Reported Reactions

Drugs › Serotonin reuptake inhibitor

Generic name

Trazodone hcl: adverse event reports filed with FDA

2,489 reports list it as a suspect or interacting product, 2004–2026. Class: Serotonin reuptake inhibitor.

2,489
reports as suspect product
0% of all reports · about 111 a year
17
reports, 12 months to June 2026
33 in the 12 months before
84.1%
marked serious by the reporter
83.7% across the class
35.6%
record death among outcomes, as reported
885 reports · not verified by FDA

Between January 2004 and March 2026, 2,489 adverse event reports received by FDA list trazodone hcl, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (17,956) are left out of every figure here.

In the 12 months to June 2026, 17 reports listed it, down 48% from 33 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 111 reports a year and 0% of the 20,646,523 reports in the database, and 0.9% 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 completed suicide (20.6%), cardiac arrest (8.3%) and respiratory arrest (8%). A report can list several reactions, so shares add to more than 100%; 584 different terms appear across these reports. Completed suicide is recorded in 20.6% of these reports, a larger share than in the median serotonin reuptake inhibitor drug (4.8%).

84.1% of the reports are marked serious by the reporter (83.7% across the class); 35.6% record death among the outcomes and 27.6% record hospitalisation, as reported. 30.9% of the reports came from physicians, and the largest patient age group is 45 to 64 (32.5%). 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

047Jul 2021: 0Aug 2021: 0Sep 2021: 0Oct 2021: 0Nov 2021: 4Dec 2021: 32022Jan 2022: 1Feb 2022: 1Mar 2022: 3Apr 2022: 2May 2022: 2Jun 2022: 2Jul 2022: 2Aug 2022: 2Sep 2022: 1Oct 2022: 3Nov 2022: 1Dec 2022: 02023Jan 2023: 3Feb 2023: 1Mar 2023: 1Apr 2023: 0May 2023: 2Jun 2023: 1Jul 2023: 0Aug 2023: 0Sep 2023: 1Oct 2023: 4Nov 2023: 1Dec 2023: 22024Jan 2024: 0Feb 2024: 2Mar 2024: 3Apr 2024: 3May 2024: 7Jun 2024: 1Jul 2024: 1Aug 2024: 1Sep 2024: 4Oct 2024: 5Nov 2024: 3Dec 2024: 42025Jan 2025: 3Feb 2025: 3Mar 2025: 0Apr 2025: 5May 2025: 1Jun 2025: 3Jul 2025: 0Aug 2025: 1Sep 2025: 2Oct 2025: 0Nov 2025: 1Dec 2025: 02026Jan 2026: 6Feb 2026: 5Mar 2026: 2Apr 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

02094172004: 12620042005: 1432006: 22720062007: 1642008: 25820082009: 3282010: 28020102011: 4172012: 39720122013: 262014: 620142015: 32018: 220182019: 12021: 920212022: 202023: 1620232024: 342025: 1920252026: 13

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Completed suicidedeath by suicide20.6%513
  2. Cardiac arrestthe heart stopped8.3%207
  3. Respiratory arrestbreathing stopped8%198
  4. Drug interactionan interaction between medicines6.6%165
  5. Insomniadifficulty sleeping5.3%132
  6. Drug ineffectivethe medicine did not work as expected5%124
  7. Cardio-respiratory arrestthe heart and breathing stopped4.8%120
  8. Toxicity to various agentspoisoning or toxic effect of one or more substances4.2%104
  9. Overdosea dose above the recommended amount3.9%98
  10. Somnolencedrowsiness3.9%98
  11. Depressionlow mood3.9%97
  12. Priapism3.8%94
  13. Anxietyanxiety3.7%92
  14. Suicide attempta suicide attempt3.7%92
  15. Nauseafeeling sick3.7%91
  16. Poisoning3.6%89
  17. Vomitingbeing sick3.5%86
  18. Dizzinesslight-headedness or unsteadiness3.3%83
  19. Confusional stateconfusion3.3%82
  20. Serotonin syndrometoo much serotonin activity, with agitation, fever and tremor3%75
  21. Deaththe patient died; cause not stated by this term2.8%70
  22. Multiple drug overdose2.8%69
  23. Tremorshaking2.7%68
  24. Headachehead pain2.7%67
  25. Fatiguetiredness2.5%61
  26. Intentional overdosea deliberate overdose2.4%60
  27. Feeling abnormalfeeling odd or not right2.4%59
  28. Suicidal ideationthoughts of suicide2.4%59

Top 30 of 584 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

Death35.6%885
Life-threatening5%124
Hospitalisation (initial or prolonged)27.6%687
Disability3%74
Congenital anomaly0.5%12
Other serious30.9%770
Not serious15.9%395

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 20.2%5
2 to 110.3%8
12 to 171.8%44
18 to 4428.9%720
45 to 6432.5%808
65 to 747.8%195
75 and over5.4%135
Age not given23.1%574

Patient sex

Female50.3%1,253
Male39.7%988
Not given10%248

Who reported

Physician30.9%768
Pharmacist12.9%321
Other health professional23.8%593
Lawyer0.6%14
Consumer or non-health professional20.1%501
Not given11.7%292

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 74.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Depression2459.8%
Insomnia2299.2%
Sleep disorder1054.2%
Anxiety281.1%
Ill-defined disorder230.9%
Bipolar disorder220.9%

The indication field is filled in by the reporter and is often blank; shares are of all 2,489 reports.

In context

MeasureTrazodone hclSerotonin reuptake inhibitorAll reports
Reports as suspect product2,489273,11520,646,523
Share of that pool—0.9%0%
Reports, latest 12 months17—1,332,454
Marked serious84.1%83.7%57.4%
Death recorded among outcomes, per 1,000 reports35615991
Hospitalisation recorded, per 1,000 reports276321213
Consumer-filed share20.1%30.8%45.8%
Top term, share of reportsCompleted suicide 20.6%median 4.8%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 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%
Sertraline hclgeneric7,592067.7%
Fluoxetine hydrochloridegeneric6,20964891.9%
Escitalopram oxalategeneric5,06339992.8%

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 Trazodone hcl reports

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

2,489 reports list Trazodone hcl as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 17 of them arrived in the latest 12 months. Another 17,956 list it only as a concomitant medication.

What reactions are recorded in Trazodone hcl reports?

completed suicide (20.6%), cardiac arrest (8.3%), respiratory arrest (8%), drug interaction (6.6%) and insomnia (5.3%). 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 Trazodone hcl was responsible.

How serious are the reports?

84.1% are marked serious by the reporter. Among the outcomes recorded, 35.6% of reports include death and 27.6% 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 (30.9%), other health professional (23.8%) and consumer or non-health professional (20.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Trazodone hcl rising?

17 reports in the 12 months to June 2026, down 48% from 33 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 Trazodone 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 Trazodone 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 Trazodone hcl as a suspect or interacting product; reports listing it only as a concomitant medication (17,956) 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.