507
65 to 7420.8%746
75 and over30.5%1,095
Age not given33.1%1,189

Patient sex

Female44.2%1,590
Male47.8%1,719
Not given8%286

Who reported

Physician10.9%392
Pharmacist1.4%50
Other health professional9.9%356
Lawyer0.1%2
Consumer or non-health professional76%2,732
Not given1.8%63

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 32% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Parkinson's disease2,31764.5%
Restless legs syndrome40411.2%
Parkinson's disease1273.5%
Parkinsonism441.2%
On and off phenomenon180.5%
Dementia with lewy bodies40.1%

The indication field is filled in by the reporter and is often blank; shares are of all 3,595 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Rotigotine reports
Carbidopa levodopa44112.3%
Amantadine1785%
Sinemet1704.7%
Levodopa1544.3%
Pramipexole1293.6%
Quetiapine1183.3%
Carbidopa and levodopa1083%
Losartan1062.9%
Aspirin1052.9%
Clonazepam982.7%

Other products listed in reports where Rotigotine 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

MeasureRotigotineNonergot dopamine agonistAll reports
Reports as suspect product3,59519,16820,646,523
Share of that pool—18.8%0%
Reports, latest 12 months261—1,332,454
Marked serious92.2%70.7%57.4%
Death recorded among outcomes, per 1,000 reports32510891
Hospitalisation recorded, per 1,000 reports355274213
Consumer-filed share76%45.3%45.8%
Top term, share of reportsDeath 15%median 1%4.1%

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 nonergot dopamine agonist class

DrugName typeReportsLatest 12 monthsMarked serious
Neuprobrand6,25637837.7%
Pramipexolegeneric3,88341390.6%
Ropinirolegeneric2,76213978.8%
Pramipexole dihydrochloridegeneric1,63614786.8%
Ropinirole hydrochloridegeneric1,0363872.6%

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 Rotigotine reports

How many adverse event reports has FDA received for Rotigotine?

3,595 reports list Rotigotine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 261 of them arrived in the latest 12 months. Another 893 list it only as a concomitant medication.

What reactions are recorded in Rotigotine reports?

death (15%), off label use (12.4%), fall (9.6%), parkinson's disease (7.7%) and product adhesion issue (6.1%). 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 Rotigotine was responsible.

How serious are the reports?

92.2% are marked serious by the reporter. Among the outcomes recorded, 32.5% of reports include death and 35.5% 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 (76%), physician (10.9%) and other health professional (9.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Rotigotine rising?

261 reports in the 12 months to June 2026, down 50% from 521 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 Rotigotine 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 Rotigotine?

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 Rotigotine as a suspect or interacting product; reports listing it only as a concomitant medication (893) 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.