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conjugated estrogens Side Effects

Also known as: Premarin

Analysis of 57,675 adverse event reports submitted to the FDA from 1996 to 2025.

Total Reports

57,675

Death-Related

1,777

3.1% of reports

Hospitalizations

9,226

16.0% of reports

Top Indication

Hormone Replacement Therapy

Most Reported Adverse Reactions

BREAST CANCER
9,623
BREAST CANCER FEMALE
8,862
DRUG INEFFECTIVE
3,280
NAUSEA
2,360
HEADACHE
2,291
PAIN
2,248
FATIGUE
2,198
OFF LABEL USE
2,168
BREAST CANCER METASTATIC
1,681
DIZZINESS
1,632
DYSPNOEA
1,614
MALAISE
1,573
DIARRHOEA
1,521
ARTHRALGIA
1,438
ANXIETY
1,421
DEPRESSION
1,402
INSOMNIA
1,287
FALL
1,267
PAIN IN EXTREMITY
1,262
HYPERTENSION
1,224

Who Reports Side Effects

Gender Distribution

Female 55,235 (99%)
Male 187 (0%)
Unknown 101

Age Distribution

0-17 185 (1%)
18-44 1,413 (5%)
45-64 15,624 (53%)
65-74 7,558 (26%)
75+ 4,507 (15%)

Reporting Trend by Year

1996 2025

Reactions in Death Reports

Top reactions reported in 1,777 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 386
BREAST CANCER METASTATIC 206
BREAST CANCER 172
BREAST CANCER FEMALE 149
PNEUMONIA 105
MYOCARDIAL INFARCTION 104
CARDIAC ARREST 100
CEREBROVASCULAR ACCIDENT 82
OVARIAN CANCER 79
RENAL FAILURE 77
CARDIAC FAILURE CONGESTIVE 71
DYSPNOEA 71
RESPIRATORY FAILURE 68
PAIN 62
ANXIETY 61
SEPSIS 60
HYPOTENSION 59
VOMITING 57
OVARIAN CANCER METASTATIC 56
NAUSEA 55

Reactions in Hospitalization Reports

Top reactions in 9,226 reports where hospitalization was an outcome.

Reaction Reports
BREAST CANCER 857
NAUSEA 781
PAIN 760
DYSPNOEA 759
FALL 722
FATIGUE 700
CHEST PAIN 622
DEPRESSION 617
DIARRHOEA 615
HYPERTENSION 612
CEREBROVASCULAR ACCIDENT 608
DIZZINESS 589
HEADACHE 587
PNEUMONIA 581
ASTHENIA 577
ANXIETY 569
MYOCARDIAL INFARCTION 529
VOMITING 510
ARTHRALGIA 466
DRUG INEFFECTIVE 466

Nearby — Related Medications

Compare conjugated estrogens vs abiraterone →

What the FAERS Data Reveals About conjugated estrogens Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 57,675 voluntary reports linked to conjugated estrogens and its brand equivalents (Premarin), spanning 1996 through 2025. Of those, 1,777 (3.1%) listed death as an outcome and 9,226 (16.0%) involved hospitalization. The most common indication reported alongside adverse events was Hormone Replacement Therapy.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 99% were female and 0% male; age distribution skews toward 45-64, with 15,624 reports in that bracket. The single most reported reaction is breast cancer with 9,623 submissions, followed by breast cancer female 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.