ESOMEPRAZOLE MAGNESIUM DIHYDRATE

82/100 · Critical

Manufactured by HyVee Inc

Esomeprazole Magnesium Dihydrate Adverse Events: High Serious Reaction Rate

39,585 FDA adverse event reports analyzed

Last updated: 2026-05-12

About ESOMEPRAZOLE MAGNESIUM DIHYDRATE

ESOMEPRAZOLE MAGNESIUM DIHYDRATE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by HyVee Inc. Based on analysis of 39,585 FDA adverse event reports, ESOMEPRAZOLE MAGNESIUM DIHYDRATE 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 ESOMEPRAZOLE MAGNESIUM DIHYDRATE include DRUG INEFFECTIVE, NAUSEA, HEADACHE, DIARRHOEA, FATIGUE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for ESOMEPRAZOLE MAGNESIUM DIHYDRATE.

AI Safety Analysis

Esomeprazole Magnesium Dihydrate 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 39,585 adverse event reports for this medication, which is primarily manufactured by Hyvee Inc.

The most commonly reported adverse events include Drug Ineffective, Nausea, Headache. Of classified reports, 76.6% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. The majority of adverse events are non-serious, but the serious reaction rate is high at 76.6%.

Nausea, headache, and diarrhea are the most common reactions, indicating gastrointestinal side effects. There is a notable increase in chronic kidney disease and acute kidney injury reports, suggesting potential renal risks. Drug interactions and therapeutic product effects are frequently reported, indicating potential interactions with other medications.

Patients taking Esomeprazole Magnesium Dihydrate should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Esomeprazole Magnesium Dihydrate may interact with other medications, and patients should be monitored for potential renal issues, particularly chronic and acute kidney disease. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 82/100

Esomeprazole Magnesium Dihydrate received a safety concern score of 82/100 (high concern). This is based on a 76.6% serious event ratio across 13,884 classified reports. The score accounts for 39,585 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

DRUG INEFFECTIVE1,331 reports
NAUSEA1,244 reports
HEADACHE1,154 reports
DIARRHOEA1,036 reports
FATIGUE1,014 reports
DYSPNOEA960 reports
PAIN913 reports
OFF LABEL USE905 reports
CHRONIC KIDNEY DISEASE858 reports
ARTHRALGIA771 reports
MALAISE725 reports
ACUTE KIDNEY INJURY724 reports
VOMITING638 reports
COUGH592 reports
PNEUMONIA588 reports
PYREXIA570 reports
FALL552 reports
ANXIETY550 reports
DIZZINESS547 reports
ASTHENIA542 reports
RASH527 reports
HYPERTENSION521 reports
PRURITUS494 reports
ABDOMINAL PAIN UPPER479 reports
WEIGHT DECREASED472 reports
GASTROOESOPHAGEAL REFLUX DISEASE470 reports
BACK PAIN438 reports
CONDITION AGGRAVATED431 reports
HYPERHIDROSIS417 reports
MUSCULAR WEAKNESS399 reports
PAIN IN EXTREMITY392 reports
HYPERSENSITIVITY386 reports
RENAL FAILURE369 reports
ABDOMINAL PAIN366 reports
CHEST PAIN366 reports
ARTHRITIS361 reports
ABDOMINAL DISCOMFORT356 reports
ASTHMA355 reports
RHEUMATOID ARTHRITIS354 reports
PRODUCT USE IN UNAPPROVED INDICATION350 reports
THERAPEUTIC PRODUCT EFFECT INCOMPLETE349 reports
NASOPHARYNGITIS339 reports
CONFUSIONAL STATE337 reports
INSOMNIA328 reports
DRUG INTERACTION326 reports
SINUSITIS318 reports
PALPITATIONS317 reports
DRUG HYPERSENSITIVITY314 reports
DEATH307 reports
FEELING ABNORMAL307 reports
DYSPHAGIA297 reports
DRUG INTOLERANCE291 reports
WHEEZING277 reports
DEPRESSION276 reports
INFECTION275 reports
NEPHROLITHIASIS275 reports
DEHYDRATION273 reports
CEREBROVASCULAR ACCIDENT271 reports
HYPOTENSION271 reports
PRODUCT DOSE OMISSION ISSUE268 reports
COVID 19266 reports
FIBROMYALGIA265 reports
BLOOD PRESSURE INCREASED259 reports
PERIPHERAL SWELLING259 reports
SLEEP APNOEA SYNDROME259 reports
JOINT SWELLING252 reports
HYPOTHYROIDISM251 reports
ANAEMIA248 reports
CARDIAC DISORDER243 reports
BURNING SENSATION242 reports
MUSCULOSKELETAL STIFFNESS242 reports
GASTROINTESTINAL DISORDER241 reports
BLOOD GLUCOSE INCREASED238 reports
URINARY TRACT INFECTION236 reports
LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES235 reports
MYALGIA234 reports
ANGIOEDEMA233 reports
RENAL DISORDER229 reports
WEIGHT INCREASED229 reports
ERYTHEMA227 reports
ALOPECIA226 reports
INCORRECT DOSE ADMINISTERED220 reports
RENAL INJURY220 reports
DECREASED APPETITE218 reports
NIGHTMARE215 reports
PRODUCT USE ISSUE215 reports
BLOOD TEST ABNORMAL213 reports
CONSTIPATION212 reports
HAEMOGLOBIN DECREASED212 reports
PSORIASIS209 reports
INTENTIONAL PRODUCT USE ISSUE207 reports
INFLUENZA206 reports
OEDEMA PERIPHERAL206 reports
ATRIAL FIBRILLATION205 reports
SLEEP DISORDER DUE TO A GENERAL MEDICAL CONDITION204 reports
HYPOAESTHESIA203 reports
END STAGE RENAL DISEASE197 reports
NEUROPATHY PERIPHERAL194 reports
HEART RATE INCREASED192 reports
RHINITIS ALLERGIC190 reports

Key Safety Signals

  • High rate of serious reactions (76.6%)
  • Frequent reports of chronic and acute kidney issues
  • Multiple gastrointestinal side effects reported
  • Common drug interactions and therapeutic product effects

Patient Demographics

Adverse event reports by sex: Female: 7,652, Male: 4,813, Unknown: 15. The most frequently reported age groups are age 54 (354 reports), age 65 (281 reports), age 53 (257 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 13,884 classified reports for ESOMEPRAZOLE MAGNESIUM DIHYDRATE:

  • Serious: 10,638 reports (76.6%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 3,246 reports (23.4%)
Serious 76.6%Non-Serious 23.4%

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

Female7,652 (61.3%)
Male4,813 (38.6%)
Unknown15 (0.1%)

Reports by Age

Age 54354 reports
Age 65281 reports
Age 53257 reports
Age 56255 reports
Age 63231 reports
Age 71229 reports
Age 69225 reports
Age 66218 reports
Age 62214 reports
Age 60212 reports
Age 73209 reports
Age 61208 reports
Age 68205 reports
Age 67200 reports
Age 64194 reports
Age 74193 reports
Age 72190 reports
Age 70188 reports
Age 75183 reports
Age 78179 reports

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

Drug Interactions & Warnings

Esomeprazole Magnesium Dihydrate may interact with other medications, and patients should be monitored for potential renal issues, particularly chronic and acute kidney disease.

What You Should Know

If you are taking Esomeprazole Magnesium Dihydrate, here are important things to know. The most commonly reported side effects include drug ineffective, nausea, headache, diarrhoea, fatigue. 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 you are taking to avoid potential drug interactions. Monitor for signs of kidney issues, such as changes in urine output or swelling, and report any concerns immediately. 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 of Esomeprazole Magnesium Dihydrate, and healthcare providers should be aware of the potential for serious adverse events and renal complications.

Frequently Asked Questions

How many adverse event reports has the FDA received for Esomeprazole Magnesium Dihydrate?

The FDA has received approximately 39,585 adverse event reports associated with Esomeprazole Magnesium Dihydrate. 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 Esomeprazole Magnesium Dihydrate?

The most frequently reported adverse events for Esomeprazole Magnesium Dihydrate include Drug Ineffective, Nausea, Headache, Diarrhoea, Fatigue. By volume, the top reported reactions are: Drug Ineffective (1,331 reports), Nausea (1,244 reports), Headache (1,154 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Esomeprazole Magnesium Dihydrate.

What percentage of Esomeprazole Magnesium Dihydrate adverse event reports are serious?

Out of 13,884 classified reports, 10,638 (76.6%) were classified as serious and 3,246 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 Esomeprazole Magnesium Dihydrate (by sex)?

Adverse event reports for Esomeprazole Magnesium Dihydrate break down by patient sex as follows: Female: 7,652, Male: 4,813, Unknown: 15. 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 Esomeprazole Magnesium Dihydrate?

The most frequently reported age groups for Esomeprazole Magnesium Dihydrate adverse events are: age 54: 354 reports, age 65: 281 reports, age 53: 257 reports, age 56: 255 reports, age 63: 231 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 Esomeprazole Magnesium Dihydrate?

The primary manufacturer associated with Esomeprazole Magnesium Dihydrate adverse event reports is Hyvee 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 Esomeprazole Magnesium Dihydrate?

Beyond the most common reactions, other reported adverse events for Esomeprazole Magnesium Dihydrate include: Dyspnoea, Pain, Off Label Use, Chronic Kidney Disease, Arthralgia. 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 Esomeprazole Magnesium Dihydrate?

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

Esomeprazole Magnesium Dihydrate 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. The majority of adverse events are non-serious, but the serious reaction rate is high at 76.6%.

What are the key safety signals for Esomeprazole Magnesium Dihydrate?

Key safety signals identified in Esomeprazole Magnesium Dihydrate's adverse event data include: High rate of serious reactions (76.6%). Frequent reports of chronic and acute kidney issues. Multiple gastrointestinal side effects reported. Common drug interactions and therapeutic product effects. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Esomeprazole Magnesium Dihydrate interact with other drugs?

Esomeprazole Magnesium Dihydrate may interact with other medications, and patients should be monitored for potential renal issues, particularly chronic and acute kidney disease. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Esomeprazole Magnesium Dihydrate.

What should patients know before taking Esomeprazole Magnesium Dihydrate?

Inform your healthcare provider about all medications you are taking to avoid potential drug interactions. Monitor for signs of kidney issues, such as changes in urine output or swelling, and report any concerns immediately.

Are Esomeprazole Magnesium Dihydrate side effects well-documented?

Esomeprazole Magnesium Dihydrate has 39,585 adverse event reports on file with the FDA. Nausea, headache, and diarrhea are the most common reactions, indicating gastrointestinal side effects. The volume of reports for Esomeprazole Magnesium Dihydrate reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Esomeprazole Magnesium Dihydrate?

The FDA continues to monitor the safety of Esomeprazole Magnesium Dihydrate, and healthcare providers should be aware of the potential for serious adverse events and renal complications. 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.