FLUOXETINE HYDROCHLORIDE

75/100 · Elevated

Manufactured by Aurobindo Pharma Limited

Serious Adverse Reactions Common with Fluoxetine Hydrochloride

241,604 FDA adverse event reports analyzed

Last updated: 2026-05-12

About FLUOXETINE HYDROCHLORIDE

FLUOXETINE HYDROCHLORIDE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Aurobindo Pharma Limited. Based on analysis of 241,604 FDA adverse event reports, FLUOXETINE HYDROCHLORIDE has a safety score of 75 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 FLUOXETINE HYDROCHLORIDE include DRUG INEFFECTIVE, NAUSEA, FATIGUE, HEADACHE, DEPRESSION. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for FLUOXETINE HYDROCHLORIDE.

AI Safety Analysis

Fluoxetine Hydrochloride has a safety concern score of 75 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 241,604 adverse event reports for this medication, which is primarily manufactured by Aurobindo Pharma Limited.

The most commonly reported adverse events include Drug Ineffective, Nausea, Fatigue. Of classified reports, 71.6% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Serious adverse reactions, particularly suicidal ideation and attempts, are common.

A wide range of reactions, including cardiovascular and neurological issues, are reported. Weight changes and gastrointestinal issues are frequently reported side effects. Drug interactions and overdose are significant concerns.

Patients taking Fluoxetine Hydrochloride should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Fluoxetine Hydrochloride can interact with other drugs, potentially leading to adverse effects. Overdose is a significant risk and should be avoided. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 75/100

Fluoxetine Hydrochloride received a safety concern score of 75/100 (elevated concern). This is based on a 71.6% serious event ratio across 122,995 classified reports. The score accounts for 241,604 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

DRUG INEFFECTIVE7,928 reports
NAUSEA7,226 reports
FATIGUE7,176 reports
HEADACHE6,180 reports
DEPRESSION5,820 reports
ANXIETY5,633 reports
DIZZINESS5,035 reports
DIARRHOEA4,996 reports
PAIN4,901 reports
OFF LABEL USE4,884 reports
DRUG INTERACTION4,753 reports
VOMITING4,593 reports
DYSPNOEA4,581 reports
FALL4,226 reports
TOXICITY TO VARIOUS AGENTS4,151 reports
INSOMNIA4,137 reports
MALAISE3,741 reports
SUICIDAL IDEATION3,605 reports
COMPLETED SUICIDE3,564 reports
WEIGHT INCREASED3,439 reports
ASTHENIA3,423 reports
SOMNOLENCE3,367 reports
TREMOR3,261 reports
ARTHRALGIA3,181 reports
FEELING ABNORMAL2,935 reports
INTENTIONAL OVERDOSE2,873 reports
CONDITION AGGRAVATED2,867 reports
SUICIDE ATTEMPT2,757 reports
WEIGHT DECREASED2,665 reports
CONFUSIONAL STATE2,521 reports
DEATH2,490 reports
PRURITUS2,490 reports
PYREXIA2,424 reports
PAIN IN EXTREMITY2,338 reports
FOETAL EXPOSURE DURING PREGNANCY2,315 reports
SEROTONIN SYNDROME2,278 reports
RASH2,272 reports
HYPERTENSION2,260 reports
PNEUMONIA2,255 reports
ABDOMINAL PAIN2,248 reports
DECREASED APPETITE2,245 reports
GAIT DISTURBANCE2,194 reports
COUGH2,163 reports
HYPOTENSION2,128 reports
OVERDOSE2,118 reports
BACK PAIN2,050 reports
AGITATION1,987 reports
HYPERHIDROSIS1,979 reports
ACUTE KIDNEY INJURY1,941 reports
DRUG ABUSE1,933 reports
CHEST PAIN1,932 reports
MEMORY IMPAIRMENT1,880 reports
ABDOMINAL PAIN UPPER1,847 reports
CONSTIPATION1,789 reports
PARAESTHESIA1,784 reports
URINARY TRACT INFECTION1,777 reports
MUSCLE SPASMS1,635 reports
HYPOAESTHESIA1,546 reports
MYALGIA1,537 reports
VISION BLURRED1,506 reports
CHRONIC KIDNEY DISEASE1,480 reports
TACHYCARDIA1,463 reports
BLOOD PRESSURE INCREASED1,462 reports
LOSS OF CONSCIOUSNESS1,448 reports
RENAL FAILURE1,442 reports
PRODUCT USE IN UNAPPROVED INDICATION1,433 reports
SEIZURE1,419 reports
DRUG HYPERSENSITIVITY1,385 reports
ALOPECIA1,338 reports
PRODUCT DOSE OMISSION ISSUE1,310 reports
IRRITABILITY1,303 reports
ANAEMIA1,292 reports
SYNCOPE1,290 reports
ELECTROCARDIOGRAM QT PROLONGED1,283 reports
BALANCE DISORDER1,280 reports
AGGRESSION1,274 reports
DISTURBANCE IN ATTENTION1,270 reports
CARDIAC ARREST1,268 reports
DIABETES MELLITUS1,262 reports
INJECTION SITE PAIN1,252 reports
HYPERSENSITIVITY1,251 reports
GASTROOESOPHAGEAL REFLUX DISEASE1,246 reports
MIGRAINE1,241 reports
DEPRESSED MOOD1,229 reports
PALPITATIONS1,207 reports
DEHYDRATION1,173 reports
CHILLS1,167 reports
ABDOMINAL DISCOMFORT1,163 reports
COMA1,161 reports
DRUG DOSE OMISSION1,155 reports
DRUG WITHDRAWAL SYNDROME1,144 reports
NASOPHARYNGITIS1,129 reports
CARDIO RESPIRATORY ARREST1,127 reports
HALLUCINATION1,109 reports
MUSCULAR WEAKNESS1,085 reports
OEDEMA PERIPHERAL1,081 reports
SLEEP DISORDER1,067 reports
COVID 191,063 reports
INTENTIONAL SELF INJURY1,054 reports
DYSPEPSIA1,038 reports

Key Safety Signals

  • Suicidal ideation and attempts are reported in 3.6% of cases.
  • Cardiovascular issues, including QT prolongation and arrhythmias, are noted.
  • Neurological symptoms such as confusion and hallucinations are frequent.
  • Serious reactions like death and renal failure are reported.

Patient Demographics

Adverse event reports by sex: Female: 80,642, Male: 32,078, Unknown: 495. The most frequently reported age groups are age 53 (1,754 reports), age 55 (1,717 reports), age 57 (1,716 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 122,995 classified reports for FLUOXETINE HYDROCHLORIDE:

  • Serious: 88,120 reports (71.6%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 34,875 reports (28.4%)
Serious 71.6%Non-Serious 28.4%

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

Female80,642 (71.2%)
Male32,078 (28.3%)
Unknown495 (0.4%)

Reports by Age

Age 531,754 reports
Age 551,717 reports
Age 571,716 reports
Age 581,707 reports
Age 601,705 reports
Age 611,681 reports
Age 521,670 reports
Age 561,631 reports
Age 591,623 reports
Age 541,615 reports
Age 621,583 reports
Age 491,562 reports
Age 511,559 reports
Age 501,527 reports
Age 451,470 reports
Age 631,467 reports
Age 661,431 reports
Age 651,425 reports
Age 471,423 reports
Age 481,419 reports

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

Drug Interactions & Warnings

Fluoxetine Hydrochloride can interact with other drugs, potentially leading to adverse effects. Overdose is a significant risk and should be avoided.

What You Should Know

If you are taking Fluoxetine Hydrochloride, here are important things to know. The most commonly reported side effects include drug ineffective, nausea, fatigue, headache, depression. 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. Do not stop taking Fluoxetine Hydrochloride abruptly without consulting your doctor to prevent withdrawal symptoms. 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 Fluoxetine Hydrochloride due to its high rate of serious adverse events. Patients should be closely monitored, especially for suicidal ideation and cardiovascular issues.

Frequently Asked Questions

How many adverse event reports has the FDA received for Fluoxetine Hydrochloride?

The FDA has received approximately 241,604 adverse event reports associated with Fluoxetine Hydrochloride. 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 Fluoxetine Hydrochloride?

The most frequently reported adverse events for Fluoxetine Hydrochloride include Drug Ineffective, Nausea, Fatigue, Headache, Depression. By volume, the top reported reactions are: Drug Ineffective (7,928 reports), Nausea (7,226 reports), Fatigue (7,176 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Fluoxetine Hydrochloride.

What percentage of Fluoxetine Hydrochloride adverse event reports are serious?

Out of 122,995 classified reports, 88,120 (71.6%) were classified as serious and 34,875 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 Fluoxetine Hydrochloride (by sex)?

Adverse event reports for Fluoxetine Hydrochloride break down by patient sex as follows: Female: 80,642, Male: 32,078, Unknown: 495. 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 Fluoxetine Hydrochloride?

The most frequently reported age groups for Fluoxetine Hydrochloride adverse events are: age 53: 1,754 reports, age 55: 1,717 reports, age 57: 1,716 reports, age 58: 1,707 reports, age 60: 1,705 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 Fluoxetine Hydrochloride?

The primary manufacturer associated with Fluoxetine Hydrochloride adverse event reports is Aurobindo Pharma Limited. 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 Fluoxetine Hydrochloride?

Beyond the most common reactions, other reported adverse events for Fluoxetine Hydrochloride include: Anxiety, Dizziness, Diarrhoea, Pain, Off Label Use. 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 Fluoxetine Hydrochloride?

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

Fluoxetine Hydrochloride has a safety concern score of 75 out of 100 (elevated 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. Serious adverse reactions, particularly suicidal ideation and attempts, are common.

What are the key safety signals for Fluoxetine Hydrochloride?

Key safety signals identified in Fluoxetine Hydrochloride's adverse event data include: Suicidal ideation and attempts are reported in 3.6% of cases.. Cardiovascular issues, including QT prolongation and arrhythmias, are noted.. Neurological symptoms such as confusion and hallucinations are frequent.. Serious reactions like death and renal failure are reported.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Fluoxetine Hydrochloride interact with other drugs?

Fluoxetine Hydrochloride can interact with other drugs, potentially leading to adverse effects. Overdose is a significant risk and should be avoided. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Fluoxetine Hydrochloride.

What should patients know before taking Fluoxetine Hydrochloride?

Inform your healthcare provider about all medications you are taking to avoid potential drug interactions. Do not stop taking Fluoxetine Hydrochloride abruptly without consulting your doctor to prevent withdrawal symptoms.

Are Fluoxetine Hydrochloride side effects well-documented?

Fluoxetine Hydrochloride has 241,604 adverse event reports on file with the FDA. A wide range of reactions, including cardiovascular and neurological issues, are reported. The volume of reports for Fluoxetine Hydrochloride reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Fluoxetine Hydrochloride?

The FDA closely monitors Fluoxetine Hydrochloride due to its high rate of serious adverse events. Patients should be closely monitored, especially for suicidal ideation and cardiovascular issues. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

ParoxetineSertralineEscitalopramCitalopramVenlafaxine
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.