CHOLESTYRAMINE

78/100 · Elevated

Manufactured by Endo USA, Inc.

Cholestyramine Adverse Events: High Serious Reaction Rate

26,398 FDA adverse event reports analyzed

Last updated: 2026-05-12

About CHOLESTYRAMINE

CHOLESTYRAMINE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Endo USA, Inc.. Based on analysis of 26,398 FDA adverse event reports, CHOLESTYRAMINE has a safety score of 78 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 CHOLESTYRAMINE include DIARRHOEA, OFF LABEL USE, DRUG INEFFECTIVE, FATIGUE, NAUSEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for CHOLESTYRAMINE.

AI Safety Analysis

Cholestyramine has a safety concern score of 78 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 26,398 adverse event reports for this medication, which is primarily manufactured by Endo Usa, Inc..

The most commonly reported adverse events include Diarrhoea, Off Label Use, Drug Ineffective. Of classified reports, 66.8% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Diarrhoea and nausea are the most common adverse events, with a serious reaction rate of 66.8%.

The majority of reports come from older adults, with the highest number of reports from those aged 72. There is a notable increase in serious reactions, including pneumonia, dyspnoea, and renal failure.

Patients taking Cholestyramine should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Cholestyramine can interact with other medications, potentially affecting their absorption. It is important to consult a healthcare provider before combining it with other drugs. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 78/100

Cholestyramine received a safety concern score of 78/100 (high concern). This is based on a 66.8% serious event ratio across 11,539 classified reports. The score accounts for 26,398 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

DIARRHOEA1,633 reports
OFF LABEL USE1,051 reports
DRUG INEFFECTIVE896 reports
FATIGUE878 reports
NAUSEA783 reports
ARTHRALGIA621 reports
HEADACHE543 reports
ABDOMINAL PAIN524 reports
VOMITING503 reports
WEIGHT DECREASED498 reports
DYSPNOEA489 reports
PAIN476 reports
ASTHENIA456 reports
CONSTIPATION390 reports
MALAISE387 reports
DIZZINESS366 reports
PNEUMONIA366 reports
PRURITUS364 reports
COUGH363 reports
FALL357 reports
CONDITION AGGRAVATED349 reports
CROHN^S DISEASE346 reports
DEATH339 reports
RASH317 reports
PAIN IN EXTREMITY316 reports
PYREXIA316 reports
BACK PAIN304 reports
DECREASED APPETITE304 reports
URINARY TRACT INFECTION288 reports
DEHYDRATION284 reports
ACUTE KIDNEY INJURY257 reports
PRODUCT USE IN UNAPPROVED INDICATION257 reports
ABDOMINAL PAIN UPPER249 reports
INSOMNIA237 reports
MUSCLE SPASMS236 reports
BLOOD PRESSURE INCREASED235 reports
ABDOMINAL DISTENSION229 reports
ANXIETY228 reports
PRODUCT DOSE OMISSION ISSUE220 reports
NASOPHARYNGITIS217 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION212 reports
ANAEMIA208 reports
RENAL FAILURE207 reports
WEIGHT INCREASED206 reports
ABDOMINAL DISCOMFORT198 reports
INTENTIONAL PRODUCT USE ISSUE197 reports
COVID 19194 reports
PERIPHERAL SWELLING192 reports
FEELING ABNORMAL191 reports
MYALGIA189 reports
HYPERTENSION186 reports
DEPRESSION181 reports
OROPHARYNGEAL PAIN175 reports
CHRONIC KIDNEY DISEASE170 reports
PRODUCT SUBSTITUTION ISSUE170 reports
PRODUCT SOLUBILITY ABNORMAL168 reports
OEDEMA PERIPHERAL165 reports
PRODUCT USE ISSUE161 reports
INTESTINAL OBSTRUCTION160 reports
CHEST PAIN157 reports
INJECTION SITE PAIN157 reports
HYPOTENSION156 reports
FLATULENCE155 reports
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION154 reports
HAEMOGLOBIN DECREASED152 reports
FREQUENT BOWEL MOVEMENTS151 reports
GAIT DISTURBANCE151 reports
PRODUCT TASTE ABNORMAL150 reports
DYSPEPSIA146 reports
INCORRECT DOSE ADMINISTERED141 reports
SEPSIS141 reports
CEREBROVASCULAR ACCIDENT139 reports
COLITIS139 reports
NEUROPATHY PERIPHERAL136 reports
SINUSITIS136 reports
GASTROOESOPHAGEAL REFLUX DISEASE135 reports
GASTROINTESTINAL DISORDER134 reports
INFLUENZA132 reports
WHITE BLOOD CELL COUNT DECREASED131 reports
CONTUSION130 reports
TREMOR126 reports
ALOPECIA125 reports
ERYTHEMA125 reports
THROMBOCYTOPENIA125 reports
PRODUCT PHYSICAL CONSISTENCY ISSUE124 reports
HYPERSENSITIVITY122 reports
PLATELET COUNT DECREASED122 reports
URTICARIA122 reports
CHILLS119 reports
DRUG HYPERSENSITIVITY118 reports
JOINT SWELLING118 reports
PARAESTHESIA118 reports
ATRIAL FIBRILLATION117 reports
CONFUSIONAL STATE117 reports
HYPOAESTHESIA117 reports
NEPHROLITHIASIS117 reports
ILLNESS112 reports
NEUTROPENIA112 reports
BRONCHITIS109 reports
DYSPHAGIA108 reports

Key Safety Signals

  • High rate of serious reactions (66.8%)
  • Common gastrointestinal issues like diarrhoea and nausea
  • Increased risk of respiratory and renal issues

Patient Demographics

Adverse event reports by sex: Female: 6,640, Male: 3,962, Unknown: 20. The most frequently reported age groups are age 72 (250 reports), age 71 (218 reports), age 73 (207 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 11,539 classified reports for CHOLESTYRAMINE:

  • Serious: 7,707 reports (66.8%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 3,832 reports (33.2%)
Serious 66.8%Non-Serious 33.2%

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

Female6,640 (62.5%)
Male3,962 (37.3%)
Unknown20 (0.2%)

Reports by Age

Age 72250 reports
Age 71218 reports
Age 73207 reports
Age 70202 reports
Age 63200 reports
Age 66199 reports
Age 65189 reports
Age 74188 reports
Age 69187 reports
Age 67185 reports
Age 62177 reports
Age 76174 reports
Age 75173 reports
Age 59168 reports
Age 57164 reports
Age 68164 reports
Age 78164 reports
Age 77161 reports
Age 64156 reports
Age 80142 reports

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

Drug Interactions & Warnings

Cholestyramine can interact with other medications, potentially affecting their absorption. It is important to consult a healthcare provider before combining it with other drugs.

What You Should Know

If you are taking Cholestyramine, here are important things to know. The most commonly reported side effects include diarrhoea, off label use, drug ineffective, fatigue, nausea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor for signs of serious reactions such as respiratory distress or renal issues. Follow prescribed dosing instructions carefully to avoid drug ineffectiveness or overdose. 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 closely monitors cholestyramine for safety, and any new or severe adverse events should be reported to the FDA's MedWatch program.

Frequently Asked Questions

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

The FDA has received approximately 26,398 adverse event reports associated with Cholestyramine. 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 Cholestyramine?

The most frequently reported adverse events for Cholestyramine include Diarrhoea, Off Label Use, Drug Ineffective, Fatigue, Nausea. By volume, the top reported reactions are: Diarrhoea (1,633 reports), Off Label Use (1,051 reports), Drug Ineffective (896 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Cholestyramine.

What percentage of Cholestyramine adverse event reports are serious?

Out of 11,539 classified reports, 7,707 (66.8%) were classified as serious and 3,832 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 Cholestyramine (by sex)?

Adverse event reports for Cholestyramine break down by patient sex as follows: Female: 6,640, Male: 3,962, Unknown: 20. 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 Cholestyramine?

The most frequently reported age groups for Cholestyramine adverse events are: age 72: 250 reports, age 71: 218 reports, age 73: 207 reports, age 70: 202 reports, age 63: 200 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 Cholestyramine?

The primary manufacturer associated with Cholestyramine adverse event reports is Endo Usa, Inc.. 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 Cholestyramine?

Beyond the most common reactions, other reported adverse events for Cholestyramine include: Arthralgia, Headache, Abdominal Pain, Vomiting, Weight Decreased. 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 Cholestyramine?

You can report adverse events from Cholestyramine 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 Cholestyramine's safety score and what does it mean?

Cholestyramine has a safety concern score of 78 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. Diarrhoea and nausea are the most common adverse events, with a serious reaction rate of 66.8%.

What are the key safety signals for Cholestyramine?

Key safety signals identified in Cholestyramine's adverse event data include: High rate of serious reactions (66.8%). Common gastrointestinal issues like diarrhoea and nausea. Increased risk of respiratory and renal issues. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Cholestyramine interact with other drugs?

Cholestyramine can interact with other medications, potentially affecting their absorption. It is important to consult a healthcare provider before combining it with other drugs. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Cholestyramine.

What should patients know before taking Cholestyramine?

Monitor for signs of serious reactions such as respiratory distress or renal issues. Follow prescribed dosing instructions carefully to avoid drug ineffectiveness or overdose.

Are Cholestyramine side effects well-documented?

Cholestyramine has 26,398 adverse event reports on file with the FDA. The majority of reports come from older adults, with the highest number of reports from those aged 72. The volume of reports for Cholestyramine reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Cholestyramine?

The FDA closely monitors cholestyramine for safety, and any new or severe adverse events should be reported to the FDA's MedWatch program. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to CHOLESTYRAMINE based on therapeutic use, drug class, or shared indications:

SimvastatinWarfarinDigoxin
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.