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desvenlafaxine Side Effects

Also known as: Pristiq

Analysis of 3,267 adverse event reports submitted to the FDA from 2008 to 2025.

Total Reports

3,267

Death-Related

360

11.0% of reports

Hospitalizations

975

29.8% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG INEFFECTIVE
278
TOXICITY TO VARIOUS AGENTS
233
OFF LABEL USE
208
NAUSEA
206
COMPLETED SUICIDE
186
ANXIETY
180
OVERDOSE
174
FATIGUE
166
DRUG INTERACTION
164
DEPRESSION
161
HEADACHE
159
DIZZINESS
133
PAIN
117
SEROTONIN SYNDROME
115
INSOMNIA
114
SUICIDAL IDEATION
109
DYSPNOEA
108
PRODUCT DOSE OMISSION ISSUE
103
CONDITION AGGRAVATED
94
DIARRHOEA
94

Who Reports Side Effects

Gender Distribution

Female 2,067 (72%)
Male 804 (28%)
Unknown 10

Age Distribution

0-17 118 (5%)
18-44 808 (36%)
45-64 898 (40%)
65-74 304 (13%)
75+ 132 (6%)

Reporting Trend by Year

2008 2025

Reactions in Death Reports

Top reactions reported in 360 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
COMPLETED SUICIDE 185
TOXICITY TO VARIOUS AGENTS 133
DEATH 52
CARDIO-RESPIRATORY ARREST 20
OVERDOSE 19
INTENTIONAL OVERDOSE 18
PNEUMONIA 18
CARDIAC ARREST 15
DRUG INTERACTION 13
DRUG ABUSE 9
RESPIRATORY ARREST 9
BRAIN INJURY 8
CUTANEOUS VASCULITIS 8
SUSPECTED SUICIDE 7
ACCIDENTAL OVERDOSE 6
CIRCULATORY COLLAPSE 6
HYPERSENSITIVITY VASCULITIS 6
POISONING 6
ACUTE RESPIRATORY FAILURE 5
DYSPNOEA 5

Reactions in Hospitalization Reports

Top reactions in 975 reports where hospitalization was an outcome.

Reaction Reports
DRUG INTERACTION 119
OVERDOSE 115
SEROTONIN SYNDROME 90
TOXICITY TO VARIOUS AGENTS 89
OFF LABEL USE 79
NAUSEA 66
DEPRESSION 49
DRUG INEFFECTIVE 49
PNEUMONIA 49
FATIGUE 47
VOMITING 44
ANXIETY 43
SUICIDE ATTEMPT 41
SEIZURE 39
SUICIDAL IDEATION 37
FALL 35
DYSPNOEA 33
HEADACHE 33
INTENTIONAL OVERDOSE 32
CONFUSIONAL STATE 31

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What the FAERS Data Reveals About desvenlafaxine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 3,267 voluntary reports linked to desvenlafaxine and its brand equivalents (Pristiq), spanning 2008 through 2025. Of those, 360 (11.0%) listed death as an outcome and 975 (29.8%) 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, 72% were female and 28% male; age distribution skews toward 45-64, with 898 reports in that bracket. The single most reported reaction is drug ineffective with 278 submissions, followed by toxicity to various agents 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.