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donepezil Side Effects

Also known as: Aricept

Analysis of 35,138 adverse event reports submitted to the FDA from 2003 to 2025.

Total Reports

35,138

Death-Related

5,622

16.0% of reports

Hospitalizations

14,136

40.2% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

FALL
2,965
DEATH
2,020
CONFUSIONAL STATE
1,893
DIARRHOEA
1,738
DIZZINESS
1,732
FATIGUE
1,686
NAUSEA
1,599
DRUG INEFFECTIVE
1,532
HALLUCINATION
1,481
ASTHENIA
1,476
SOMNOLENCE
1,330
VOMITING
1,276
DRUG INTERACTION
1,205
DECREASED APPETITE
1,170
DYSPNOEA
1,069
DEMENTIA
1,062
SYNCOPE
1,059
OFF LABEL USE
1,042
HEADACHE
1,032
INSOMNIA
987

Who Reports Side Effects

Gender Distribution

Female 17,411 (54%)
Male 14,683 (46%)
Unknown 64

Age Distribution

0-17 191 (1%)
18-44 325 (1%)
45-64 2,491 (10%)
65-74 5,309 (21%)
75+ 16,404 (66%)

Reporting Trend by Year

2003 2025

Reactions in Death Reports

Top reactions reported in 5,622 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 2,015
FALL 598
SEPSIS 387
DYSPNOEA 363
ASTHENIA 361
CARDIO-RESPIRATORY ARREST 345
FATIGUE 340
DIZZINESS 333
DIARRHOEA 315
DECREASED APPETITE 310
PNEUMONIA 303
SOMNOLENCE 287
NAUSEA 282
HAEMORRHAGIC STROKE 280
VOMITING 276
COMA 267
INSOMNIA 265
TACHYCARDIA 264
ALTERED STATE OF CONSCIOUSNESS 260
COMPLETED SUICIDE 256

Reactions in Hospitalization Reports

Top reactions in 14,136 reports where hospitalization was an outcome.

Reaction Reports
FALL 1,831
CONFUSIONAL STATE 842
BRADYCARDIA 753
URINARY TRACT INFECTION 728
PNEUMONIA 683
DIARRHOEA 682
SYNCOPE 659
ASTHENIA 647
NAUSEA 633
VOMITING 611
DEHYDRATION 602
DRUG INTERACTION 593
HYPOTENSION 577
DIZZINESS 569
DYSPNOEA 510
FATIGUE 484
HALLUCINATION 465
DEMENTIA 443
SOMNOLENCE 438
DECREASED APPETITE 418

Nearby — Related Medications

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What the FAERS Data Reveals About donepezil Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 35,138 voluntary reports linked to donepezil and its brand equivalents (Aricept), spanning 2003 through 2025. Of those, 5,622 (16.0%) listed death as an outcome and 14,136 (40.2%) 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, 54% were female and 46% male; age distribution skews toward 75+, with 16,404 reports in that bracket. The single most reported reaction is fall with 2,965 submissions, followed by death and confusional state.

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.