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Drug side effects

entacapone Side Effects

The reactions most often reported to the FDA for entacapone (also sold as Comtan), with demographics, serious outcomes, and reporting trends.

Data updated 2026-05-15

3,955
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 2003 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.

The most commonly reported side effects of entacapone come from 3,955 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 3,955 reports to the FDA Adverse Event Reporting System (FAERS) for entacapone (Comtan): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.

Total Reports

3,955

Reports Mentioning Death

603

15.2% of reports — not proof the medicine caused the death

Hospitalizations

1,340

33.9% of reports

Top Indication

Parkinson^S Disease

Most Reported Adverse Reactions

DYSKINESIA
461
HALLUCINATION
459
FALL
443
DEATH
318
PARKINSON^S DISEASE
274
CONFUSIONAL STATE
255
GAIT DISTURBANCE
253
TREMOR
251
ON AND OFF PHENOMENON
225
SOMNOLENCE
190
CONSTIPATION
188
FATIGUE
184
NAUSEA
184
HALLUCINATION, VISUAL
181
DIZZINESS
180
ASTHENIA
161
INSOMNIA
154
CONDITION AGGRAVATED
151
ANXIETY
148

Who Reports Side Effects

Gender Distribution

Female 1,241 (34%)
Male 2,374 (66%)
Unknown 2

Age Distribution

0-17 20 (1%)
18-44 48 (2%)
45-64 629 (24%)
65-74 1,011 (38%)
75+ 947 (36%)

Reporting Trend by Year

2003 2025

Reactions in Death Reports

Top reactions reported in 603 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 318
PARKINSON^S DISEASE 88
HALLUCINATION 74
FALL 71
PNEUMONIA 45
DYSKINESIA 44
CONFUSIONAL STATE 42
AGITATION 35
DEMENTIA 25
HYPONATRAEMIA 25
CARDIAC ARREST 24
ASTHENIA 23
GENERAL PHYSICAL HEALTH DETERIORATION 23
ORTHOSTATIC HYPOTENSION 22
URINARY RETENTION 21
DYSPHAGIA 20
MYOCARDIAL INFARCTION 20
CONSTIPATION 19

Reactions in Hospitalization Reports

Top reactions in 1,340 reports where hospitalization was an outcome.

Reaction Reports
FALL 238
DYSKINESIA 195
HALLUCINATION 159
CONFUSIONAL STATE 120
ON AND OFF PHENOMENON 105
PARKINSON^S DISEASE 102
GAIT DISTURBANCE 97
URINARY TRACT INFECTION 88
MUSCLE RIGIDITY 87
TREMOR 84
ASTHENIA 83
PSYCHOTIC DISORDER 74
PNEUMONIA 73
AGITATION 68
HALLUCINATION, VISUAL 67
FATIGUE 65
THERAPEUTIC PRODUCT EFFECT INCOMPLETE 64
DYSTONIA 63
MOBILITY DECREASED 63

Compare entacapone vs acamprosate →

What the FAERS Data Reveals About entacapone Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 3,955 voluntary reports linked to entacapone and its brand equivalents (Comtan), spanning 2003 through 2025. Of those, 603 (15.2%) listed death as an outcome and 1,340 (33.9%) involved hospitalization. The most common indication reported alongside adverse events was Parkinson^S Disease.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 34% were female and 66% male; age distribution skews toward 65-74, with 1,011 reports in that bracket. The single most reported reaction is dyskinesia with 461 submissions, followed by hallucination and fall.

How to read these numbers

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.