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What the label lists and what reports show

Amisulpride side effects

Amisulpride's FDA label: “Most common adverse reactions (≥ 2%) are: Prevention of PONV : increased blood prolactin concentrations, chills, hypokalemia, procedural hypotension, and abdominal distension.” FAERS holds 5,989 reports naming it through July 30, 2026; the reaction reported most often, leaving out the conditions it is used for, product-use terms and outcomes, is weight increased (443 reports).

  • No generic listed

Check it at the source: the amisulpride FDA label on DailyMed (effective June 17, 2026, Acacia Pharma Ltd); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

Most common adverse reactions (≥ 2%) are: Prevention of PONV : increased blood prolactin concentrations, chills, hypokalemia, procedural hypotension, and abdominal distension.

Table 1. Common Adverse Reactions Reported in at least 2% of patients treated with BARHEMSYS and at a higher rate than placebo in Adult Patients in Studies 1 and 2 of BARHEMSYS for Prevention of PONV

ReactionBARHEMSYS 5 mg N=748Placebo N=741
Chills4%3%
Hypokalemia4%2%
Procedural hypotension3%2%
Abdominal distension2%1%

Rows and numbers as the label prints them, under its own column headings (the first rows of a longer table where it runs on). A reaction in a trial table is not necessarily caused by the medicine, and trials differ from everyday use.

From the label: adverse reactions, continued

Most common adverse reactions (≥ 2%) are: Prevention of PONV : increased blood prolactin concentrations, chills, hypokalemia, procedural hypotension, and abdominal distension. ( 6.1 ) Treatment of PONV : infusion site pain. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Acacia Pharma at 1-877-357-9237 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. The data described below reflect exposure to BARHEMSYS in 1,166 patients treated in placebo-controlled trials. 748 of these patients received a dose of 5 mg for prevention of PONV (of whom 572 received another antiemetic concomitantly) and 418 patients received 10 mg for treatment of PONV [see Clinical Studies (14.1 , 14.2) ]. The mean age of the population was 49 years (range 18 to 91 years), 87% female, 80% White/Caucasian, 9% Black, and 1% Asian. Prevention of PONV Common adverse reactions reported in at least 2% of adult patients who received BARHEMSYS 5 mg and at a higher rate than placebo in Studies 1 and 2 for the prevention of PONV are shown in Table 1. Table 1.

Source: FDA drug label, NDA209510 (Lxo Ireland), as published by Acacia Pharma Ltd, effective June 17, 2026 (SPL set ab23bc6e-b6a8-165f-e053-2a95a90ab144), via openFDA; the full label on DailyMed

What do FAERS reports show?

5,989 reports list amisulpride among the medicines taken, each a report of something that happened, not proof the medicine caused it; 762 are coded as a death and 2,972 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is. Of the 18 reactions below, 5 are named by the same term (in US spelling) in the label's adverse reactions, warnings or patient leaflet; a reaction the label does not name may still be there under another word, and a report does not show that the medicine caused it.

Reports received each year

The 25 most reported reactions

  • Drug Ineffective (a use or a product term, not a reaction)863
  • Drug Interaction (a use or a product term, not a reaction)464
  • Weight Increased443
  • Toxicity To Various Agents400
  • Neutropenia394
  • Schizophrenia339
  • Off Label Use (a use or a product term, not a reaction)326
  • Leukopenia315
  • Akathisia306
  • Extrapyramidal Disorder (named in the label)299
  • Suicide Attempt281
  • Electrocardiogram Qt Prolonged276
  • Somnolence (named in the label)275
  • Drug Abuse260
  • Confusional State (named in the label)245
  • White Blood Cell Count Increased245
  • White Blood Cell Count Decreased241
  • Psychotic Disorder233
  • Malaise232
  • Tachycardia (named in the label)227
  • Neuroleptic Malignant Syndrome (named in the label)225
  • Overdose (a use or a product term, not a reaction)225
  • Therapeutic Product Effect Incomplete (a use or a product term, not a reaction)220
  • Condition Aggravated (a use or a product term, not a reaction)216
  • Product Use In Unapproved Indication (a use or a product term, not a reaction)216

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026; reactions as MedDRA preferred terms

What next?

Amisulpride: the full record
label, generics, price, shortages, recalls
Side effects hub
the most reported medicines and reactions