DABIGATRAN ETEXILATE MESYLATE

82/100 · Critical

Manufactured by Boehringer Ingelheim Pharmaceuticals Inc.

High Safety Concerns with Dabigatran Etexilate Mesylate: Significant Hemorrhagic Events

101,632 FDA adverse event reports analyzed

Last updated: 2026-05-12

About DABIGATRAN ETEXILATE MESYLATE

DABIGATRAN ETEXILATE MESYLATE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Boehringer Ingelheim Pharmaceuticals Inc.. Based on analysis of 101,632 FDA adverse event reports, DABIGATRAN ETEXILATE MESYLATE 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 DABIGATRAN ETEXILATE MESYLATE include GASTROINTESTINAL HAEMORRHAGE, CEREBROVASCULAR ACCIDENT, FALL, HAEMORRHAGE, ANAEMIA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for DABIGATRAN ETEXILATE MESYLATE.

AI Safety Analysis

Dabigatran Etexilate Mesylate 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 101,632 adverse event reports for this medication, which is primarily manufactured by Boehringer Ingelheim Pharmaceuticals Inc..

The most commonly reported adverse events include Gastrointestinal Haemorrhage, Cerebrovascular Accident, Fall. Of classified reports, 76.4% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Hemorrhagic events, including gastrointestinal and intracranial hemorrhage, are the most frequent and serious adverse reactions.

The drug is associated with a high rate of serious adverse events, particularly hemorrhagic and cardiovascular issues. Atrial fibrillation, a common indication for this drug, is also frequently reported, indicating potential efficacy but increased risk.

Patients taking Dabigatran Etexilate Mesylate should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Dabigatran etexilate mesylate can interact with other anticoagulants and antiplatelet agents, leading to increased bleeding risk. Patients should avoid these drugs unless medically necessary. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 82/100

Dabigatran Etexilate Mesylate received a safety concern score of 82/100 (high concern). This is based on a 76.4% serious event ratio across 71,902 classified reports. The score accounts for 101,632 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

GASTROINTESTINAL HAEMORRHAGE7,864 reports
CEREBROVASCULAR ACCIDENT3,930 reports
FALL3,010 reports
HAEMORRHAGE2,996 reports
ANAEMIA2,592 reports
ISCHAEMIC STROKE2,177 reports
DEATH2,106 reports
DYSPNOEA2,014 reports
RECTAL HAEMORRHAGE1,970 reports
DIZZINESS1,919 reports
ATRIAL FIBRILLATION1,735 reports
DIARRHOEA1,640 reports
ASTHENIA1,626 reports
DYSPEPSIA1,518 reports
FATIGUE1,478 reports
NAUSEA1,434 reports
HEADACHE1,414 reports
CEREBRAL HAEMORRHAGE1,398 reports
OFF LABEL USE1,369 reports
COAGULOPATHY1,259 reports
CONTUSION1,248 reports
HAEMORRHAGIC ANAEMIA1,246 reports
MELAENA1,226 reports
UPPER GASTROINTESTINAL HAEMORRHAGE1,218 reports
EPISTAXIS1,212 reports
HAEMATURIA1,197 reports
HAEMORRHAGE INTRACRANIAL1,181 reports
DRUG INEFFECTIVE1,167 reports
LOWER GASTROINTESTINAL HAEMORRHAGE1,138 reports
PNEUMONIA1,127 reports
PULMONARY EMBOLISM1,051 reports
HYPOTENSION1,013 reports
RENAL FAILURE ACUTE984 reports
RENAL FAILURE975 reports
ACUTE KIDNEY INJURY951 reports
HAEMOGLOBIN DECREASED945 reports
ARTHRALGIA933 reports
DEEP VEIN THROMBOSIS925 reports
TRANSIENT ISCHAEMIC ATTACK916 reports
CHEST PAIN906 reports
ABDOMINAL PAIN UPPER901 reports
HAEMATOCHEZIA901 reports
ABDOMINAL DISCOMFORT891 reports
MALAISE888 reports
DRUG INTERACTION869 reports
VOMITING849 reports
MYOCARDIAL INFARCTION840 reports
SUBDURAL HAEMATOMA833 reports
INTERNATIONAL NORMALISED RATIO INCREASED797 reports
OEDEMA PERIPHERAL777 reports
PAIN IN EXTREMITY776 reports
PROCOAGULANT THERAPY737 reports
HAEMATOMA711 reports
ABDOMINAL PAIN706 reports
CARDIAC FAILURE CONGESTIVE690 reports
THROMBOSIS689 reports
CARDIAC FAILURE687 reports
PAIN666 reports
COUGH639 reports
PRURITUS635 reports
CEREBRAL INFARCTION628 reports
RENAL IMPAIRMENT618 reports
SEPSIS617 reports
RASH607 reports
WEIGHT DECREASED597 reports
SYNCOPE591 reports
HAEMOPTYSIS588 reports
BACK PAIN586 reports
URINARY TRACT INFECTION586 reports
DYSPHAGIA571 reports
DECREASED APPETITE565 reports
SHOCK HAEMORRHAGIC535 reports
CONSTIPATION502 reports
CONFUSIONAL STATE495 reports
HAEMATEMESIS491 reports
RESPIRATORY FAILURE486 reports
FLATULENCE484 reports
ACTIVATED PARTIAL THROMBOPLASTIN TIME PROLONGED474 reports
GAIT DISTURBANCE466 reports
HYPERTENSION465 reports
HEAD INJURY463 reports
HAEMORRHAGIC STROKE462 reports
PYREXIA447 reports
INSOMNIA446 reports
BLOOD URINE PRESENT436 reports
HEMIPARESIS427 reports
LOSS OF CONSCIOUSNESS417 reports
GASTROOESOPHAGEAL REFLUX DISEASE413 reports
CARDIAC TAMPONADE411 reports
CARDIAC ARREST410 reports
CHEST DISCOMFORT405 reports
SUBARACHNOID HAEMORRHAGE402 reports
INTERNAL HAEMORRHAGE399 reports
FAECES DISCOLOURED391 reports
OVERDOSE388 reports
THROMBOCYTOPENIA380 reports
FEELING ABNORMAL377 reports
JOINT SWELLING377 reports
EMBOLIC STROKE375 reports
APHASIA364 reports

Key Safety Signals

  • Hemorrhage (7864 reports)
  • Cerebrovascular accident (3930 reports)
  • Death (2106 reports)

Patient Demographics

Adverse event reports by sex: Male: 33,233, Female: 31,294, Unknown: 863. The most frequently reported age groups are age 80 (1,849 reports), age 78 (1,682 reports), age 75 (1,651 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 71,902 classified reports for DABIGATRAN ETEXILATE MESYLATE:

  • Serious: 54,927 reports (76.4%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 16,975 reports (23.6%)
Serious 76.4%Non-Serious 23.6%

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

Male33,233 (50.8%)
Female31,294 (47.9%)
Unknown863 (1.3%)

Reports by Age

Age 801,849 reports
Age 781,682 reports
Age 751,651 reports
Age 821,610 reports
Age 811,595 reports
Age 791,585 reports
Age 771,581 reports
Age 761,505 reports
Age 831,493 reports
Age 741,454 reports
Age 841,454 reports
Age 701,408 reports
Age 851,363 reports
Age 721,309 reports
Age 731,305 reports
Age 711,281 reports
Age 861,153 reports
Age 691,037 reports
Age 68994 reports
Age 87991 reports

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

Drug Interactions & Warnings

Dabigatran etexilate mesylate can interact with other anticoagulants and antiplatelet agents, leading to increased bleeding risk. Patients should avoid these drugs unless medically necessary.

What You Should Know

If you are taking Dabigatran Etexilate Mesylate, here are important things to know. The most commonly reported side effects include gastrointestinal haemorrhage, cerebrovascular accident, fall, haemorrhage, anaemia. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Inform your healthcare provider about all medications and supplements you are taking to avoid potential drug interactions. Be cautious of signs of bleeding, such as unusual bruising, persistent headaches, or changes in vision, and seek medical attention immediately if they occur. 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 the safety profile of dabigatran etexilate mesylate and has issued warnings regarding the risk of serious hemorrhagic events. Healthcare providers should carefully weigh the benefits against the risks.

Frequently Asked Questions

How many adverse event reports has the FDA received for Dabigatran Etexilate Mesylate?

The FDA has received approximately 101,632 adverse event reports associated with Dabigatran Etexilate Mesylate. 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 Dabigatran Etexilate Mesylate?

The most frequently reported adverse events for Dabigatran Etexilate Mesylate include Gastrointestinal Haemorrhage, Cerebrovascular Accident, Fall, Haemorrhage, Anaemia. By volume, the top reported reactions are: Gastrointestinal Haemorrhage (7,864 reports), Cerebrovascular Accident (3,930 reports), Fall (3,010 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Dabigatran Etexilate Mesylate.

What percentage of Dabigatran Etexilate Mesylate adverse event reports are serious?

Out of 71,902 classified reports, 54,927 (76.4%) were classified as serious and 16,975 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 Dabigatran Etexilate Mesylate (by sex)?

Adverse event reports for Dabigatran Etexilate Mesylate break down by patient sex as follows: Male: 33,233, Female: 31,294, Unknown: 863. 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 Dabigatran Etexilate Mesylate?

The most frequently reported age groups for Dabigatran Etexilate Mesylate adverse events are: age 80: 1,849 reports, age 78: 1,682 reports, age 75: 1,651 reports, age 82: 1,610 reports, age 81: 1,595 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 Dabigatran Etexilate Mesylate?

The primary manufacturer associated with Dabigatran Etexilate Mesylate adverse event reports is Boehringer Ingelheim Pharmaceuticals 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 Dabigatran Etexilate Mesylate?

Beyond the most common reactions, other reported adverse events for Dabigatran Etexilate Mesylate include: Ischaemic Stroke, Death, Dyspnoea, Rectal Haemorrhage, Dizziness. 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 Dabigatran Etexilate Mesylate?

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

Dabigatran Etexilate Mesylate 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. Hemorrhagic events, including gastrointestinal and intracranial hemorrhage, are the most frequent and serious adverse reactions.

What are the key safety signals for Dabigatran Etexilate Mesylate?

Key safety signals identified in Dabigatran Etexilate Mesylate's adverse event data include: Hemorrhage (7864 reports). Cerebrovascular accident (3930 reports). Death (2106 reports). These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Dabigatran Etexilate Mesylate interact with other drugs?

Dabigatran etexilate mesylate can interact with other anticoagulants and antiplatelet agents, leading to increased bleeding risk. Patients should avoid these drugs unless medically necessary. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Dabigatran Etexilate Mesylate.

What should patients know before taking Dabigatran Etexilate Mesylate?

Inform your healthcare provider about all medications and supplements you are taking to avoid potential drug interactions. Be cautious of signs of bleeding, such as unusual bruising, persistent headaches, or changes in vision, and seek medical attention immediately if they occur.

Are Dabigatran Etexilate Mesylate side effects well-documented?

Dabigatran Etexilate Mesylate has 101,632 adverse event reports on file with the FDA. The drug is associated with a high rate of serious adverse events, particularly hemorrhagic and cardiovascular issues. The volume of reports for Dabigatran Etexilate Mesylate reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Dabigatran Etexilate Mesylate?

The FDA continues to monitor the safety profile of dabigatran etexilate mesylate and has issued warnings regarding the risk of serious hemorrhagic events. Healthcare providers should carefully weigh the benefits against the risks. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to DABIGATRAN ETEXILATE MESYLATE based on therapeutic use, drug class, or shared indications:

WarfarinAspirinClopidogrel
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.