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cholestyramine Side Effects

Also known as: Questran

Analysis of 11,539 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

11,539

Death-Related

811

7.0% of reports

Hospitalizations

3,888

33.7% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DIARRHOEA
1,631
OFF LABEL USE
1,051
DRUG INEFFECTIVE
896
FATIGUE
877
NAUSEA
783
ARTHRALGIA
621
HEADACHE
543
ABDOMINAL PAIN
524
VOMITING
503
WEIGHT DECREASED
498
DYSPNOEA
488
PAIN
476
ASTHENIA
456
CONSTIPATION
390
MALAISE
387
DIZZINESS
366
PNEUMONIA
365
PRURITUS
364
COUGH
363
FALL
357

Who Reports Side Effects

Gender Distribution

Female 6,637 (63%)
Male 3,962 (37%)
Unknown 20

Age Distribution

0-17 217 (3%)
18-44 1,070 (15%)
45-64 2,482 (34%)
65-74 1,989 (27%)
75+ 1,584 (22%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 811 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 339
DIARRHOEA 87
DYSPNOEA 62
ACUTE KIDNEY INJURY 61
SEPSIS 55
RENAL FAILURE 51
THROMBOCYTOPENIA 48
OFF LABEL USE 46
PNEUMONIA 45
ASTHENIA 43
CARDIAC ARREST 37
VOMITING 37
NAUSEA 36
WEIGHT DECREASED 34
CHRONIC KIDNEY DISEASE 32
FATIGUE 31
ANAEMIA 30
ABDOMINAL PAIN 29
PAIN 29
RESPIRATORY FAILURE 29

Reactions in Hospitalization Reports

Top reactions in 3,888 reports where hospitalization was an outcome.

Reaction Reports
DIARRHOEA 597
DRUG INEFFECTIVE 307
FATIGUE 303
NAUSEA 290
DYSPNOEA 272
VOMITING 271
ABDOMINAL PAIN 257
PNEUMONIA 254
OFF LABEL USE 253
WEIGHT DECREASED 244
ASTHENIA 237
DEHYDRATION 234
FALL 216
PYREXIA 188
ACUTE KIDNEY INJURY 187
PAIN 187
URINARY TRACT INFECTION 183
ARTHRALGIA 178
HEADACHE 174
MALAISE 161

Nearby — Related Medications

Compare cholestyramine vs alirocumab →

What the FAERS Data Reveals About cholestyramine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 11,539 voluntary reports linked to cholestyramine and its brand equivalents (Questran), spanning 2004 through 2025. Of those, 811 (7.0%) listed death as an outcome and 3,888 (33.7%) 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, 63% were female and 37% male; age distribution skews toward 45-64, with 2,482 reports in that bracket. The single most reported reaction is diarrhoea with 1,631 submissions, followed by off label use and drug ineffective.

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.