Reported Reactions

Drugs › Serotonin reuptake inhibitor

Generic name

Sertraline hydrochloride: adverse event reports filed with FDA

11,077 reports list it as a suspect or interacting product, 2004–2026. Class: Serotonin reuptake inhibitor. Also reported as Sertraline Hydrochloride Tablets, Sertraline Hcl Tabs 100mg, Sertraline Hydrochloride Tablets 100mg.

11,077
reports as suspect product
0.1% of all reports · about 504 a year
1,080
reports, 12 months to June 2026
938 in the 12 months before
85.2%
marked serious by the reporter
83.7% across the class
15.6%
record death among outcomes, as reported
1,731 reports · not verified by FDA

Between July 2004 and June 2026, 11,077 adverse event reports received by FDA list sertraline hydrochloride, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (14,591) are left out of every figure here.

In the 12 months to June 2026, 1,080 reports listed it, up 15% from 938 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 504 reports a year and 0.1% of the 20,646,523 reports in the database, and 4.1% 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.

Reporters most often recorded drug interaction (10.6%), depression (8.4%) and drug ineffective (7.4%). A report can list several reactions, so shares add to more than 100%; 1,666 different terms appear across these reports. Drug interaction is recorded in 10.6% of these reports, a larger share than in the median serotonin reuptake inhibitor drug (7.9%).

85.2% of the reports are marked serious by the reporter (83.7% across the class); 15.6% record death among the outcomes and 32.5% record hospitalisation, as reported. 35.4% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (27.5%). 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

0100199Jul 2021: 63Aug 2021: 64Sep 2021: 61Oct 2021: 112Nov 2021: 144Dec 2021: 1292022Jan 2022: 76Feb 2022: 129Mar 2022: 168Apr 2022: 124May 2022: 117Jun 2022: 81Jul 2022: 100Aug 2022: 114Sep 2022: 121Oct 2022: 65Nov 2022: 63Dec 2022: 812023Jan 2023: 111Feb 2023: 106Mar 2023: 65Apr 2023: 37May 2023: 78Jun 2023: 47Jul 2023: 55Aug 2023: 46Sep 2023: 44Oct 2023: 61Nov 2023: 54Dec 2023: 742024Jan 2024: 37Feb 2024: 68Mar 2024: 118Apr 2024: 68May 2024: 75Jun 2024: 47Jul 2024: 60Aug 2024: 59Sep 2024: 100Oct 2024: 94Nov 2024: 43Dec 2024: 602025Jan 2025: 70Feb 2025: 87Mar 2025: 81Apr 2025: 92May 2025: 108Jun 2025: 84Jul 2025: 99Aug 2025: 65Sep 2025: 63Oct 2025: 46Nov 2025: 60Dec 2025: 912026Jan 2026: 199Feb 2026: 73Mar 2026: 123Apr 2026: 99May 2026: 67Jun 2026: 95

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

06201,2392004: 4020042005: 112006: 112007: 5320072008: 1062009: 1222010: 42920102011: 1,0742012: 9252013: 21520132014: 1602015: 2372016: 21220162017: 3332018: 3612019: 53020192020: 7912021: 1,0192022: 1,23920222023: 7782024: 8292025: 94620252026: 656

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Drug interactionan interaction between medicines10.6%1,176
  2. Depressionlow mood8.4%931
  3. Drug ineffectivethe medicine did not work as expected7.4%816
  4. Headachehead pain6.4%706
  5. Nauseafeeling sick6.1%672
  6. Toxicity to various agentspoisoning or toxic effect of one or more substances5.5%610
  7. Dizzinesslight-headedness or unsteadiness5.4%600
  8. Anxietyanxiety5.4%596
  9. Diarrhoealoose or frequent stools4.7%518
  10. Fatiguetiredness4.5%493
  11. Off label useused for a purpose or in a way not on the label4.3%481
  12. Dyspnoeashortness of breath4.3%478
  13. Insomniadifficulty sleeping4.1%451
  14. Vomitingbeing sick4%443
  15. Malaisegeneral feeling of being unwell3.8%426
  16. Somnolencedrowsiness3.6%402
  17. Falla fall3.4%382
  18. Serotonin syndrometoo much serotonin activity, with agitation, fever and tremor3.4%372
  19. Intentional overdosea deliberate overdose3.3%363
  20. Suicidal ideationthoughts of suicide3.3%361
  21. Completed suicidedeath by suicide3.2%360
  22. Condition aggravatedthe condition being treated got worse3.2%355
  23. Suicide attempta suicide attempt3.2%350
  24. Tremorshaking3%334
  25. Astheniaweakness or lack of energy2.9%321
  26. Coughcough2.8%313
  27. Decreased appetitereduced appetite2.8%310
  28. Pruritusitching2.7%303
  29. Tachycardiafast heart rate2.7%295

Top 30 of 1,666 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

Death15.6%1,731
Life-threatening6.4%712
Hospitalisation (initial or prolonged)32.5%3,601
Disability4.6%505
Congenital anomaly2.1%230
Other serious60%6,644
Not serious14.8%1,641

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%116
2 to 110.8%94
12 to 175.5%607
18 to 4427.5%3,042
45 to 6421.8%2,415
65 to 747.1%785
75 and over8.4%934
Age not given27.8%3,084

Patient sex

Female51.7%5,728
Male35%3,882
Not given13.2%1,467

Who reported

Physician22.7%2,513
Pharmacist9.7%1,076
Other health professional35.4%3,924
Lawyer0.2%24
Consumer or non-health professional28.8%3,194
Not given3.1%346

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 30.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Depression2,19119.8%
Anxiety5935.4%
Bipolar disorder4954.5%
Major depression2161.9%
Migraine1461.3%
Obsessive-compulsive disorder1131%

The indication field is filled in by the reporter and is often blank; shares are of all 11,077 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Sertraline hydrochloride reports
Zopiclone8767.9%
Acetaminophen8747.9%
Clonazepam8327.5%
Quetiapine fumarate7707%
Quetiapine6345.7%
Mirtazapine6215.6%
Valproic acid5304.8%
Pregabalin4944.5%
Atazanavir sulfate4884.4%
Aspirin4774.3%

Other products listed in reports where Sertraline hydrochloride 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 hydrochlorideSerotonin reuptake inhibitorAll reports
Reports as suspect product11,077273,11520,646,523
Share of that pool—4.1%0.1%
Reports, latest 12 months1,080—1,332,454
Marked serious85.2%83.7%57.4%
Death recorded among outcomes, per 1,000 reports15615991
Hospitalisation recorded, per 1,000 reports325321213
Consumer-filed share28.8%30.8%45.8%
Top term, share of reportsDrug interaction 10.6%median 7.9%0.8%

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%
Citalopram hydrobromidegeneric10,67523496.4%
Lexaprobrand9,42431864.4%
Paroxetine hydrochloridegeneric8,93526884.2%
Sertraline hclgeneric7,592067.7%
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 hydrochloride reports

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

11,077 reports list Sertraline hydrochloride as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,080 of them arrived in the latest 12 months. Another 14,591 list it only as a concomitant medication.

What reactions are recorded in Sertraline hydrochloride reports?

drug interaction (10.6%), depression (8.4%), drug ineffective (7.4%), headache (6.4%) and nausea (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 Sertraline hydrochloride was responsible.

How serious are the reports?

85.2% are marked serious by the reporter. Among the outcomes recorded, 15.6% of reports include death and 32.5% 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?

other health professional (35.4%), consumer or non-health professional (28.8%) and physician (22.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Sertraline hydrochloride rising?

1,080 reports in the 12 months to June 2026, up 15% from 938 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 hydrochloride 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 hydrochloride?

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 hydrochloride as a suspect or interacting product; reports listing it only as a concomitant medication (14,591) 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.