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eluxadoline Side Effects

Also known as: Viberzi

Analysis of 2,870 adverse event reports submitted to the FDA from 2012 to 2025.

Total Reports

2,870

Death-Related

63

2.2% of reports

Hospitalizations

546

19.0% of reports

Top Indication

Irritable Bowel Syndrome

Most Reported Adverse Reactions

OFF LABEL USE
355
ABDOMINAL PAIN
348
DIARRHOEA
340
CONSTIPATION
281
PANCREATITIS
276
NAUSEA
216
DRUG INEFFECTIVE
215
ABDOMINAL PAIN UPPER
207
INAPPROPRIATE SCHEDULE OF DRUG ADMINISTRATION
162
VOMITING
135
FATIGUE
118
DIZZINESS
108
WRONG TECHNIQUE IN PRODUCT USAGE PROCESS
107
PAIN
103
INCORRECT DOSE ADMINISTERED
88
FEELING ABNORMAL
83
SPHINCTER OF ODDI DYSFUNCTION
83
PANCREATITIS ACUTE
77
CONTRAINDICATED PRODUCT ADMINISTERED
75
HEADACHE
75

Who Reports Side Effects

Gender Distribution

Female 1,984 (76%)
Male 638 (24%)

Age Distribution

0-17 127 (10%)
18-44 258 (20%)
45-64 428 (33%)
65-74 283 (22%)
75+ 198 (15%)

Reporting Trend by Year

12
15
16
17
18
19
20
21
22
23
24
25

Reactions in Death Reports

Top reactions reported in 63 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 37
COMPLETED SUICIDE 9
VOMITING 5
CARDIAC ARREST 4
DIARRHOEA 4
LETHARGY 4
PANCREATITIS 4
SUSPECTED SUICIDE 4
ABDOMINAL PAIN 3
ABDOMINAL PAIN UPPER 3
ACUTE KIDNEY INJURY 3
HEART RATE INCREASED 3
NAUSEA 3
OFF LABEL USE 3
RENAL FAILURE 3
RESPIRATORY FAILURE 3
UNEVALUABLE EVENT 3
ABDOMINAL DISTENSION 2
ASCITES 2
BLOOD PRESSURE DECREASED 2

Reactions in Hospitalization Reports

Top reactions in 546 reports where hospitalization was an outcome.

Reaction Reports
PANCREATITIS 148
PANCREATITIS ACUTE 64
ABDOMINAL PAIN 63
OFF LABEL USE 48
DIARRHOEA 46
VOMITING 41
SPHINCTER OF ODDI DYSFUNCTION 39
NAUSEA 30
PAIN 28
CONSTIPATION 27
ABDOMINAL PAIN UPPER 26
DEHYDRATION 23
FALL 23
FATIGUE 23
PNEUMONIA 23
DYSPNOEA 22
CHEST PAIN 19
WEIGHT DECREASED 19
CONTRAINDICATED PRODUCT ADMINISTERED 17
DIZZINESS 15

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What the FAERS Data Reveals About eluxadoline Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 2,870 voluntary reports linked to eluxadoline and its brand equivalents (Viberzi), spanning 2012 through 2025. Of those, 63 (2.2%) listed death as an outcome and 546 (19.0%) involved hospitalization. The most common indication reported alongside adverse events was Irritable Bowel Syndrome.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 76% were female and 24% male; age distribution skews toward 45-64, with 428 reports in that bracket. The single most reported reaction is off label use with 355 submissions, followed by abdominal pain and diarrhoea.

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.