MedDRA preferred term · a problem after switching products
Product substitution issue: adverse event reports recording this term
56,798 reports to FDA record it, 2008–2026; 0.3% of the database.
- 56,798
- reports recording the term
- 0.3% of all reports
- 3,005
- reports, 12 months to June 2026
- 2,967 in the 12 months before
- 46.9%
- marked serious by the reporter
- 57.4% across all reports
- 0.4%
- record death among outcomes, as reported
- 9.1% across all reports
"Product substitution issue" (in plain words, a problem after switching products) is a MedDRA preferred term recorded in 56,798 adverse event reports received by FDA, 0.3% of the database, from May 2008 to June 2026. The term is chosen by whoever codes the report to match what the reporter described.
3,005 reports recorded it in the 12 months to June 2026, close to the 2,967 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, 46.9% are marked serious, 0.4% include death among the outcomes and 5.6% include hospitalisation, as reported.
The drugs listed most often as suspect products in those reports are Dextroamphet Saccharat Amphet Aspartate Dextroamphet Sulfate and Amphet Sulfat, Lamotrigine and Dextroamphet Saccharat Amphet Aspartate Dextroamphet Sulfate and Amp. 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 |
|---|---|---|---|
| Dextroamphet Saccharat Amphet Aspartate Dextroamphet Sulfate and Amphet Sulfat | — | 1,380 | 34.6% |
| Lamotrigine | Anti-epileptic agent | 1,052 | 2.4% |
| Dextroamphet Saccharat Amphet Aspartate Dextroamphet Sulfate and Amp | — | 970 | 30.6% |
| Bupropion hydrochloride | Aminoketone | 854 | 3.7% |
| Clonazepam | Benzodiazepine | 638 | 1.7% |
| Levetiracetam | — | 638 | 1.2% |
| Methylphenidate | Central nervous system stimulant | 597 | 9.2% |
| Escitalopram | Serotonin reuptake inhibitor | 485 | 2% |
| Topiramate | — | 441 | 1.7% |
| Omeprazole | Proton pump inhibitor | 435 | 0.7% |
| Estradiol Transdermal System | Estrogen | 431 | 7.2% |
| Levothyroxine | — | 425 | 2.7% |
| Bupropion | Aminoketone | 415 | 2.1% |
| Sertraline | Serotonin reuptake inhibitor | 413 | 0.9% |
| Albuterol sulfate | beta2-Adrenergic agonist | 410 | 0.9% |
| Venlafaxine | Serotonin and norepinephrine reuptake inhibitor | 406 | 1.4% |
| Dextroamphetamine Saccharate Amphetamine Aspartate Dextroamphetamine | — | 391 | 15.7% |
| Adderall | Central nervous system stimulant | 384 | 3.8% |
| Lenalidomide | Thalidomide analog | 362 | 0.6% |
| Duloxetine | Serotonin and norepinephrine reuptake inhibitor | 359 | 2.2% |
| Lisinopril | Angiotensin converting enzyme inhibitor | 355 | 0.8% |
| Gabapentin | Anti-epileptic agent | 337 | 0.5% |
| Zolpidem | gamma-Aminobutyric acid A receptor positive modulator | 336 | 1.8% |
| Clonazepam Actavis | — | 332 | 68.9% |
| Lisdexamfetamine dimesylate | Central nervous system stimulant | 332 | 7.7% |
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 |
|---|---|---|---|
| Anti-epileptic agent | 2,702 | 1% | 0.8% |
| Serotonin reuptake inhibitor | 2,335 | 0.9% | 0.8% |
| Central nervous system stimulant | 2,215 | 2% | 0.5% |
| Aminoketone | 1,726 | 2.4% | 1.9% |
| Benzodiazepine | 1,488 | 0.6% | 0.2% |
| Serotonin and norepinephrine reuptake inhibitor | 1,425 | 0.8% | 0.7% |
| Proton pump inhibitor | 1,271 | 0.3% | 0.1% |
| Opioid agonist | 1,113 | 0.1% | 0.1% |
| Angiotensin 2 receptor blocker | 1,110 | 0.5% | 0.3% |
| beta-Adrenergic blocker | 1,047 | 0.7% | 0.4% |
Classes ordered by count. Class shares follow the class's overall report volume as much as anything else.
Patients in these reports
Patient age
Patient sex
Grey bar: all 20,646,523 reports in the database. 85.9% of these reports give the United States as the country.
Questions about "Product substitution issue"
What does "Product substitution issue" mean in an adverse event report?
In plain language: a problem after switching products. 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 product substitution issue?
56,798 reports through June 2026 (0.3% of all reports), 3,005 of them in the latest 12 months.
Which drugs appear most often in these reports?
Dextroamphet Saccharat Amphet Aspartate Dextroamphet Sulfate and Amphet Sulfat (1,380), Lamotrigine (1,052), Dextroamphet Saccharat Amphet Aspartate Dextroamphet Sulfate and Amp (970), Bupropion hydrochloride (854) and Clonazepam (638). 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.