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Prescription medication · Azapirone Anxiolytic

buspirone

Also sold as BuSpar. Buspirone is used to manage anxiety disorders.

Data updated 2026-05-15

10,228
FDA reportsModerately reported
17
InteractionsSeveral interactions
2
Recall records

What the data shows

buspirone (BuSpar) is a prescription Azapirone Anxiolytic, reported less often than most tracked drugs (10,228 FDA reports), with 17 documented drug interactions.

Reporting volume reflects how widely a drug is used and studied, not how dangerous it is, a FAERS report documents a temporal association, never proof of cause.

buspirone (BuSpar) is a prescription Azapirone Anxiolytic. Buspirone is used to manage anxiety disorders.

Buspirone is a medicine that can help manage anxiety disorders. It can also provide short-term relief from anxiety symptoms.

Drug Pricing (NADAC)

Generic Price

$0.03/unit

Generic Available

Yes (15 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

View Alternatives → Compare with Another Drug → Full Side Effects Report →

What it does

Buspirone is used to manage anxiety disorders.

Common side effects

Dizziness, Nausea, Headache

Key warnings

You should not take buspirone if you are taking a monoamine oxidase inhibitor (MAOI) antidepressant or have taken one in the past 14 days.

The sections below are summarized in plain English from buspirone's FDA-approved prescribing information. They describe what the official label says, and are not personal medical advice.

How It Works

Buspirone affects certain chemicals in your brain that may be unbalanced. This helps to reduce anxiety. It is different from other anxiety medicines like benzodiazepines.

How to Take It

Start with 15 mg per day, split into two doses (7.5 mg twice a day). Your doctor may increase the dose by 5 mg every 2 to 3 days as needed. Do not take more than 60 mg per day. Take buspirone the same way each time, either always with food or always without food.

This is a plain-language summary of buspirone's FDA labeling, not individualized dosing advice. Ask a pharmacist or prescriber before changing how you take this medication.

Pregnancy & Breastfeeding

Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. It is not known if buspirone will harm your unborn baby. Buspirone may pass into breast milk.

This is a plain-language summary of buspirone's FDA labeling, not individualized advice. Ask a pharmacist or prescriber about pregnancy or breastfeeding on this medication.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

This is a plain-language summary of buspirone's FDA labeling, not individualized advice. Ask a pharmacist or prescriber what to do about your specific missed dose.

Storage

Store buspirone at room temperature (68° to 77°F) in a closed container, away from light and moisture. Keep out of reach of children.

Side Effects (from patient reports)

Based on 10,228 FDA adverse event reports.

Most-reported reactions

Adverse reactions in FAERS for buspirone, by number of reports

reports

What this shows Bars show how often each reaction was reported, not how likely it is to happen, a report records a temporal association, never proof that the drug caused it.

Source FDA Adverse Event Reporting System (FAERS) As of 2025

Reports over time

Adverse-event reports filed for buspirone each year to the FDA Adverse Event Reporting System (FAERS).

-50005001,0001,500 200320062009201220152018202120242025 1,207

Year-to-year volume tracks usage, prescribing, and scrutiny, not a change in per-patient risk. Source: FDA FAERS.

Where buspirone sits

buspirone has more FDA adverse-event reports than 40% of the drugs FAERS tracks. A high position reflects how widely a drug is used and watched, not how dangerous it is.

fewest reports most reports

Percentile across all drugs PlainMeds tracks by FAERS report volume. The dot is buspirone; the line is the median (50th percentile).

FDA Adverse Event Report Analysis

Detailed analysis of 10,228 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2003–2025.

Total Reports

10,228

Reports Mentioning Death

694

6.8% of reports — not proof of cause

Hospitalization Reports

2,354

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 7,174 (75%)
Male 2,427 (25%)

Age Distribution

0–17 93
18–44 1,707
45–64 2,197
65–74 853
75+ 525

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 FATIGUE 759
2 NAUSEA 744
3 HEADACHE 675
4 ANXIETY 636
6 PAIN 541
7 DYSPNOEA 519
8 DEPRESSION 477
9 DIZZINESS 472
10 DIARRHOEA 465
12 FALL 389
14 VOMITING 323
15 MALAISE 321
16 INSOMNIA 319
17 ARTHRALGIA 313
18 FEELING ABNORMAL 312

Reactions in Death Reports

COMPLETED SUICIDE 244
DEATH 211
TOXICITY TO VARIOUS AGENTS 83
CARDIAC ARREST 53
CARDIO-RESPIRATORY ARREST 46
RESPIRATORY ARREST 40
DYSPNOEA 33
OVERDOSE 33
NAUSEA 28
DRUG ABUSE 27

Reactions in Hospitalization Reports

DYSPNOEA 223
NAUSEA 209
FALL 204
PNEUMONIA 199
FATIGUE 191
PAIN 176
HEADACHE 172
ANXIETY 162
DIZZINESS 149
HOSPITALISATION 143

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

You should not take buspirone if you are taking a monoamine oxidase inhibitor (MAOI) antidepressant or have taken one in the past 14 days. Do not start buspirone if you are being treated with linezolid or intravenous methylene blue because of the risk of serotonin syndrome. Serotonin syndrome is a very serious condition.

Known Drug Interactions

Product Clinical Comment on Concomitant Use [See Contraindications (4.1)] ; Predominant Effect/Risk [Hypertensive Reaction (HR) [See Warnings and Precautions (5.3)] ; or Serotonin Syndrome (SS) [See Warnings and Precautions (5.7)] ] Altretamine Use with caution If not otherwise specified in this table, consider avoiding concomitant use (see also information on medication-free intervals , use agent at the lowest appropriate dose, monitor for effects of the interaction, advise the patient to report potential effects, and be prepared to discontinue the agent and treat effects of the...

Mechanism: Combining these medications can cause a dangerous spike in blood pressure or a serious condition called serotonin syndrome.

What to do: You should generally avoid taking these two medications together to prevent severe and life-threatening side effects.

moderate ziprasidone

Risk of serotonin syndrome with concomitant therapy with other serotonergic drugs such as SNRIs, SSRIs, triptans, tricyclic antidepressants, opioids, lithium, tryptophan, buspirone, amphetamines, and St.

Mechanism: Both of these drugs increase a chemical in the brain called serotonin. Having too much serotonin can lead to a dangerous condition called serotonin syndrome.

What to do: Tell your doctor if you feel very restless, confused, or have a fast heartbeat. Your doctor will decide if it is safe for you to take both medicines.

Other Serotonergic Drugs Clinical Impact: Concomitant use of citalopram and other serotonergic drugs (including other SSRIs, SNRIs, triptans, tricyclic antidepressants, opioids, lithium, buspirone, amphetamines, tryptophan, and St.

Mechanism: Both of these medications increase a brain chemical called serotonin. Using them together can cause serotonin levels to rise too high.

What to do: Talk to your doctor about the risks and watch for symptoms like confusion, sweating, or a fast heartbeat.

buspirone, diazepam, estazolam, zolpidem ↑ sedatives/hypnotics Titration is recommended when co-administering darunavir/ritonavir with sedatives/hypnotics metabolized by CYP3A and a lower dose of the sedatives/hypnotics should be considered with monitoring for adverse events.

Mechanism: Darunavir blocks the enzyme that breaks down buspirone, which can lead to higher levels of the medication in your blood.

What to do: Your doctor should consider starting with a lower dose of buspirone and monitor you closely for side effects.

Examples other SNRIs, SSRIs, triptans, tricyclic antidepressants, opioids, lithium, buspirone, amphetamines, tryptophan, and St.

Mechanism: Both of these medications increase a brain chemical called serotonin, which can cause an additive effect.

What to do: Watch for signs of too much serotonin, such as fever or a fast heartbeat, and tell your doctor if they occur.

Check all your medications →

This is a plain-language summary of interactions documented in FDA labeling, not individualized advice. Ask a pharmacist or prescriber before combining medications.

Common Questions

Can I take buspirone with other anxiety medications?
Talk to your doctor before taking buspirone with other medications.
How long does it take for buspirone to start working?
It may take several weeks for buspirone to start working.
Can I drink alcohol while taking buspirone?
Talk to your doctor about drinking alcohol while taking buspirone.
Will buspirone make me sleepy?
Buspirone can cause drowsiness in some people.
Can I stop taking buspirone suddenly?
Talk to your doctor before stopping buspirone. Stopping suddenly may cause withdrawal symptoms.
Does buspirone have any drug interactions?
Yes, buspirone can interact with other medications. Tell your doctor about all the medicines you take.
Can I drive while taking buspirone?
Buspirone can cause dizziness or drowsiness, so be careful when driving or operating machinery.
What should I do if I experience side effects?
Tell your doctor if you experience any side effects while taking buspirone.
Is buspirone addictive?
Buspirone is not considered to be addictive like some other anxiety medications.
How often will I see my doctor while taking buspirone?
Your doctor will determine how often you need to be seen while taking buspirone.
What are the common side effects of buspirone?
The most commonly reported side effects of buspirone include Dizziness, Nausea, Headache, Nervousness, Lightheadedness. Based on 10,228 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does buspirone interact with other medications?
Yes, buspirone has 17 known drug interactions. Notable interactions include tranylcypromine, ziprasidone, citalopram. Always inform your doctor about all medications you are taking.
What drug class is buspirone?
buspirone belongs to the Azapirone Anxiolytic drug class. It requires a prescription (Rx). Buspirone is used to manage anxiety disorders.
Is buspirone safe during pregnancy?
Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. It is not known if buspirone will harm your unborn baby. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.
Has buspirone been recalled?
There are 2 recalls associated with buspirone products. Subpotent drug. Check the recalls section below for full details and affected products.

Active Recalls

Class III April 13, 2026

Subpotent drug

Unichem Pharmaceuticals USA Inc.

Class II March 16, 2023

CGMP Deviations

Northwind Pharmaceuticals LLC

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What the FDA Data Shows for buspirone

The FDA label for buspirone (sold under brand names such as BuSpar) classifies it as a prescription-only medication in the Azapirone Anxiolytic class. Buspirone is used to manage anxiety disorders. Official labeling lists 6 commonly reported side effects, including Dizziness, Nausea, Headache.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 10,228 voluntary reports. The database also lists 17 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated moderate severity. NADAC pricing from CMS shows a generic unit cost of $0.03.

Report counts do not establish causation, a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history (currently 2 recall records on file), and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice, always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: May 3, 2019

Data currency: FDA FAERS adverse-event reports through 2025, CMS NADAC acquisition-cost pricing effective December 2024, compiled and last refreshed May 2026. See our methodology for per-source dates and refresh cadence. Spot a figure that looks wrong? Report a correction.

All federal data sources used on this page