Drug side effects
alprazolam Side Effects
The reactions most often reported to the FDA for alprazolam (also sold as Xanax), with demographics, serious outcomes, and reporting trends.
Data updated 2026-05-15
- 200,719
- FAERS reports
Data from the FDA Adverse Event Reporting System (FAERS), 2001 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.
The most commonly reported side effects of alprazolam come from 200,719 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.
This page analyzes 200,719 reports to the FDA Adverse Event Reporting System (FAERS) for alprazolam (Xanax): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.
Total Reports
200,719
Reports Mentioning Death
32,899
16.4% of reports — not proof the medicine caused the death
Hospitalizations
64,280
32.0% of reports
Top Indication
Product Used For Unknown Indication
Most Reported Adverse Reactions
Who Reports Side Effects
Gender Distribution
Age Distribution
Reporting Trend by Year
Reactions in Death Reports
Top reactions reported in 32,899 reports where death was an outcome. These are voluntarily reported and do not establish causation.
| Reaction | Reports |
|---|---|
| COMPLETED SUICIDE | 7,504 |
| DEATH | 6,876 |
| DRUG ABUSE | 5,945 |
| TOXICITY TO VARIOUS AGENTS | 5,601 |
| CARDIAC ARREST | 3,108 |
| CARDIO-RESPIRATORY ARREST | 2,655 |
| RESPIRATORY ARREST | 2,621 |
| OVERDOSE | 1,893 |
| POISONING | 1,311 |
| DRUG DEPENDENCE | 768 |
| DRUG INTERACTION | 764 |
| PNEUMONIA | 734 |
| ACCIDENTAL OVERDOSE | 715 |
| DYSPNOEA | 704 |
| FATIGUE | 651 |
| PAIN | 614 |
| RENAL FAILURE | 585 |
| NAUSEA | 570 |
| PULMONARY OEDEMA | 553 |
| ACUTE KIDNEY INJURY | 551 |
Reactions in Hospitalization Reports
Top reactions in 64,280 reports where hospitalization was an outcome.
| Reaction | Reports |
|---|---|
| NAUSEA | 4,427 |
| FALL | 4,053 |
| DYSPNOEA | 4,040 |
| PAIN | 3,718 |
| ANXIETY | 3,527 |
| VOMITING | 3,476 |
| PNEUMONIA | 3,450 |
| FATIGUE | 3,362 |
| DIARRHOEA | 3,247 |
| TOXICITY TO VARIOUS AGENTS | 3,142 |
| ASTHENIA | 3,135 |
| DRUG ABUSE | 3,052 |
| HEADACHE | 2,860 |
| DEPRESSION | 2,769 |
| PYREXIA | 2,574 |
| HYPOTENSION | 2,450 |
| DIZZINESS | 2,413 |
| MALAISE | 2,404 |
| SOMNOLENCE | 2,377 |
Nearby, Related Medications
What the FAERS Data Reveals About alprazolam Side Effects
The FDA Adverse Event Reporting System (FAERS) contains 200,719 voluntary reports linked to alprazolam and its brand equivalents (Xanax), spanning 2001 through 2025. Of those, 32,899 (16.4%) listed death as an outcome and 64,280 (32.0%) 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, 67% were female and 32% male; age distribution skews toward 45-64, with 54,477 reports in that bracket. The single most reported reaction is nausea with 12,856 submissions, followed by fatigue and drug abuse.
How to read these numbers
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.
Drugs With a Similar FAERS Report Volume
Other medications with a total FDA adverse-event report count closest to alprazolam's 200,719.
Read our methodology - how this data is sourced, computed, and verified.