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acebutolol Side Effects

Also known as: Sectral

Analysis of 1,220 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

1,220

Death-Related

44

3.6% of reports

Hospitalizations

921

75.5% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

COGNITIVE DISORDER
620
FALL
615
ORTHOSTATIC HYPOTENSION
573
BALANCE DISORDER
568
CONSTIPATION
565
HYPOTENSION
564
SEDATION
538
MOBILITY DECREASED
508
DEPRESSED LEVEL OF CONSCIOUSNESS
501
PAIN
491
SEDATION COMPLICATION
490
BLOOD CALCIUM DECREASED
485
CREATININE RENAL CLEARANCE DECREASED
485
TOXICITY TO VARIOUS AGENTS
473
DRUG INEFFECTIVE
156
HYPERTENSION
135
DYSPNOEA
99
MULTIPLE DRUG THERAPY
95
OFF LABEL USE
92
DRUG INTERACTION
91

Who Reports Side Effects

Gender Distribution

Female 861 (81%)
Male 207 (19%)

Age Distribution

0-17 7 (1%)
18-44 16 (2%)
45-64 145 (14%)
65-74 115 (11%)
75+ 726 (72%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 44 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DRUG INTERACTION 6
HAEMATEMESIS 6
AGRANULOCYTOSIS 5
CEREBRAL HAEMATOMA 5
OFF LABEL USE 5
CONDITION AGGRAVATED 4
ACUTE KIDNEY INJURY 3
FALL 3
INTENTIONAL PRODUCT USE ISSUE 3
LEUKAEMIA 3
LEUKOPENIA 3
ASTHENIA 2
BLOOD CREATININE INCREASED 2
DEATH 2
DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS 2
DYSPNOEA 2
GENERAL PHYSICAL HEALTH DETERIORATION 2
HEAD INJURY 2
HEMIPLEGIA 2
THERAPEUTIC RESPONSE SHORTENED 2

Reactions in Hospitalization Reports

Top reactions in 921 reports where hospitalization was an outcome.

Reaction Reports
COGNITIVE DISORDER 613
FALL 601
ORTHOSTATIC HYPOTENSION 566
BALANCE DISORDER 558
CONSTIPATION 554
HYPOTENSION 550
SEDATION 531
MOBILITY DECREASED 501
DEPRESSED LEVEL OF CONSCIOUSNESS 493
SEDATION COMPLICATION 486
PAIN 479
BLOOD CALCIUM DECREASED 478
CREATININE RENAL CLEARANCE DECREASED 478
TOXICITY TO VARIOUS AGENTS 465
DYSPNOEA 94
MULTIPLE DRUG THERAPY 93
DRUG INTERACTION 82
OFF LABEL USE 80
PRODUCT USE IN UNAPPROVED INDICATION 62
RENAL FUNCTION TEST ABNORMAL 60

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What the FAERS Data Reveals About acebutolol Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 1,220 voluntary reports linked to acebutolol and its brand equivalents (Sectral), spanning 2004 through 2025. Of those, 44 (3.6%) listed death as an outcome and 921 (75.5%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 81% were female and 19% male; age distribution skews toward 75+, with 726 reports in that bracket. The single most reported reaction is cognitive disorder with 620 submissions, followed by fall and orthostatic hypotension.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.