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famotidine Side Effects

Also known as: Pepcid

Analysis of 110,018 adverse event reports submitted to the FDA from 1995 to 2025.

Total Reports

110,018

Death-Related

10,287

9.4% of reports

Hospitalizations

35,591

32.4% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

NAUSEA
7,258
FATIGUE
6,866
CHRONIC KIDNEY DISEASE
6,644
DIARRHOEA
6,452
DRUG INEFFECTIVE
6,154
OFF LABEL USE
5,224
DYSPNOEA
5,202
HEADACHE
4,907
ACUTE KIDNEY INJURY
4,660
PAIN
4,619
VOMITING
4,464
DIZZINESS
4,226
RENAL FAILURE
4,104
DEATH
3,690
PNEUMONIA
3,504
ASTHENIA
3,363
PYREXIA
3,343
RASH
3,183
ARTHRALGIA
3,138
PRURITUS
2,974

Who Reports Side Effects

Gender Distribution

Female 61,566 (62%)
Male 37,547 (38%)
Unknown 106

Age Distribution

0-17 4,064 (6%)
18-44 10,919 (16%)
45-64 23,580 (34%)
65-74 16,749 (24%)
75+ 13,846 (20%)

Reporting Trend by Year

1995 2025

Reactions in Death Reports

Top reactions reported in 10,287 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 3,672
PNEUMONIA 726
RENAL FAILURE 724
CHRONIC KIDNEY DISEASE 715
ACUTE KIDNEY INJURY 712
SEPSIS 585
RESPIRATORY FAILURE 535
DYSPNOEA 486
NAUSEA 464
END STAGE RENAL DISEASE 462
OFF LABEL USE 455
DIARRHOEA 452
PYREXIA 449
CARDIAC ARREST 420
ANAEMIA 408
FATIGUE 403
HYPOTENSION 386
ASTHENIA 364
DISEASE PROGRESSION 358
VOMITING 342

Reactions in Hospitalization Reports

Top reactions in 35,591 reports where hospitalization was an outcome.

Reaction Reports
PNEUMONIA 2,739
NAUSEA 2,675
DIARRHOEA 2,463
DYSPNOEA 2,438
VOMITING 2,230
PYREXIA 2,147
FATIGUE 2,073
PAIN 1,720
FALL 1,713
ACUTE KIDNEY INJURY 1,690
ASTHENIA 1,604
HEADACHE 1,428
OFF LABEL USE 1,426
RENAL FAILURE 1,400
ANAEMIA 1,356
URINARY TRACT INFECTION 1,323
DIZZINESS 1,321
DEHYDRATION 1,298
ABDOMINAL PAIN 1,286
DECREASED APPETITE 1,170

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What the FAERS Data Reveals About famotidine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 110,018 voluntary reports linked to famotidine and its brand equivalents (Pepcid), spanning 1995 through 2025. Of those, 10,287 (9.4%) listed death as an outcome and 35,591 (32.4%) 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, 62% were female and 38% male; age distribution skews toward 45-64, with 23,580 reports in that bracket. The single most reported reaction is nausea with 7,258 submissions, followed by fatigue and chronic kidney disease.

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.