MedDRA preferred term · sluggishness

Lethargy: adverse event reports recording this term

56,473 reports to FDA record it, 2004–2026; 0.3% of the database.

Read first · FDA's statement on these data

Adverse event reports submitted to FDA do not undergo extensive validation or verification. Therefore, a causal relationship cannot be established between product and reactions listed in a report. While a suspected relationship may exist, it is not medically validated and should not be the sole source of information for clinical decision making or other assumptions about the safety or efficacy of a product. Additionally, it is important to remember that adverse event reports represent a small percentage of total usage numbers of a product. Common products may have a higher number of adverse events due to the higher total number of people using the product. openFDA, FDA

FDA adds: "There is no certainty that the reported event (adverse event or medication error) was actually due to the product. FDA does not require that a causal relationship between a product and event be proven, and reports do not always contain enough detail to properly evaluate an event." The information in these reports "cannot be used to estimate the incidence of these events."

Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated.

Not medical advice. This site counts what was reported to FDA. Questions about a medicine or device belong with a pharmacist or clinician.

56,473
reports recording the term: 0.3% of all reports; 2,696
reports, 12 months to June 2026: 2,768 in the 12 months before; 67.3%
marked serious by the reporter: 57.4% across all reports; 6.7%
record death among outcomes, as reported: 9.1% across all reports

56,473 reports in FDA's adverse event database record the MedDRA term "Lethargy" (in plain words, sluggishness): 0.3% of all reports received between January 2004 and June 2026. Coders pick the term that best matches the reporter's description.

2,696 reports recorded it in the 12 months to June 2026, close to the 2,768 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Of reports recording this term, 67.3% are marked serious, 6.7% include death among the outcomes and 34.5% include hospitalisation, as reported.

The drugs listed most often as suspect products in those reports are Cymbalta, Humira and Enbrel. That order mostly follows how many reports each drug has overall; the table also gives the term's share within each drug's own reports. 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

FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

Drugs listed as suspect products in these reports

Drug	Class	Reports with this term	Share of the drug's own reports
Cymbalta	Serotonin and norepinephrine reuptake inhibitor	1,736	3.3%
Humira	—	1,046	0.2%
Enbrel	Tumor necrosis factor blocker	660	0.1%
Revlimid	Thalidomide analog	578	0.2%
Methotrexate	Folate analog metabolic inhibitor	567	0.3%
Gabapentin	Anti-epileptic agent	550	0.7%
Amlodipine	Calcium channel blocker	452	0.9%
Ribavirin	Nucleoside analog antiviral	423	0.9%
Lyrica	—	416	0.3%
Dupixent	Interleukin-4 receptor alpha antagonist	407	0.1%
Paxil	Serotonin reuptake inhibitor	403	1.7%
Tysabri	Integrin receptor antagonist	398	0.2%
Nuplazid	Atypical antipsychotic	397	0.7%
Chantix	Partial cholinergic nicotinic agonist	383	0.6%
Omeprazole	Proton pump inhibitor	383	0.6%
OxyContin	Opioid agonist	381	0.3%
Prednisone	Corticosteroid	381	0.2%
Entresto	Angiotensin 2 receptor blocker	369	0.4%
Ibuprofen	Nonsteroidal anti-inflammatory drug	367	0.5%
Forteo	Parathyroid hormone analog	360	0.4%
Seroquel	Atypical antipsychotic	359	0.7%
Xyrem	Central nervous system depressant	354	0.6%
Dexamethasone	Corticosteroid	343	0.3%
Cosentyx	Interleukin-17A antagonist	331	0.2%
Morphine sulfate	Opioid agonist	325	0.5%

Drugs with a page on this site, ordered by the number of their reports recording this term. The last column is the term's share within that drug's own reports, against 0.3% across the whole database. 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."

By pharmacologic class

Class	Reports with this term	Share of class reports	Median drug in class
Atypical antipsychotic	3,569	0.5%	0.4%
Opioid agonist	2,742	0.3%	0.2%
Serotonin and norepinephrine reuptake inhibitor	2,389	1.4%	0.6%
Serotonin reuptake inhibitor	2,228	0.8%	0.7%
Kinase inhibitor	2,065	0.2%	0.1%
Anti-epileptic agent	1,972	0.7%	0.6%
Benzodiazepine	1,648	0.7%	0.7%
Tumor necrosis factor blocker	1,437	0.1%	0.1%
Nonsteroidal anti-inflammatory drug	1,337	0.2%	0%
Corticosteroid	1,332	0.2%	0%

Classes ordered by count. Class shares follow the class's overall report volume as much as anything else.

Patients in these reports

Patient age

Under 21.7%956

2 to 113.1%1,743

12 to 172.3%1,276

18 to 4414.7%8,295

45 to 6422.4%12,625

65 to 7411.9%6,706

75 and over11.1%6,271

Age not given32.9%18,601

Patient sex

Female52%29,357

Male38.9%21,958

Not given9.1%5,158

Grey bar: all 20,646,523 reports in the database. 69.2% of these reports give the United States as the country.

Questions about "Lethargy"

What does "Lethargy" mean in an adverse event report?

In plain language: sluggishness. It is a MedDRA preferred term, the dictionary FDA uses to code what a reporter described. The report's own description is not published by openFDA and is not shown here.

How many reports record lethargy?

56,473 reports through June 2026 (0.3% of all reports), 2,696 of them in the latest 12 months.

Which drugs appear most often in these reports?

Cymbalta (1,736), Humira (1,046), Enbrel (660), Revlimid (578) and Methotrexate (567). Drugs with many reports overall lead almost every term's list. 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."

Does a drug appearing here mean it was responsible for this reaction?

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."

I have this symptom. What should I do?

This site cannot assess anyone. A pharmacist or clinician can; for an emergency, call the local emergency number. Nothing on this page is medical advice.

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. Terms are pooled across spelling and capitalisation variants of one MedDRA preferred term. 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.