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exenatide Side Effects

Also known as: Byetta, Bydureon

Analysis of 52,302 adverse event reports submitted to the FDA from 2005 to 2025.

Total Reports

52,302

Death-Related

1,762

3.4% of reports

Hospitalizations

7,532

14.4% of reports

Top Indication

Type 2 Diabetes Mellitus

Most Reported Adverse Reactions

BLOOD GLUCOSE INCREASED
15,472
WEIGHT DECREASED
12,125
NAUSEA
12,040
DECREASED APPETITE
5,643
BLOOD GLUCOSE DECREASED
5,517
VOMITING
4,345
DIARRHOEA
2,742
DIZZINESS
2,673
DRUG INEFFECTIVE
2,250
HEADACHE
2,086
INJECTION SITE PAIN
2,023
PANCREATITIS
2,012
INJECTION SITE BRUISING
1,843
INJECTION SITE HAEMORRHAGE
1,809
FATIGUE
1,759
FEELING ABNORMAL
1,664
INCORRECT DOSE ADMINISTERED
1,631
MALAISE
1,596
ASTHENIA
1,540
DRUG EFFECT DECREASED
1,525

Who Reports Side Effects

Gender Distribution

Female 32,746 (64%)
Male 18,369 (36%)
Unknown 209

Age Distribution

0-17 50 (0%)
18-44 3,015 (9%)
45-64 20,550 (58%)
65-74 9,220 (26%)
75+ 2,393 (7%)

Reporting Trend by Year

2005 2025

Reactions in Death Reports

Top reactions reported in 1,762 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
PANCREATIC CARCINOMA 765
DEATH 346
PANCREATIC CARCINOMA METASTATIC 268
METASTASES TO LIVER 178
RENAL FAILURE 94
PANCREATITIS 91
ADENOCARCINOMA PANCREAS 90
NAUSEA 82
WEIGHT DECREASED 77
HYPERTENSION 74
JAUNDICE CHOLESTATIC 65
METASTASES TO LUNG 64
MYOCARDIAL INFARCTION 60
PANCREATITIS ACUTE 60
VOMITING 58
ASCITES 53
ACUTE KIDNEY INJURY 52
METASTASES TO LYMPH NODES 51
CHOLELITHIASIS 45
BLADDER CANCER 44

Reactions in Hospitalization Reports

Top reactions in 7,532 reports where hospitalization was an outcome.

Reaction Reports
WEIGHT DECREASED 1,332
NAUSEA 1,199
BLOOD GLUCOSE INCREASED 1,150
PANCREATITIS 1,033
VOMITING 813
PANCREATITIS ACUTE 574
OFF LABEL USE 550
DIARRHOEA 483
DECREASED APPETITE 481
BLOOD GLUCOSE DECREASED 431
DEHYDRATION 377
RENAL FAILURE 360
DIZZINESS 333
FALL 331
ABDOMINAL PAIN 329
DYSPNOEA 325
RENAL FAILURE ACUTE 306
ASTHENIA 296
MYOCARDIAL INFARCTION 272
MALAISE 271

Nearby — Related Medications

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What the FAERS Data Reveals About exenatide Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 52,302 voluntary reports linked to exenatide and its brand equivalents (Byetta, Bydureon), spanning 2005 through 2025. Of those, 1,762 (3.4%) listed death as an outcome and 7,532 (14.4%) involved hospitalization. The most common indication reported alongside adverse events was Type 2 Diabetes Mellitus.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 64% were female and 36% male; age distribution skews toward 45-64, with 20,550 reports in that bracket. The single most reported reaction is blood glucose increased with 15,472 submissions, followed by weight decreased and nausea.

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.