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What the label lists and what reports show

Clemastine side effects

Clemastine's FDA label: “Transient drowsiness, the most common adverse reaction associated with clemastine fumarate, occurs relatively frequently and may require discontinuation of therapy in some instances.” FAERS holds 1,357 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 dyspnoea (108 reports).

  • Generic listed

Check it at the source: the clemastine FDA label on DailyMed (effective February 3, 2025, Genus Lifesciences); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

Transient drowsiness, the most common adverse reaction associated with clemastine fumarate, occurs relatively frequently and may require discontinuation of therapy in some instances.

From the label: adverse reactions, continued

Transient drowsiness, the most common adverse reaction associated with clemastine fumarate, occurs relatively frequently and may require discontinuation of therapy in some instances. Antihistaminic Compounds It should be noted that the following reactions have occurred with one or more antihistamines and, therefore, should be kept in mind when prescribing drugs belonging to this class, including clemastine. The most frequent adverse reactions are italicized. General: Urticaria, drug rash, anaphylactic shock, photosensitivity, excessive perspiration, chills, dryness of the mouth, nose, and throat. Cardiovascular System: Hypotension, headache, palpitations, tachycardia, extrasystoles. Hematologic System: Hemolytic anemia, thrombocytopenia, agranulocytosis. Nervous System: Sedation, sleepiness, dizziness, disturbed coordination, fatigue, confusion, restlessness, excitation, nervousness, tremor, irritability, insomnia, euphoria, paresthesias, blurred vision, diplopia, vertigo, tinnitus, acute labyrinthitis, hysteria, neuritis, convulsions. GI System: Epigastric distress, anorexia, nausea, vomiting, diarrhea, constipation. GU System: Urinary frequency, difficult urination, urinary retention, early menses. Respiratory System: Thickening of bronchial secretions, tightness of chest and wheezing, nasal stuffiness.

Source: FDA drug label, Genus Lifesciences, effective February 3, 2025 (SPL set cf8a3449-8bb3-4d5c-8d0d-557590e49ee5), via openFDA; the full label on DailyMed

What do FAERS reports show?

1,357 reports list clemastine among the medicines taken, each a report of something that happened, not proof the medicine caused it; 174 are coded as a death and 763 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 23 reactions below, 8 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

  • Dyspnoea108
  • Pyrexia103
  • Off Label Use (a use or a product term, not a reaction)87
  • Nausea (named in the label)82
  • Erythema80
  • Diarrhoea (named in the label)74
  • Rash (named in the label)68
  • Constipation (named in the label)67
  • Sepsis64
  • Fatigue (named in the label)62
  • Toxic Epidermal Necrolysis61
  • Pneumonia60
  • Vomiting (named in the label)57
  • Abdominal Pain55
  • Covid-1951
  • Neutropenia49
  • Blood Creatinine Increased47
  • Cytokine Release Syndrome46
  • Infusion Related Reaction45
  • Urticaria (a use or a product term, not a reaction)45
  • Headache (named in the label)44
  • Syncope44
  • Thrombocytopenia (named in the label)42
  • Leukopenia41
  • Blister40

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

What next?

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