Reported Reactions

Drugs › Partial opioid agonist

Brand name · Buprenorphine

Sublocade: adverse event reports filed with FDA

5,028 reports list it as a suspect or interacting product, 2018–2026. Class: Partial opioid agonist.

5,028
reports as suspect product
0% of all reports · about 610 a year
434
reports, 12 months to June 2026
537 in the 12 months before
20.3%
marked serious by the reporter
60.2% across the class
1.5%
record death among outcomes, as reported
76 reports · not verified by FDA

Between April 2018 and June 2026, 5,028 adverse event reports received by FDA list the brand name Sublocade (buprenorphine) as a suspect or interacting product. Reports that mention it only as a concomitant medication (101) are left out of every figure here.

In the 12 months to June 2026, 434 reports listed it, down 19% from 537 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 610 reports a year and 0% of the 20,646,523 reports in the database, and 5.3% of the reports for the partial opioid agonist 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 withdrawal syndrome (21.4%), injection site pain (15.3%) and drug dependence (7.6%). A report can list several reactions, so shares add to more than 100%; 372 different terms appear across these reports. Drug withdrawal syndrome is recorded in 21.4% of these reports, a larger share than in the median partial opioid agonist drug (5.2%).

20.3% of the reports are marked serious by the reporter (60.2% across the class); 1.5% record death among the outcomes and 8.9% record hospitalisation, as reported. 42.4% of the reports came from physicians, and the largest patient age group is 18 to 44 (24.2%). 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

0211422Jul 2021: 8Aug 2021: 6Sep 2021: 9Oct 2021: 157Nov 2021: 11Dec 2021: 92022Jan 2022: 3Feb 2022: 5Mar 2022: 9Apr 2022: 3May 2022: 12Jun 2022: 5Jul 2022: 9Aug 2022: 11Sep 2022: 6Oct 2022: 257Nov 2022: 4Dec 2022: 12023Jan 2023: 8Feb 2023: 7Mar 2023: 14Apr 2023: 6May 2023: 11Jun 2023: 9Jul 2023: 14Aug 2023: 15Sep 2023: 3Oct 2023: 351Nov 2023: 7Dec 2023: 142024Jan 2024: 7Feb 2024: 9Mar 2024: 9Apr 2024: 10May 2024: 11Jun 2024: 11Jul 2024: 9Aug 2024: 14Sep 2024: 10Oct 2024: 422Nov 2024: 9Dec 2024: 112025Jan 2025: 4Feb 2025: 14Mar 2025: 11Apr 2025: 12May 2025: 6Jun 2025: 15Jul 2025: 14Aug 2025: 10Sep 2025: 13Oct 2025: 319Nov 2025: 7Dec 2025: 32026Jan 2026: 8Feb 2026: 12Mar 2026: 17Apr 2026: 3May 2026: 15Jun 2026: 13

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

06601,3202018: 80020182019: 1,32020192020: 84720202021: 24920212022: 32520222023: 45920232024: 53220242025: 42820252026: 682026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Sublocade reports recording the termmedian drug in partial opioid agonist

  1. Drug withdrawal syndromesymptoms on stopping a medicine21.4%1,077
  2. Injection site painpain where the injection was given15.3%770
  3. Drug dependencedependence on a medicine7.6%381
  4. Inappropriate schedule of product administrationthe product was taken at the wrong times6.2%312
  5. Injection site erythemaredness where the injection was given5.4%274
  6. Drug abusemisuse of a medicine4.8%240
  7. Nauseafeeling sick4.3%216
  8. Wrong technique in product usage processthe product was used in the wrong way3.4%173
  9. Injection site infection3%151
  10. Fatiguetiredness2.6%133
  11. Maternal exposure during pregnancythe mother took the medicine during pregnancy2.6%132
  12. Off label useused for a purpose or in a way not on the label2.5%127
  13. Vomitingbeing sick2.5%127
  14. Anxietyanxiety2.3%116
  15. Hyperhidrosisexcessive sweating2.2%110
  16. Headachehead pain2.2%109
  17. Injection site swellingswelling where the injection was given2.2%109
  18. Injection site pruritusitching where the injection was given2.1%105
  19. Somnolencedrowsiness2.1%105
  20. Oedema peripheralswelling of the legs, ankles or hands2%99
  21. Drug delivery system removal1.9%97
  22. Drug screen negative1.9%97
  23. Injection site necrosisdeath of tissue where the injection was given1.8%88
  24. Insomniadifficulty sleeping1.8%88
  25. Painpain, site not specified1.7%83
  26. Constipationconstipation1.6%81

Top 30 of 372 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 8 drugs in the partial opioid 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

Death1.5%76
Life-threatening0.7%35
Hospitalisation (initial or prolonged)8.9%445
Disability0.2%11
Congenital anomaly0%1
Other serious13.9%697
Not serious79.7%4,008

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 94,902 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
2 to 110%1
12 to 170.3%17
18 to 4424.2%1,216
45 to 646%304
65 to 740.3%16
75 and over0%2
Age not given69%3,471

Patient sex

Female30.9%1,556
Male46.2%2,323
Not given22.9%1,149

Who reported

Physician42.4%2,130
Pharmacist4%203
Other health professional38.1%1,916
Lawyer0.2%8
Consumer or non-health professional14.9%748
Not given0.5%23

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 96.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Drug dependence2,54850.7%
Drug use disorder73114.5%
Pain300.6%
Substance use disorder100.2%
Dependence40.1%
Pain management40.1%

The indication field is filled in by the reporter and is often blank; shares are of all 5,028 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Sublocade reports
Suboxone3627.2%
Fentanyl1432.8%
Buprenorphine1012%
Gabapentin911.8%
Seroquel420.8%
Trazodone410.8%
Nicotine400.8%
Alcohol370.7%
Buprenorphine Naloxone370.7%
Lidocaine350.7%

Other products listed in reports where Sublocade 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

MeasureSublocadePartial opioid agonistAll reports
Reports as suspect product5,02894,90220,646,523
Share of that pool—5.3%0%
Reports, latest 12 months434—1,332,454
Marked serious20.3%60.2%57.4%
Death recorded among outcomes, per 1,000 reports1528691
Hospitalisation recorded, per 1,000 reports8999213
Consumer-filed share14.9%46.8%45.8%
Top term, share of reportsDrug withdrawal syndrome 21.4%median 5.2%0.4%

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 partial opioid agonist class

DrugName typeReportsLatest 12 monthsMarked serious
Butransbrand60,02959057.3%
Buprenorphinegeneric19,2401,74979.3%
Buprenorphine hydrochloridegeneric4,06921094.1%
Belbucabrand3,03928460.4%
Brixadibrand1,9736807.3%
Buprenorphine Transdermal Systembrand95516911.7%
Buprenorphine hclgeneric569092.1%

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 Sublocade reports

How many adverse event reports has FDA received for Sublocade?

5,028 reports list Sublocade as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 434 of them arrived in the latest 12 months. Another 101 list it only as a concomitant medication.

What reactions are recorded in Sublocade reports?

drug withdrawal syndrome (21.4%), injection site pain (15.3%), drug dependence (7.6%), inappropriate schedule of product administration (6.2%) and injection site erythema (5.4%). 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 Sublocade was responsible.

How serious are the reports?

20.3% are marked serious by the reporter. Among the outcomes recorded, 1.5% of reports include death and 8.9% 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?

physician (42.4%), other health professional (38.1%) and consumer or non-health professional (14.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Sublocade rising?

434 reports in the 12 months to June 2026, down 19% from 537 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 Sublocade 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 Sublocade?

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 Sublocade as a suspect or interacting product; reports listing it only as a concomitant medication (101) 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.