BUPRENORPHINE

82/100 · Critical

Manufactured by Purdue Pharma LP

Buprenorphine Adverse Events: High Seriousness and Overdose Concerns

185,849 FDA adverse event reports analyzed

Last updated: 2026-05-12

About BUPRENORPHINE

BUPRENORPHINE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Purdue Pharma LP. Based on analysis of 185,849 FDA adverse event reports, BUPRENORPHINE has a safety score of 82 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for BUPRENORPHINE include DEATH, DRUG DEPENDENCE, OVERDOSE, TOXICITY TO VARIOUS AGENTS, PAIN. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for BUPRENORPHINE.

AI Safety Analysis

Buprenorphine has a safety concern score of 82 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 185,849 adverse event reports for this medication, which is primarily manufactured by Purdue Pharma Lp.

The most commonly reported adverse events include Death, Drug Dependence, Overdose. Of classified reports, 59.3% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Over 13,000 reports of death and over 10,000 reports of overdose highlight severe safety concerns.

Drug dependence and withdrawal syndrome are frequent, indicating potential for addiction and withdrawal issues. Over 8,000 reports of nausea and vomiting suggest gastrointestinal side effects are common.

Patients taking Buprenorphine should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Buprenorphine can cause significant drug interactions, including with other opioids and sedatives, and should be used with caution. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 82/100

Buprenorphine received a safety concern score of 82/100 (high concern). This is based on a 59.3% serious event ratio across 90,114 classified reports. The score accounts for 185,849 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

DEATH13,278 reports
DRUG DEPENDENCE12,452 reports
OVERDOSE10,911 reports
TOXICITY TO VARIOUS AGENTS10,722 reports
PAIN8,158 reports
DRUG WITHDRAWAL SYNDROME6,860 reports
DRUG INEFFECTIVE6,221 reports
EMOTIONAL DISTRESS5,435 reports
NAUSEA4,410 reports
DRUG ABUSE3,622 reports
PRODUCT ADHESION ISSUE3,292 reports
APPLICATION SITE RASH3,042 reports
INADEQUATE ANALGESIA3,028 reports
DIZZINESS2,578 reports
RASH2,501 reports
APPLICATION SITE PRURITUS2,340 reports
VOMITING2,307 reports
HEADACHE2,286 reports
OFF LABEL USE2,019 reports
FATIGUE1,838 reports
DRUG WITHDRAWAL SYNDROME NEONATAL1,747 reports
APPLICATION SITE ERYTHEMA1,736 reports
APPLICATION SITE IRRITATION1,695 reports
DRUG EFFECT DECREASED1,689 reports
ANXIETY1,682 reports
DEPRESSION1,682 reports
DYSPNOEA1,665 reports
SOMNOLENCE1,643 reports
MATERNAL EXPOSURE DURING PREGNANCY1,612 reports
CONFUSIONAL STATE1,500 reports
DIARRHOEA1,449 reports
MALAISE1,421 reports
INSOMNIA1,386 reports
ASTHENIA1,338 reports
ARTHRALGIA1,306 reports
FOETAL EXPOSURE DURING PREGNANCY1,240 reports
HYPERHIDROSIS1,231 reports
FALL1,194 reports
ABDOMINAL PAIN UPPER1,185 reports
WRONG TECHNIQUE IN PRODUCT USAGE PROCESS1,166 reports
DRUG INTOLERANCE1,165 reports
PRURITUS1,165 reports
CONDITION AGGRAVATED1,091 reports
FEELING ABNORMAL1,036 reports
APPLICATION SITE VESICLES1,017 reports
GENERAL PHYSICAL HEALTH DETERIORATION998 reports
HYPOAESTHESIA995 reports
INJECTION SITE PAIN987 reports
ABDOMINAL DISCOMFORT937 reports
PARAESTHESIA930 reports
WITHDRAWAL SYNDROME927 reports
APPLICATION SITE PAIN925 reports
DRUG INTERACTION923 reports
CONSTIPATION918 reports
INTENTIONAL PRODUCT USE ISSUE914 reports
DRUG HYPERSENSITIVITY908 reports
INTENTIONAL PRODUCT MISUSE906 reports
ACCIDENTAL OVERDOSE893 reports
HYPERTENSION884 reports
APPLICATION SITE REACTION881 reports
GASTROOESOPHAGEAL REFLUX DISEASE866 reports
MEMORY IMPAIRMENT865 reports
PNEUMONIA863 reports
MUSCLE SPASMS832 reports
PRODUCT USE IN UNAPPROVED INDICATION824 reports
MIGRAINE819 reports
BLISTER803 reports
DECREASED APPETITE799 reports
PRODUCT QUALITY ISSUE799 reports
EXPOSURE DURING PREGNANCY780 reports
PAIN IN EXTREMITY779 reports
EPILEPSY778 reports
DRY MOUTH773 reports
WEIGHT INCREASED769 reports
ALOPECIA764 reports
INJURY758 reports
PERIPHERAL SWELLING756 reports
URTICARIA756 reports
RHEUMATOID ARTHRITIS752 reports
SYSTEMIC LUPUS ERYTHEMATOSUS720 reports
PSORIATIC ARTHROPATHY715 reports
JOINT SWELLING714 reports
PRODUCT USE ISSUE708 reports
BLEPHAROSPASM707 reports
ARTHROPATHY705 reports
SWELLING699 reports
TYPE 2 DIABETES MELLITUS692 reports
PEMPHIGUS691 reports
INFUSION RELATED REACTION690 reports
APPLICATION SITE BURN685 reports
GLOSSODYNIA685 reports
HEPATIC ENZYME INCREASED678 reports
INFLAMMATION676 reports
WOUND675 reports
C REACTIVE PROTEIN INCREASED673 reports
SYNOVITIS671 reports
SLEEP DISORDER670 reports
PERICARDITIS666 reports
ABDOMINAL PAIN664 reports
TASTE DISORDER663 reports

Key Safety Signals

  • Over 13,000 reports of death indicate a high risk of fatal outcomes.
  • More than 10,000 reports of overdose highlight the potential for misuse and accidental overdose.
  • Drug dependence and withdrawal syndrome are reported in over 6,000 cases, signaling addiction risks.

Patient Demographics

Adverse event reports by sex: Female: 35,466, Male: 27,244, Unknown: 191. The most frequently reported age groups are age 40 (1,261 reports), age 43 (813 reports), age 35 (569 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 90,114 classified reports for BUPRENORPHINE:

  • Serious: 53,443 reports (59.3%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 36,671 reports (40.7%)
Serious 59.3%Non-Serious 40.7%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female35,466 (56.4%)
Male27,244 (43.3%)
Unknown191 (0.3%)

Reports by Age

Age 401,261 reports
Age 43813 reports
Age 35569 reports
Age 30479 reports
Age 50428 reports
Age 39418 reports
Age 57414 reports
Age 51410 reports
Age 55390 reports
Age 36388 reports
Age 60387 reports
Age 45381 reports
Age 37376 reports
Age 33368 reports
Age 49366 reports
Age 53366 reports
Age 54358 reports
Age 42355 reports
Age 32347 reports
Age 31345 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Buprenorphine can cause significant drug interactions, including with other opioids and sedatives, and should be used with caution.

What You Should Know

If you are taking Buprenorphine, here are important things to know. The most commonly reported side effects include death, drug dependence, overdose, toxicity to various agents, pain. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Follow prescribed dosages strictly to avoid overdose and dependency. Monitor for signs of withdrawal and seek medical assistance if symptoms persist or worsen. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor buprenorphine safety, with ongoing restrictions and warnings to mitigate risks.

Frequently Asked Questions

How many adverse event reports has the FDA received for Buprenorphine?

The FDA has received approximately 185,849 adverse event reports associated with Buprenorphine. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Buprenorphine?

The most frequently reported adverse events for Buprenorphine include Death, Drug Dependence, Overdose, Toxicity To Various Agents, Pain. By volume, the top reported reactions are: Death (13,278 reports), Drug Dependence (12,452 reports), Overdose (10,911 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Buprenorphine.

What percentage of Buprenorphine adverse event reports are serious?

Out of 90,114 classified reports, 53,443 (59.3%) were classified as serious and 36,671 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Buprenorphine (by sex)?

Adverse event reports for Buprenorphine break down by patient sex as follows: Female: 35,466, Male: 27,244, Unknown: 191. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Buprenorphine?

The most frequently reported age groups for Buprenorphine adverse events are: age 40: 1,261 reports, age 43: 813 reports, age 35: 569 reports, age 30: 479 reports, age 50: 428 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Buprenorphine?

The primary manufacturer associated with Buprenorphine adverse event reports is Purdue Pharma Lp. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Buprenorphine?

Beyond the most common reactions, other reported adverse events for Buprenorphine include: Drug Withdrawal Syndrome, Drug Ineffective, Emotional Distress, Nausea, Drug Abuse. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Buprenorphine?

You can report adverse events from Buprenorphine to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Buprenorphine's safety score and what does it mean?

Buprenorphine has a safety concern score of 82 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Over 13,000 reports of death and over 10,000 reports of overdose highlight severe safety concerns.

What are the key safety signals for Buprenorphine?

Key safety signals identified in Buprenorphine's adverse event data include: Over 13,000 reports of death indicate a high risk of fatal outcomes.. More than 10,000 reports of overdose highlight the potential for misuse and accidental overdose.. Drug dependence and withdrawal syndrome are reported in over 6,000 cases, signaling addiction risks.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Buprenorphine interact with other drugs?

Buprenorphine can cause significant drug interactions, including with other opioids and sedatives, and should be used with caution. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Buprenorphine.

What should patients know before taking Buprenorphine?

Follow prescribed dosages strictly to avoid overdose and dependency. Monitor for signs of withdrawal and seek medical assistance if symptoms persist or worsen.

Are Buprenorphine side effects well-documented?

Buprenorphine has 185,849 adverse event reports on file with the FDA. Drug dependence and withdrawal syndrome are frequent, indicating potential for addiction and withdrawal issues. The volume of reports for Buprenorphine reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Buprenorphine?

The FDA continues to monitor buprenorphine safety, with ongoing restrictions and warnings to mitigate risks. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

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Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.