SERTRALINE HYDROCHLORIDE

78/100 · Elevated

Manufactured by Viatris Specialty LLC

Sertraline Hydrochloride Adverse Events: High Serious Reaction Rate

227,999 FDA adverse event reports analyzed

Last updated: 2026-05-12

About SERTRALINE HYDROCHLORIDE

SERTRALINE HYDROCHLORIDE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Viatris Specialty LLC. Based on analysis of 227,999 FDA adverse event reports, SERTRALINE HYDROCHLORIDE 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 SERTRALINE HYDROCHLORIDE include DRUG INEFFECTIVE, NAUSEA, FATIGUE, HEADACHE, ANXIETY. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for SERTRALINE HYDROCHLORIDE.

AI Safety Analysis

Sertraline Hydrochloride 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 227,999 adverse event reports for this medication, which is primarily manufactured by Viatris Specialty Llc.

The most commonly reported adverse events include Drug Ineffective, Nausea, Fatigue. Of classified reports, 63.8% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Serious adverse events, such as death and suicidal ideation, are common.

A high percentage of reports involve drug ineffectiveness and nausea. The most frequent reactions include fatigue, headache, and anxiety.

Patients taking Sertraline Hydrochloride should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Sertraline can interact with other drugs, potentially leading to adverse effects. Warnings include drug interactions and hyper-sensitivity reactions. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 78/100

Sertraline Hydrochloride received a safety concern score of 78/100 (high concern). This is based on a 63.8% serious event ratio across 114,928 classified reports. The score accounts for 227,999 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 INEFFECTIVE8,046 reports
NAUSEA7,978 reports
FATIGUE7,502 reports
HEADACHE6,646 reports
ANXIETY6,323 reports
DEPRESSION6,252 reports
DIARRHOEA5,535 reports
DIZZINESS5,398 reports
PAIN5,346 reports
DYSPNOEA4,756 reports
INSOMNIA4,410 reports
VOMITING4,343 reports
FALL4,165 reports
ASTHENIA4,118 reports
OFF LABEL USE3,881 reports
MALAISE3,600 reports
FEELING ABNORMAL3,375 reports
ARTHRALGIA3,167 reports
WEIGHT INCREASED3,096 reports
TREMOR2,894 reports
WEIGHT DECREASED2,865 reports
SOMNOLENCE2,849 reports
SUICIDAL IDEATION2,744 reports
CONDITION AGGRAVATED2,706 reports
DRUG INTERACTION2,685 reports
DRUG HYPERSENSITIVITY2,563 reports
PRURITUS2,546 reports
PNEUMONIA2,515 reports
PAIN IN EXTREMITY2,470 reports
RASH2,461 reports
DEATH2,411 reports
COUGH2,322 reports
BACK PAIN2,321 reports
DECREASED APPETITE2,258 reports
HYPERTENSION2,243 reports
CONFUSIONAL STATE2,239 reports
ABDOMINAL PAIN2,201 reports
PYREXIA2,150 reports
CHEST PAIN2,036 reports
CONSTIPATION1,920 reports
GAIT DISTURBANCE1,855 reports
ABDOMINAL PAIN UPPER1,824 reports
URINARY TRACT INFECTION1,784 reports
HYPERHIDROSIS1,745 reports
PARAESTHESIA1,729 reports
MUSCLE SPASMS1,725 reports
SUICIDE ATTEMPT1,722 reports
MEMORY IMPAIRMENT1,665 reports
MYALGIA1,635 reports
HYPOTENSION1,631 reports
HYPOAESTHESIA1,574 reports
BLOOD PRESSURE INCREASED1,507 reports
ANAEMIA1,490 reports
LOSS OF CONSCIOUSNESS1,488 reports
VISION BLURRED1,484 reports
ABDOMINAL DISCOMFORT1,481 reports
AGITATION1,466 reports
PRODUCT DOSE OMISSION ISSUE1,464 reports
ALOPECIA1,458 reports
MATERNAL EXPOSURE DURING PREGNANCY1,426 reports
OVERDOSE1,419 reports
DEHYDRATION1,389 reports
DIABETES MELLITUS1,384 reports
OEDEMA PERIPHERAL1,359 reports
HYPERSENSITIVITY1,302 reports
PALPITATIONS1,294 reports
PRODUCT USE IN UNAPPROVED INDICATION1,259 reports
HALLUCINATION1,246 reports
NASOPHARYNGITIS1,234 reports
IRRITABILITY1,230 reports
INJECTION SITE PAIN1,227 reports
MYOCARDIAL INFARCTION1,209 reports
RENAL FAILURE1,197 reports
BALANCE DISORDER1,188 reports
CEREBROVASCULAR ACCIDENT1,183 reports
CHILLS1,182 reports
DISTURBANCE IN ATTENTION1,182 reports
GASTROOESOPHAGEAL REFLUX DISEASE1,182 reports
COMPLETED SUICIDE1,174 reports
SYNCOPE1,172 reports
TOXICITY TO VARIOUS AGENTS1,156 reports
MIGRAINE1,154 reports
INTENTIONAL OVERDOSE1,149 reports
SINUSITIS1,146 reports
ERYTHEMA1,138 reports
CONTUSION1,123 reports
PULMONARY EMBOLISM1,118 reports
AGGRESSION1,094 reports
ASTHMA1,071 reports
DRUG DOSE OMISSION1,069 reports
PANIC ATTACK1,064 reports
EMOTIONAL DISTRESS1,056 reports
AMNESIA1,052 reports
NERVOUSNESS1,033 reports
DEPRESSED MOOD1,025 reports
HEART RATE INCREASED1,012 reports
MUSCULAR WEAKNESS1,012 reports
DYSPHAGIA1,010 reports
DYSPEPSIA1,009 reports
INJURY1,007 reports

Key Safety Signals

  • Suicidal ideation and attempts are key safety signals.
  • Drug ineffectiveness and overdose are significant concerns.
  • Serious reactions like pneumonia and myocardial infarction are reported.

Patient Demographics

Adverse event reports by sex: Female: 74,871, Male: 33,102, Unknown: 377. The most frequently reported age groups are age 54 (1,730 reports), age 60 (1,414 reports), age 58 (1,390 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 114,928 classified reports for SERTRALINE HYDROCHLORIDE:

  • Serious: 73,347 reports (63.8%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 41,581 reports (36.2%)
Serious 63.8%Non-Serious 36.2%

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

Female74,871 (69.1%)
Male33,102 (30.6%)
Unknown377 (0.3%)

Reports by Age

Age 541,730 reports
Age 601,414 reports
Age 581,390 reports
Age 651,373 reports
Age 621,371 reports
Age 551,369 reports
Age 591,350 reports
Age 561,345 reports
Age 531,329 reports
Age 571,323 reports
Age 611,316 reports
Age 631,231 reports
Age 521,225 reports
Age 501,222 reports
Age 641,211 reports
Age 491,195 reports
Age 511,177 reports
Age 671,154 reports
Age 471,150 reports
Age 481,143 reports

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

Drug Interactions & Warnings

Sertraline can interact with other drugs, potentially leading to adverse effects. Warnings include drug interactions and hyper-sensitivity reactions.

What You Should Know

If you are taking Sertraline Hydrochloride, here are important things to know. The most commonly reported side effects include drug ineffective, nausea, fatigue, headache, anxiety. 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 suicidal ideation and behavior, especially in the first few months of treatment. Be aware of potential drug interactions and inform your healthcare provider of all medications you are taking. 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

Sertraline is subject to strict FDA monitoring due to its high serious reaction rate. Patients should report any adverse events to their healthcare provider.

Frequently Asked Questions

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

The FDA has received approximately 227,999 adverse event reports associated with Sertraline 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 Sertraline Hydrochloride?

The most frequently reported adverse events for Sertraline Hydrochloride include Drug Ineffective, Nausea, Fatigue, Headache, Anxiety. By volume, the top reported reactions are: Drug Ineffective (8,046 reports), Nausea (7,978 reports), Fatigue (7,502 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Sertraline Hydrochloride.

What percentage of Sertraline Hydrochloride adverse event reports are serious?

Out of 114,928 classified reports, 73,347 (63.8%) were classified as serious and 41,581 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 Sertraline Hydrochloride (by sex)?

Adverse event reports for Sertraline Hydrochloride break down by patient sex as follows: Female: 74,871, Male: 33,102, Unknown: 377. 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 Sertraline Hydrochloride?

The most frequently reported age groups for Sertraline Hydrochloride adverse events are: age 54: 1,730 reports, age 60: 1,414 reports, age 58: 1,390 reports, age 65: 1,373 reports, age 62: 1,371 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 Sertraline Hydrochloride?

The primary manufacturer associated with Sertraline Hydrochloride adverse event reports is Viatris Specialty Llc. 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 Sertraline Hydrochloride?

Beyond the most common reactions, other reported adverse events for Sertraline Hydrochloride include: Depression, Diarrhoea, Dizziness, Pain, Dyspnoea. 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 Sertraline Hydrochloride?

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

Sertraline Hydrochloride 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. Serious adverse events, such as death and suicidal ideation, are common.

What are the key safety signals for Sertraline Hydrochloride?

Key safety signals identified in Sertraline Hydrochloride's adverse event data include: Suicidal ideation and attempts are key safety signals.. Drug ineffectiveness and overdose are significant concerns.. Serious reactions like pneumonia and myocardial infarction are reported.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Sertraline Hydrochloride interact with other drugs?

Sertraline can interact with other drugs, potentially leading to adverse effects. Warnings include drug interactions and hyper-sensitivity reactions. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Sertraline Hydrochloride.

What should patients know before taking Sertraline Hydrochloride?

Monitor for signs of suicidal ideation and behavior, especially in the first few months of treatment. Be aware of potential drug interactions and inform your healthcare provider of all medications you are taking.

Are Sertraline Hydrochloride side effects well-documented?

Sertraline Hydrochloride has 227,999 adverse event reports on file with the FDA. A high percentage of reports involve drug ineffectiveness and nausea. The volume of reports for Sertraline Hydrochloride reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Sertraline Hydrochloride?

Sertraline is subject to strict FDA monitoring due to its high serious reaction rate. Patients should report any adverse events to their healthcare provider. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

ParoxetineFluoxetineVenlafaxineBupropionTrazodone
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.