Reported Reactions

Drugs › Serotonin and norepinephrine reuptake inhibitor

Generic name

Venlafaxine: adverse event reports filed with FDA

29,752 reports list it as a suspect or interacting product, 2004–2026. Class: Serotonin and norepinephrine reuptake inhibitor. Also reported as Venlafaxine Er, Venlafaxine Xr, Venlafaxine Extended-Release Tablets.

29,752
reports as suspect product
0.1% of all reports · about 1,332 a year
2,345
reports, 12 months to June 2026
2,588 in the 12 months before
93.8%
marked serious by the reporter
66.4% across the class
22%
record death among outcomes, as reported
6,542 reports · not verified by FDA

29,752 adverse event reports received by FDA list venlafaxine, a generic name as a suspect or interacting product, from March 2004 to June 2026. A further 29,646 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, 2,345 reports listed it, close to the 2,588 of 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 1,332 reports a year and 0.1% of the 20,646,523 reports in the database, and 17.4% 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 toxicity to various agents (11.3%), completed suicide (9.3%) and drug interaction (7.3%). A report can list several reactions, so shares add to more than 100%; 2,551 different terms appear across these reports. Toxicity to various agents is recorded in 11.3% of these reports, a larger share than in the median serotonin and norepinephrine reuptake inhibitor drug (1.6%).

93.8% of the reports are marked serious by the reporter (66.4% across the class); 22% record death among the outcomes and 39% record hospitalisation, as reported. 35.4% of the reports came from physicians, and the largest patient age group is 18 to 44 (31%). 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

0153305Jul 2021: 233Aug 2021: 163Sep 2021: 219Oct 2021: 182Nov 2021: 140Dec 2021: 2202022Jan 2022: 182Feb 2022: 242Mar 2022: 216Apr 2022: 137May 2022: 138Jun 2022: 191Jul 2022: 186Aug 2022: 135Sep 2022: 171Oct 2022: 196Nov 2022: 142Dec 2022: 1652023Jan 2023: 272Feb 2023: 305Mar 2023: 258Apr 2023: 145May 2023: 216Jun 2023: 208Jul 2023: 176Aug 2023: 176Sep 2023: 229Oct 2023: 226Nov 2023: 223Dec 2023: 2472024Jan 2024: 304Feb 2024: 211Mar 2024: 251Apr 2024: 271May 2024: 233Jun 2024: 199Jul 2024: 272Aug 2024: 238Sep 2024: 190Oct 2024: 251Nov 2024: 165Dec 2024: 2172025Jan 2025: 183Feb 2025: 187Mar 2025: 232Apr 2025: 226May 2025: 236Jun 2025: 191Jul 2025: 278Aug 2025: 160Sep 2025: 169Oct 2025: 152Nov 2025: 220Dec 2025: 1852026Jan 2026: 247Feb 2026: 178Mar 2026: 184Apr 2026: 171May 2026: 160Jun 2026: 241

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

01,4482,8962004: 3220042005: 292006: 122007: 220072008: 242009: 1272010: 34020102011: 5062012: 7122013: 93920132014: 8662015: 1,2542016: 1,39220162017: 1,8102018: 2,5172019: 2,89620192020: 2,6842021: 2,4262022: 2,10120222023: 2,6812024: 2,8022025: 2,41920252026: 1,181

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Toxicity to various agentspoisoning or toxic effect of one or more substances11.3%3,374
  2. Completed suicidedeath by suicide9.3%2,759
  3. Drug interactionan interaction between medicines7.3%2,168
  4. Drug ineffectivethe medicine did not work as expected7.2%2,145
  5. Intentional overdosea deliberate overdose5.4%1,594
  6. Serotonin syndrometoo much serotonin activity, with agitation, fever and tremor5.3%1,574
  7. Overdosea dose above the recommended amount5%1,486
  8. Nauseafeeling sick4.5%1,351
  9. Foetal exposure during pregnancythe unborn baby was exposed to the medicine4.3%1,279
  10. Drug abusemisuse of a medicine4.1%1,222
  11. Suicide attempta suicide attempt4.1%1,216
  12. Headachehead pain4%1,191
  13. Dizzinesslight-headedness or unsteadiness3.9%1,170
  14. Fatiguetiredness3.6%1,082
  15. Anxietyanxiety3.6%1,061
  16. Off label useused for a purpose or in a way not on the label3.5%1,053
  17. Somnolencedrowsiness3.4%1,005
  18. Depressionlow mood3.3%994
  19. Coma3.3%990
  20. Suicidal ideationthoughts of suicide3.2%951
  21. Hyperhidrosisexcessive sweating2.9%870
  22. Insomniadifficulty sleeping2.8%838
  23. Vomitingbeing sick2.8%831
  24. Tremorshaking2.6%762
  25. Electrocardiogram QT prolongeda QT prolongation on the ECG2.5%745
  26. Tachycardiafast heart rate2.5%736
  27. Deaththe patient died; cause not stated by this term2.5%734
  28. Hypotensionlow blood pressure2.4%719
  29. Confusional stateconfusion2.4%707

Top 30 of 2,551 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

Death22%6,542
Life-threatening9.6%2,855
Hospitalisation (initial or prolonged)39%11,606
Disability3.9%1,174
Congenital anomaly2.9%866
Other serious56.5%16,803
Not serious6.2%1,841

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 22.9%866
2 to 110.1%41
12 to 171.5%452
18 to 4431%9,222
45 to 6426.9%7,992
65 to 748.4%2,487
75 and over6.9%2,039
Age not given22.4%6,653

Patient sex

Female56.6%16,827
Male30.8%9,161
Not given12.7%3,764

Who reported

Physician35.4%10,520
Pharmacist12%3,563
Other health professional33.4%9,945
Lawyer0.1%44
Consumer or non-health professional16.8%5,013
Not given2.2%667

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 28.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Depression6,29521.2%
Major depression8772.9%
Anxiety7362.5%
Suicide attempt4191.4%
Bipolar disorder3391.1%
Mixed anxiety and depressive disorder2570.9%

The indication field is filled in by the reporter and is often blank; shares are of all 29,752 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Venlafaxine reports
Quetiapine3,30711.1%
Mirtazapine2,4728.3%
Olanzapine1,7225.8%
Acetaminophen1,6105.4%
Alprazolam1,5765.3%
Diazepam1,5125.1%
Lamotrigine1,5055.1%
Gabapentin1,4805%
Lorazepam1,4324.8%
Clonazepam1,3814.6%

Other products listed in reports where Venlafaxine 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

MeasureVenlafaxineSerotonin and norepinephrine reuptake inhibitorAll reports
Reports as suspect product29,752171,11520,646,523
Share of that pool—17.4%0.1%
Reports, latest 12 months2,345—1,332,454
Marked serious93.8%66.4%57.4%
Death recorded among outcomes, per 1,000 reports22010291
Hospitalisation recorded, per 1,000 reports390241213
Consumer-filed share16.8%41.4%45.8%
Top term, share of reportsToxicity to various agents 11.3%median 1.6%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 and norepinephrine reuptake inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Cymbaltabrand52,27934652.3%
Venlafaxine hydrochloridegeneric19,4641,02680%
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 reports

How many adverse event reports has FDA received for Venlafaxine?

29,752 reports list Venlafaxine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 2,345 of them arrived in the latest 12 months. Another 29,646 list it only as a concomitant medication.

What reactions are recorded in Venlafaxine reports?

toxicity to various agents (11.3%), completed suicide (9.3%), drug interaction (7.3%), drug ineffective (7.2%) and intentional overdose (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 Venlafaxine was responsible.

How serious are the reports?

93.8% are marked serious by the reporter. Among the outcomes recorded, 22% of reports include death and 39% 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 (35.4%), other health professional (33.4%) and consumer or non-health professional (16.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Venlafaxine rising?

2,345 reports in the 12 months to June 2026, close to the 2,588 of 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 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?

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 as a suspect or interacting product; reports listing it only as a concomitant medication (29,646) 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.