Reported Reactions

Drugs › Histamine-1 receptor antagonist

Brand name · Acetaminophen and diphenhydramine hydrochloride

Tylenol PM: adverse event reports filed with FDA

624 reports list it as a suspect or interacting product, 2004–2026. Class: Histamine-1 receptor antagonist.

624
reports as suspect product
0% of all reports · about 28 a year
40
reports, 12 months to June 2026
24 in the 12 months before
77.1%
marked serious by the reporter
57.7% across the class
9.3%
record death among outcomes, as reported
58 reports · not verified by FDA

624 adverse event reports received by FDA list the brand name Tylenol PM (acetaminophen and diphenhydramine hydrochloride) as a suspect or interacting product, from June 2004 to April 2026. A further 2,588 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, 40 reports listed it, up 67% from 24 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 28 reports a year and 0% of the 20,646,523 reports in the database, and 0.5% of the reports for the histamine-1 receptor antagonist 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 intentional overdose (13.8%), acute hepatic failure (12.7%) and overdose (9.5%). A report can list several reactions, so shares add to more than 100%; 234 different terms appear across these reports. Intentional overdose is recorded in 13.8% of these reports, a larger share than in the median histamine-1 receptor antagonist drug (0.2%).

77.1% of the reports are marked serious by the reporter (57.7% across the class); 9.3% record death among the outcomes and 42% record hospitalisation, as reported. 59% of the reports came from consumers, and the largest patient age group is 18 to 44 (27.2%). 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

01326Jul 2021: 3Aug 2021: 1Sep 2021: 2Oct 2021: 5Nov 2021: 10Dec 2021: 82022Jan 2022: 1Feb 2022: 2Mar 2022: 1Apr 2022: 3May 2022: 10Jun 2022: 7Jul 2022: 2Aug 2022: 0Sep 2022: 1Oct 2022: 2Nov 2022: 0Dec 2022: 42023Jan 2023: 4Feb 2023: 2Mar 2023: 2Apr 2023: 4May 2023: 2Jun 2023: 0Jul 2023: 3Aug 2023: 3Sep 2023: 4Oct 2023: 3Nov 2023: 3Dec 2023: 42024Jan 2024: 1Feb 2024: 1Mar 2024: 0Apr 2024: 5May 2024: 3Jun 2024: 2Jul 2024: 3Aug 2024: 2Sep 2024: 3Oct 2024: 0Nov 2024: 5Dec 2024: 12025Jan 2025: 1Feb 2025: 2Mar 2025: 1Apr 2025: 2May 2025: 2Jun 2025: 2Jul 2025: 3Aug 2025: 3Sep 2025: 4Oct 2025: 26Nov 2025: 1Dec 2025: 02026Jan 2026: 0Feb 2026: 1Mar 2026: 0Apr 2026: 2May 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

029572004: 220042005: 112006: 132008: 520082009: 52010: 272011: 3220112012: 512013: 542014: 3420142015: 502016: 572017: 1820172018: 312019: 172020: 3120202021: 432022: 332023: 3420232024: 262025: 472026: 32026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Tylenol PM reports recording the termmedian drug in histamine-1 receptor antagonist

  1. Intentional overdosea deliberate overdose13.8%86
  2. Overdosea dose above the recommended amount9.5%59
  3. Suicide attempta suicide attempt9.1%57
  4. Toxicity to various agentspoisoning or toxic effect of one or more substances6.1%38
  5. Nauseafeeling sick5.8%36
  6. Foetal exposure during pregnancythe unborn baby was exposed to the medicine5%31
  7. Product use in unapproved indicationused for a purpose not on the label4.8%30
  8. Insomniadifficulty sleeping4.6%29
  9. Vomitingbeing sick4.6%29
  10. Acute kidney injurysudden loss of kidney function4.5%28
  11. Drug ineffectivethe medicine did not work as expected4.5%28
  12. Dizzinesslight-headedness or unsteadiness3.7%23
  13. Drug administration errora mistake in giving the medicine3.4%21
  14. Drug interactionan interaction between medicines3.4%21
  15. Fatiguetiredness3.4%21
  16. Somnolencedrowsiness3.4%21
  17. Product administration errora mistake in giving the product3%19
  18. Off label useused for a purpose or in a way not on the label2.6%16
  19. Alanine aminotransferase increasedraised liver enzyme (ALT)2.4%15
  20. Hepatic failureliver failure2.4%15
  21. Astheniaweakness or lack of energy2.2%14
  22. Aspartate aminotransferase increasedraised liver enzyme (AST)2.1%13
  23. Drug dependencedependence on a medicine2.1%13
  24. Accidental overdosean accidental overdose1.9%12
  25. Cognitive disorderproblems with thinking or memory1.9%12
  26. Falla fall1.9%12

Top 30 of 234 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 34 drugs in the histamine-1 receptor antagonist 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

Death9.3%58
Life-threatening5%31
Hospitalisation (initial or prolonged)42%262
Disability1%6
Congenital anomaly0.2%1
Other serious45.4%283
Not serious22.9%143

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 135,666 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%1
2 to 110.6%4
12 to 171.8%11
18 to 4427.2%170
45 to 6413%81
65 to 748.5%53
75 and over6.3%39
Age not given42.5%265

Patient sex

Female59.3%370
Male27.6%172
Not given13.1%82

Who reported

Physician20.4%127
Pharmacist2.2%14
Other health professional9.5%59
Lawyer4.2%26
Consumer or non-health professional59%368
Not given4.8%30

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 98.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Insomnia436.9%
Sleep disorder therapy396.3%
Suicide attempt355.6%
Sleep disorder264.2%
Pain254%
Headache91.4%

The indication field is filled in by the reporter and is often blank; shares are of all 624 reports.

In context

MeasureTylenol PMHistamine-1 receptor antagonistAll reports
Reports as suspect product624135,66620,646,523
Share of that pool—0.5%0%
Reports, latest 12 months40—1,332,454
Marked serious77.1%57.7%57.4%
Death recorded among outcomes, per 1,000 reports9319091
Hospitalisation recorded, per 1,000 reports420203213
Consumer-filed share59%50.8%45.8%
Top term, share of reportsIntentional overdose 13.8%median 0.2%0.3%

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 histamine-1 receptor antagonist class

DrugName typeReportsLatest 12 monthsMarked serious
Zyrtecbrand20,34292916.7%
Cetirizine hydrochloridegeneric19,0922,04377.5%
Diphenhydraminegeneric15,3391,15796%
Cetirizinegeneric12,5221,54891.7%
Benadrylbrand9,61243266.6%
Allegra Allergybrand7,8683043.6%
Diphenhydramine hydrochloridegeneric5,55653894.6%
Xyzal Allergy 24HRbrand5,3021473.3%
Cetirizine hydrochloride, pseudoephedrine hydrochloridegeneric4,91490999.3%
Xyzalbrand3,82418144.6%
Fexofenadinegeneric3,14233562.5%
Diphenhydramine hclgeneric2,741091%
Desloratadinegeneric2,69919093.6%
Azelastine hydrochloridegeneric2,5021515.7%
Aleve PMbrand1,877136.4%

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 Tylenol PM reports

How many adverse event reports has FDA received for Tylenol PM?

624 reports list Tylenol PM as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 40 of them arrived in the latest 12 months. Another 2,588 list it only as a concomitant medication.

What reactions are recorded in Tylenol PM reports?

intentional overdose (13.8%), acute hepatic failure (12.7%), overdose (9.5%), suicide attempt (9.1%) and toxicity to various agents (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 Tylenol PM was responsible.

How serious are the reports?

77.1% are marked serious by the reporter. Among the outcomes recorded, 9.3% of reports include death and 42% 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 (59%), physician (20.4%) and other health professional (9.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Tylenol PM rising?

40 reports in the 12 months to June 2026, up 67% from 24 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 Tylenol PM 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 Tylenol PM?

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 Tylenol PM as a suspect or interacting product; reports listing it only as a concomitant medication (2,588) 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.