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What the label lists and what reports show

Entacapone side effects

Entacapone's FDA label lists its adverse reactions in its own words. FAERS holds 4,154 reports naming it through July 30, 2026; the reaction reported most often, leaving out the conditions it is used for, product-use terms and outcomes, is hallucination (496 reports).

  • Generic listed

Check it at the source: the entacapone FDA label on DailyMed (effective November 30, 2023, Sandoz Inc); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

Because clinical studies are conducted under widely varying conditions, the incidence of adverse reactions (number of unique patients experiencing an adverse reaction associated with treatment per total number of patients treated) observed in the clinical studies of a drug cannot be directly compared to the incidence of adverse reactions in the clinical studies of another drug and may not reflect the incidence of adverse reactions observed in practice. A total of 1,450 patients with Parkinson’s disease were treated with entacapone in premarketing clinical studies. Included were patients with fluctuating symptoms, as well as those with stable responses to levodopa therapy. All patients received concomitant treatment with levodopa preparations, however, and were similar in other clinical aspects. …

Table 4: Summary of Patients with Adverse Events after Start of Trial Drug Administration at least 1% in Entacapone Group and Greater Than Placebo

SYSTEM ORGAN CLASS Preferred TermEntacapone (n = 603) % of patientsPlacebo (n = 400) % of patients
Sweating increased21
Back pain21
Dyskinesia2515
Hyperkinesia105
Hypokinesia98
Dizziness86
Taste perversion10
Anxiety21
Somnolence20
Agitation10
Nausea148
Diarrhea104
Abdominal pain84
Constipation64
Vomiting41
Mouth dry30
Dyspepsia21
Flatulence20
Gastritis10
Gastrointestinal disorders10
Dyspnea31
Purpura21
Urine discoloration100
Back pain42
Fatigue64

Rows and numbers as the label prints them, under its own column headings (the first rows of a longer table where it runs on). A reaction in a trial table is not necessarily caused by the medicine, and trials differ from everyday use.

Source: FDA drug label, NDA020796 (Orion Pharma), as published by Sandoz Inc, effective November 30, 2023 (SPL set ad4b6d79-efd3-4c43-b4dc-5afdacf939a4), via openFDA; the full label on DailyMed

What do FAERS reports show?

4,154 reports list entacapone among the medicines taken, each a report of something that happened, not proof the medicine caused it; 639 are coded as a death and 1,413 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is. Of the 22 reactions below, 9 are named by the same term (in US spelling) in the label's adverse reactions, warnings or patient leaflet; a reaction the label does not name may still be there under another word, and a report does not show that the medicine caused it.

Reports received each year

The 25 most reported reactions

  • Hallucination (named in the label)496
  • Dyskinesia (named in the label)481
  • Fall475
  • Drug Ineffective (a use or a product term, not a reaction)350
  • Death (an outcome recorded in the report)345
  • Parkinson^S Disease285
  • Confusional State270
  • Gait Disturbance268
  • Tremor265
  • On And Off Phenomenon246
  • Somnolence (named in the label)201
  • Fatigue (named in the label)198
  • Dizziness (named in the label)194
  • Constipation (named in the label)193
  • Nausea (named in the label)193
  • Hallucination, Visual192
  • Asthenia (named in the label)173
  • Condition Aggravated (a use or a product term, not a reaction)161
  • Balance Disorder157
  • Insomnia157
  • Anxiety (named in the label)153
  • Muscle Rigidity152
  • Urinary Tract Infection143
  • Freezing Phenomenon142
  • Device Issue139

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026; reactions as MedDRA preferred terms

What next?

Entacapone: the full record
label, generics, price, shortages, recalls
Side effects hub
the most reported medicines and reactions