Reported Reactions

Drugs › Serotonin and norepinephrine reuptake inhibitor

Generic name

Venlafaxine hydrochloride: adverse event reports filed with FDA

19,464 reports list it as a suspect or interacting product, 2004–2026. Class: Serotonin and norepinephrine reuptake inhibitor. Also reported as Venlafaxine Hcl Extended-Release, Venlafaxine Hydrochloride Tablets 100mg, Venlafaxine Hydrochloride 100mg Tablet.

19,464
reports as suspect product
0.1% of all reports · about 865 a year
1,026
reports, 12 months to June 2026
1,212 in the 12 months before
80%
marked serious by the reporter
66.4% across the class
11.8%
record death among outcomes, as reported
2,289 reports · not verified by FDA

Between January 2004 and June 2026, 19,464 adverse event reports received by FDA list venlafaxine hydrochloride, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (36,930) are left out of every figure here.

In the 12 months to June 2026, 1,026 reports listed it, down 15% from 1,212 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 865 reports a year and 0.1% of the 20,646,523 reports in the database, and 11.4% of the reports for the serotonin and norepinephrine 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 ineffective (12%), nausea (8.9%) and headache (8.1%). A report can list several reactions, so shares add to more than 100%; 2,219 different terms appear across these reports. Drug ineffective is recorded in 12% of these reports, about the same share as in the median serotonin and norepinephrine reuptake inhibitor drug (10.4%).

80% of the reports are marked serious by the reporter (66.4% across the class); 11.8% record death among the outcomes and 29.9% record hospitalisation, as reported. 31.1% of the reports came from consumers, and the largest patient age group is 45 to 64 (25.4%). 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

077153Jul 2021: 100Aug 2021: 59Sep 2021: 74Oct 2021: 82Nov 2021: 101Dec 2021: 1432022Jan 2022: 87Feb 2022: 96Mar 2022: 147Apr 2022: 100May 2022: 54Jun 2022: 86Jul 2022: 96Aug 2022: 85Sep 2022: 74Oct 2022: 94Nov 2022: 73Dec 2022: 702023Jan 2023: 77Feb 2023: 93Mar 2023: 76Apr 2023: 90May 2023: 105Jun 2023: 127Jul 2023: 86Aug 2023: 102Sep 2023: 123Oct 2023: 142Nov 2023: 77Dec 2023: 1282024Jan 2024: 75Feb 2024: 142Mar 2024: 126Apr 2024: 132May 2024: 153Jun 2024: 127Jul 2024: 120Aug 2024: 95Sep 2024: 91Oct 2024: 111Nov 2024: 110Dec 2024: 922025Jan 2025: 72Feb 2025: 92Mar 2025: 106Apr 2025: 93May 2025: 106Jun 2025: 124Jul 2025: 98Aug 2025: 79Sep 2025: 87Oct 2025: 95Nov 2025: 93Dec 2025: 512026Jan 2026: 82Feb 2026: 112Mar 2026: 96Apr 2026: 89May 2026: 63Jun 2026: 81

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

06871,3742004: 49720042005: 5442006: 5022007: 39120072008: 5322009: 5552010: 83920102011: 8672012: 9632013: 89320132014: 8662015: 8582016: 80420162017: 9412018: 1,0802019: 1,14520192020: 9112021: 9952022: 1,06220222023: 1,2262024: 1,3742025: 1,09620252026: 523

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Venlafaxine hydrochloride reports recording the termmedian drug in serotonin and norepinephrine reuptake inhibitor

  1. Drug ineffectivethe medicine did not work as expected12%2,341
  2. Nauseafeeling sick8.9%1,733
  3. Headachehead pain8.1%1,579
  4. Off label useused for a purpose or in a way not on the label7.8%1,525
  5. Hyperhidrosisexcessive sweating6.6%1,288
  6. Drug interactionan interaction between medicines6%1,171
  7. Dizzinesslight-headedness or unsteadiness6%1,162
  8. Fatiguetiredness5.7%1,111
  9. Depressionlow mood5.4%1,044
  10. Drug hypersensitivityan allergic-type reaction to a medicine5.2%1,007
  11. Anxietyanxiety5.1%997
  12. Overdosea dose above the recommended amount5%977
  13. Suicide attempta suicide attempt4.8%935
  14. Suicidal ideationthoughts of suicide4.6%898
  15. Toxicity to various agentspoisoning or toxic effect of one or more substances4.5%881
  16. Insomniadifficulty sleeping4.5%877
  17. Somnolencedrowsiness4.4%859
  18. Malaisegeneral feeling of being unwell4.3%839
  19. Drug withdrawal syndromesymptoms on stopping a medicine4.3%829
  20. Vomitingbeing sick4.1%789
  21. Hypertensionhigh blood pressure4%770
  22. Dyspnoeashortness of breath4%769
  23. Intentional overdosea deliberate overdose3.9%760
  24. Painpain, site not specified3.9%750
  25. Diarrhoealoose or frequent stools3.8%740
  26. Completed suicidedeath by suicide3.7%717
  27. Feeling abnormalfeeling odd or not right3.6%707
  28. Drug intolerancethe medicine was not tolerated3.6%695
  29. Pyrexiafever3.5%684
  30. Condition aggravatedthe condition being treated got worse3.5%675

Top 30 of 2,219 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 12 drugs in the serotonin and norepinephrine 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

Death11.8%2,289
Life-threatening7.1%1,389
Hospitalisation (initial or prolonged)29.9%5,814
Disability4%782
Congenital anomaly2.4%470
Other serious54%10,511
Not serious20%3,895

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 171,115 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 20.8%160
2 to 110.2%31
12 to 171.1%218
18 to 4422.7%4,416
45 to 6425.4%4,937
65 to 747.7%1,505
75 and over6.9%1,343
Age not given35.2%6,854

Patient sex

Female60.7%11,811
Male27.5%5,361
Not given11.8%2,292

Who reported

Physician25.1%4,885
Pharmacist6.2%1,208
Other health professional29.3%5,703
Lawyer1%191
Consumer or non-health professional31.1%6,059
Not given7.3%1,418

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 41.1% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Depression4,52223.2%
Anxiety6603.4%
Migraine4812.5%
Major depression3751.9%
Bipolar disorder1580.8%
Neuralgia910.5%

The indication field is filled in by the reporter and is often blank; shares are of all 19,464 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Venlafaxine hydrochloride reports
Acetaminophen1,7689.1%
Gabapentin1,6668.6%
Codeine1,1916.1%
Zopiclone1,1726%
Hydromorphone9965.1%
Tylenol9414.8%
Bupropion hydrochloride9194.7%
Quetiapine fumarate8594.4%
Albuterol8494.4%
Morphine sulfate8264.2%

Other products listed in reports where Venlafaxine 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

MeasureVenlafaxine hydrochlorideSerotonin and norepinephrine reuptake inhibitorAll reports
Reports as suspect product19,464171,11520,646,523
Share of that pool—11.4%0.1%
Reports, latest 12 months1,026—1,332,454
Marked serious80%66.4%57.4%
Death recorded among outcomes, per 1,000 reports11810291
Hospitalisation recorded, per 1,000 reports299241213
Consumer-filed share31.1%41.4%45.8%
Top term, share of reportsDrug ineffective 12%median 10.4%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 and norepinephrine reuptake inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Cymbaltabrand52,27934652.3%
Venlafaxinegeneric29,7522,34593.8%
Duloxetinegeneric16,1031,52985.5%
Effexorbrand13,0793660.1%
Desvenlafaxine succinategeneric12,4145929.6%
Venlafaxine hclgeneric8,4011567.3%
Duloxetine hydrochloridegeneric8,24578782.5%
Pristiqbrand5,9418141.8%
Savellabrand2,9093429.4%
Desvenlafaxinegeneric1,43613578.9%
Fetzimabrand1,0927553.1%

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 Venlafaxine hydrochloride reports

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

19,464 reports list Venlafaxine hydrochloride as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,026 of them arrived in the latest 12 months. Another 36,930 list it only as a concomitant medication.

What reactions are recorded in Venlafaxine hydrochloride reports?

drug ineffective (12%), nausea (8.9%), headache (8.1%), off label use (7.8%) and hyperhidrosis (6.6%). 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 Venlafaxine hydrochloride was responsible.

How serious are the reports?

80% are marked serious by the reporter. Among the outcomes recorded, 11.8% of reports include death and 29.9% 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 (31.1%), other health professional (29.3%) and physician (25.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Venlafaxine hydrochloride rising?

1,026 reports in the 12 months to June 2026, down 15% from 1,212 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 Venlafaxine 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 Venlafaxine 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 Venlafaxine hydrochloride as a suspect or interacting product; reports listing it only as a concomitant medication (36,930) 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.