Reported Reactions

Drugs › Serotonin reuptake inhibitor

Generic name

Sertraline hcl: adverse event reports filed with FDA

7,592 reports list it as a suspect or interacting product, 2004–2021. Class: Serotonin reuptake inhibitor.

7,592
reports as suspect product
0% of all reports · about 338 a year
0
reports, 12 months to June 2026
0 in the 12 months before
67.7%
marked serious by the reporter
83.7% across the class
12.5%
record death among outcomes, as reported
946 reports · not verified by FDA

7,592 adverse event reports received by FDA list sertraline hcl, a generic name as a suspect or interacting product, from January 2004 to September 2021. A further 6,135 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, 0 reports listed it, and none 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 338 reports a year and 0% of the 20,646,523 reports in the database, and 2.8% of the reports for the serotonin reuptake 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 drug ineffective (15.3%), anxiety (5.3%) and maternal exposure during pregnancy (5.1%). A report can list several reactions, so shares add to more than 100%; 1,058 different terms appear across these reports. Drug ineffective is recorded in 15.3% of these reports, a larger share than in the median serotonin reuptake inhibitor drug (7.9%).

67.7% of the reports are marked serious by the reporter (83.7% across the class); 12.5% record death among the outcomes and 21.9% record hospitalisation, as reported. 40.4% of the reports came from consumers, and the largest patient age group is 18 to 44 (26.8%). 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

02141Jul 2021: 41Aug 2021: 19Sep 2021: 33Oct 2021: 0Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 0May 2022: 0Jun 2022: 0Jul 2022: 0Aug 2022: 0Sep 2022: 0Oct 2022: 0Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 0Apr 2023: 0May 2023: 0Jun 2023: 0Jul 2023: 0Aug 2023: 0Sep 2023: 0Oct 2023: 0Nov 2023: 0Dec 2023: 02024Jan 2024: 0Feb 2024: 0Mar 2024: 0Apr 2024: 0May 2024: 0Jun 2024: 0Jul 2024: 0Aug 2024: 0Sep 2024: 0Oct 2024: 0Nov 2024: 0Dec 2024: 02025Jan 2025: 0Feb 2025: 0Mar 2025: 0Apr 2025: 0May 2025: 0Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 0Oct 2025: 0Nov 2025: 0Dec 2025: 02026Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 0

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

05441,0882004: 9920042005: 1482006: 3220062007: 682008: 6520082009: 3872010: 47720102011: 372012: 15320122013: 5412014: 59320142015: 7302016: 51220162017: 7192018: 79420182019: 1,0882020: 78920202021: 360

Reactions recorded in the reports

share of Sertraline hcl reports recording the termmedian drug in serotonin reuptake inhibitor

  1. Drug ineffectivethe medicine did not work as expected15.3%1,159
  2. Anxietyanxiety5.3%399
  3. Maternal exposure during pregnancythe mother took the medicine during pregnancy5.1%388
  4. Completed suicidedeath by suicide4.8%367
  5. Drug hypersensitivityan allergic-type reaction to a medicine4.8%366
  6. Nauseafeeling sick4.7%357
  7. Drug interactionan interaction between medicines4.6%350
  8. Depressionlow mood3.9%294
  9. Dizzinesslight-headedness or unsteadiness3.7%279
  10. Feeling abnormalfeeling odd or not right3.6%277
  11. Headachehead pain3.6%276
  12. Insomniadifficulty sleeping3.6%272
  13. Malaisegeneral feeling of being unwell3.5%269
  14. Suicidal ideationthoughts of suicide3.2%243
  15. Diarrhoealoose or frequent stools3.2%242
  16. Intentional overdosea deliberate overdose3.2%240
  17. Fatiguetiredness3.1%237
  18. Toxicity to various agentspoisoning or toxic effect of one or more substances3%231
  19. Drug abusemisuse of a medicine3%229
  20. Tremorshaking3%228
  21. Vomitingbeing sick2.7%202
  22. Condition aggravatedthe condition being treated got worse2.5%189
  23. Suicide attempta suicide attempt2.5%187
  24. Somnolencedrowsiness2.4%181
  25. Confusional stateconfusion2.3%176
  26. Serotonin syndrometoo much serotonin activity, with agitation, fever and tremor2.3%172
  27. Overdosea dose above the recommended amount2.1%163
  28. Agitationrestlessness2%153
  29. Cardiac arrestthe heart stopped1.9%147

Top 30 of 1,058 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 21 drugs in the serotonin reuptake 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

Death12.5%946
Life-threatening5.1%388
Hospitalisation (initial or prolonged)21.9%1,660
Disability4.3%328
Congenital anomaly6.1%464
Other serious42.3%3,215
Not serious32.3%2,454

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 273,115 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 21.1%80
2 to 110.9%66
12 to 174.2%321
18 to 4426.8%2,031
45 to 6420.9%1,588
65 to 747.9%602
75 and over7.5%573
Age not given30.7%2,331

Patient sex

Female60.7%4,608
Male30.5%2,315
Not given8.8%669

Who reported

Physician24.6%1,869
Pharmacist10.6%803
Other health professional15.3%1,161
Lawyer4.6%351
Consumer or non-health professional40.4%3,070
Not given4.5%338

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 55.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Depression1,81823.9%
Anxiety5557.3%
Obsessive-compulsive disorder1201.6%
Major depression720.9%
Depressed mood550.7%
Ill-defined disorder410.5%

The indication field is filled in by the reporter and is often blank; shares are of all 7,592 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Sertraline hcl reports
Zoloft5637.4%
Alprazolam2082.7%
Diazepam1812.4%
Quetiapine1712.3%
Clonazepam1672.2%
Mirtazapine1662.2%
Lorazepam1642.2%
Omeprazole1582.1%
Gabapentin1542%
Olanzapine1471.9%

Other products listed in reports where Sertraline hcl 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

MeasureSertraline hclSerotonin reuptake inhibitorAll reports
Reports as suspect product7,592273,11520,646,523
Share of that pool—2.8%0%
Reports, latest 12 months0—1,332,454
Marked serious67.7%83.7%57.4%
Death recorded among outcomes, per 1,000 reports12515991
Hospitalisation recorded, per 1,000 reports219321213
Consumer-filed share40.4%30.8%45.8%
Top term, share of reportsDrug ineffective 15.3%median 7.9%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 serotonin reuptake inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Sertralinegeneric44,8143,71493%
Citalopramgeneric30,4141,16995.2%
Fluoxetinegeneric28,3191,73493%
Paxilbrand24,1935657%
Escitalopramgeneric24,1761,83992.5%
Zoloftbrand21,31129565.5%
Paroxetinegeneric16,2041,17093%
Prozacbrand11,54727669.5%
Sertraline hydrochloridegeneric11,0771,08085.2%
Citalopram hydrobromidegeneric10,67523496.4%
Lexaprobrand9,42431864.4%
Paroxetine hydrochloridegeneric8,93526884.2%
Fluoxetine hydrochloridegeneric6,20964891.9%
Escitalopram oxalategeneric5,06339992.8%
Trazodone hydrochloridegeneric4,21336482.2%

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 Sertraline hcl reports

How many adverse event reports has FDA received for Sertraline hcl?

7,592 reports list Sertraline hcl as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 0 of them arrived in the latest 12 months. Another 6,135 list it only as a concomitant medication.

What reactions are recorded in Sertraline hcl reports?

drug ineffective (15.3%), anxiety (5.3%), maternal exposure during pregnancy (5.1%), completed suicide (4.8%) and drug hypersensitivity (4.8%). 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 Sertraline hcl was responsible.

How serious are the reports?

67.7% are marked serious by the reporter. Among the outcomes recorded, 12.5% of reports include death and 21.9% 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 (40.4%), physician (24.6%) and other health professional (15.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Sertraline hcl rising?

0 reports in the 12 months to June 2026, and none 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 Sertraline hcl 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 Sertraline hcl?

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 Sertraline hcl as a suspect or interacting product; reports listing it only as a concomitant medication (6,135) 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.