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codeine Side Effects

Also known as: Codeine Sulfate

Analysis of 3,245 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

3,245

Death-Related

798

24.6% of reports

Hospitalizations

643

19.8% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG HYPERSENSITIVITY
807
NAUSEA
488
MALAISE
374
DRUG INEFFECTIVE
370
VOMITING
365
HEADACHE
356
ARTHRALGIA
354
DIARRHOEA
343
DYSPNOEA
327
FATIGUE
301
COUGH
300
PAIN
279
PRURITUS
268
ABDOMINAL PAIN UPPER
261
ASTHENIA
258
RASH
252
PYREXIA
249
DIZZINESS
246
OFF LABEL USE
246
SYNCOPE
243

Who Reports Side Effects

Gender Distribution

Female 1,826 (68%)
Male 837 (31%)
Unknown 19

Age Distribution

0-17 59 (4%)
18-44 462 (28%)
45-64 596 (36%)
65-74 303 (18%)
75+ 246 (15%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 798 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
TOXICITY TO VARIOUS AGENTS 224
CARDIO-RESPIRATORY ARREST 196
DIARRHOEA 191
DYSPNOEA 182
ASTHENIA 181
DIZZINESS 178
HAEMORRHAGIC STROKE 177
ARTHRALGIA 175
TACHYCARDIA 175
HEADACHE 174
PRURITUS 172
FATIGUE 171
SEPSIS 169
DECREASED APPETITE 168
COUGH 166
MALAISE 166
FALL 165
INSOMNIA 165
VOMITING 164
ALTERED STATE OF CONSCIOUSNESS 163

Reactions in Hospitalization Reports

Top reactions in 643 reports where hospitalization was an outcome.

Reaction Reports
NAUSEA 106
PAIN 106
DIARRHOEA 102
DRUG INEFFECTIVE 102
DYSPNOEA 102
ARTHRALGIA 100
HEADACHE 94
RASH 88
DRUG INTOLERANCE 82
HYPERSENSITIVITY 82
MALAISE 82
FATIGUE 78
COUGH 77
DRUG HYPERSENSITIVITY 77
ABDOMINAL DISCOMFORT 71
ABDOMINAL PAIN UPPER 70
OFF LABEL USE 70
VOMITING 70
HYPERTENSION 69
ASTHENIA 62

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What the FAERS Data Reveals About codeine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 3,245 voluntary reports linked to codeine and its brand equivalents (Codeine Sulfate), spanning 2004 through 2025. Of those, 798 (24.6%) listed death as an outcome and 643 (19.8%) 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, 68% were female and 31% male; age distribution skews toward 45-64, with 596 reports in that bracket. The single most reported reaction is drug hypersensitivity with 807 submissions, followed by nausea and malaise.

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.