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brexpiprazole Side Effects

Also known as: Rexulti

Analysis of 15,755 adverse event reports submitted to the FDA from 2012 to 2025.

Total Reports

15,755

Death-Related

856

5.4% of reports

Hospitalizations

1,926

12.2% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

WEIGHT INCREASED
1,673
PRODUCT USE IN UNAPPROVED INDICATION
1,277
OFF LABEL USE
1,092
DRUG INEFFECTIVE
929
AKATHISIA
854
TREMOR
630
ANXIETY
591
TARDIVE DYSKINESIA
590
DEPRESSION
568
SUICIDAL IDEATION
538
PRODUCT USE ISSUE
492
FATIGUE
485
INSOMNIA
477
FEELING ABNORMAL
471
DEATH
428
SOMNOLENCE
401
NAUSEA
400
DIZZINESS
380
HEADACHE
359
INABILITY TO AFFORD MEDICATION
359

Who Reports Side Effects

Gender Distribution

Female 9,542 (69%)
Male 4,320 (31%)

Age Distribution

0-17 1,225 (17%)
18-44 2,243 (32%)
45-64 2,190 (31%)
65-74 816 (12%)
75+ 618 (9%)

Reporting Trend by Year

12
13
15
16
17
18
19
20
21
22
23
24
25

Reactions in Death Reports

Top reactions reported in 856 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 427
COMPLETED SUICIDE 120
PRODUCT USE IN UNAPPROVED INDICATION 71
FALL 50
DISCOLOURED VOMIT 43
DRUG INEFFECTIVE 37
UNDERDOSE 37
PRODUCT USE ISSUE 35
CARDIAC FAILURE 32
RESPIRATORY ARREST 31
TREMOR 28
OFF LABEL USE 26
HALLUCINATION, AUDITORY 25
PNEUMONIA ASPIRATION 25
INTERNAL HAEMORRHAGE 24
CARDIAC ARREST 18
CARDIO-RESPIRATORY ARREST 16
DYSPHAGIA 15
MARASMUS 15
PNEUMONIA 15

Reactions in Hospitalization Reports

Top reactions in 1,926 reports where hospitalization was an outcome.

Reaction Reports
DRUG INEFFECTIVE 217
SUICIDAL IDEATION 217
PRODUCT USE IN UNAPPROVED INDICATION 166
SUICIDE ATTEMPT 163
CONDITION AGGRAVATED 161
OFF LABEL USE 149
DEPRESSION 126
HOSPITALISATION 116
FALL 101
ANXIETY 93
FATIGUE 83
TREMOR 80
AKATHISIA 77
NAUSEA 71
TREATMENT NONCOMPLIANCE 71
ADVERSE DRUG REACTION 70
DIZZINESS 70
SOMNOLENCE 70
WEIGHT INCREASED 69
DRUG INTERACTION 68

Nearby — Related Medications

Compare brexpiprazole vs acamprosate →

What the FAERS Data Reveals About brexpiprazole Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 15,755 voluntary reports linked to brexpiprazole and its brand equivalents (Rexulti), spanning 2012 through 2025. Of those, 856 (5.4%) listed death as an outcome and 1,926 (12.2%) 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, 69% were female and 31% male; age distribution skews toward 18-44, with 2,243 reports in that bracket. The single most reported reaction is weight increased with 1,673 submissions, followed by product use in unapproved indication and off label use.

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.