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alirocumab Side Effects

Also known as: Praluent

Analysis of 24,428 adverse event reports submitted to the FDA from 2008 to 2025.

Total Reports

24,428

Death-Related

492

2.0% of reports

Hospitalizations

2,529

10.4% of reports

Top Indication

Hyperlipidaemia

Most Reported Adverse Reactions

MYALGIA
1,655
PRODUCT DOSE OMISSION
1,364
INJECTION SITE PAIN
1,278
MUSCLE SPASMS
1,162
ARTHRALGIA
1,053
FATIGUE
1,018
PAIN
945
PAIN IN EXTREMITY
935
PRODUCT DOSE OMISSION ISSUE
909
INJECTION SITE BRUISING
838
INFLUENZA LIKE ILLNESS
802
DIARRHOEA
797
HEADACHE
797
DEVICE ISSUE
788
COUGH
702
INJECTION SITE ERYTHEMA
699
DYSPNOEA
696
PRURITUS
691
INJECTION SITE HAEMORRHAGE
679
RASH
667

Who Reports Side Effects

Gender Distribution

Female 12,559 (59%)
Male 8,648 (41%)
Unknown 19

Age Distribution

0-17 9 (0%)
18-44 393 (3%)
45-64 4,610 (34%)
65-74 5,189 (38%)
75+ 3,388 (25%)

Reporting Trend by Year

08
15
16
17
18
19
20
21
22
23
24
25

Reactions in Death Reports

Top reactions reported in 492 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 285
MYOCARDIAL INFARCTION 30
CARDIAC ARREST 23
CARDIAC FAILURE 15
DYSPNOEA 14
CARDIAC FAILURE CONGESTIVE 11
CEREBROVASCULAR ACCIDENT 11
COUGH 11
HOSPITALISATION 11
PNEUMONIA 11
ASTHENIA 10
NEOPLASM MALIGNANT 10
CARDIAC DISORDER 9
CARDIOGENIC SHOCK 9
COMPLETED SUICIDE 9
FALL 9
RESPIRATORY ARREST 9
ACUTE MYOCARDIAL INFARCTION 8
COVID-19 8
FATIGUE 8

Reactions in Hospitalization Reports

Top reactions in 2,529 reports where hospitalization was an outcome.

Reaction Reports
MYOCARDIAL INFARCTION 236
HOSPITALISATION 175
CEREBROVASCULAR ACCIDENT 169
DYSPNOEA 145
CHEST PAIN 131
FALL 120
PNEUMONIA 116
NAUSEA 108
DIZZINESS 105
DIARRHOEA 102
MALAISE 97
FATIGUE 94
DRUG INEFFECTIVE 90
MYALGIA 89
PAIN 87
ASTHENIA 79
CARDIAC DISORDER 75
PAIN IN EXTREMITY 72
HEADACHE 70
VOMITING 69

Nearby — Related Medications

Compare alirocumab vs atorvastatin →

What the FAERS Data Reveals About alirocumab Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 24,428 voluntary reports linked to alirocumab and its brand equivalents (Praluent), spanning 2008 through 2025. Of those, 492 (2.0%) listed death as an outcome and 2,529 (10.4%) involved hospitalization. The most common indication reported alongside adverse events was Hyperlipidaemia.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 59% were female and 41% male; age distribution skews toward 65-74, with 5,189 reports in that bracket. The single most reported reaction is myalgia with 1,655 submissions, followed by product dose omission and injection site pain.

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.