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fentanyl Side Effects

Also known as: Duragesic, Actiq

Analysis of 95,293 adverse event reports submitted to the FDA from 1997 to 2025.

Total Reports

95,293

Death-Related

27,119

28.5% of reports

Hospitalizations

32,091

33.7% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG ABUSE
10,453
PAIN
7,250
DRUG DEPENDENCE
6,027
TOXICITY TO VARIOUS AGENTS
5,846
OVERDOSE
5,720
DRUG INEFFECTIVE
5,693
DEATH
5,353
NAUSEA
5,081
VOMITING
3,688
FATIGUE
3,525
OFF LABEL USE
3,332
DRUG WITHDRAWAL SYNDROME
2,968
DYSPNOEA
2,962
DIARRHOEA
2,938
EMOTIONAL DISTRESS
2,937
HYPOTENSION
2,926
DRUG INTERACTION
2,755
ANXIETY
2,408
PYREXIA
2,257
PNEUMONIA
2,188

Who Reports Side Effects

Gender Distribution

Female 44,491 (51%)
Male 42,475 (49%)
Unknown 420

Age Distribution

0-17 3,702 (6%)
18-44 20,461 (31%)
45-64 22,231 (34%)
65-74 10,657 (16%)
75+ 8,087 (12%)

Reporting Trend by Year

1997 2025

Reactions in Death Reports

Top reactions reported in 27,119 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DRUG ABUSE 8,949
DEATH 5,337
TOXICITY TO VARIOUS AGENTS 4,622
OVERDOSE 2,358
CARDIO-RESPIRATORY ARREST 1,526
CARDIAC ARREST 1,343
DRUG DEPENDENCE 1,259
COMPLETED SUICIDE 1,169
RESPIRATORY ARREST 874
PAIN 859
RENAL FAILURE 752
PNEUMONIA 712
NAUSEA 577
MALIGNANT NEOPLASM PROGRESSION 568
SEPSIS 568
RESPIRATORY FAILURE 558
HYPOTENSION 529
DYSPNOEA 526
ANXIETY 521
VOMITING 492

Reactions in Hospitalization Reports

Top reactions in 32,091 reports where hospitalization was an outcome.

Reaction Reports
NAUSEA 2,461
PAIN 2,239
VOMITING 2,084
DRUG INEFFECTIVE 1,888
PNEUMONIA 1,721
DYSPNOEA 1,697
HYPOTENSION 1,655
DIARRHOEA 1,633
PYREXIA 1,625
FATIGUE 1,608
OFF LABEL USE 1,498
OVERDOSE 1,415
DRUG INTERACTION 1,406
FALL 1,291
TOXICITY TO VARIOUS AGENTS 1,256
ANAEMIA 1,253
DRUG ABUSE 1,221
ABDOMINAL PAIN 1,196
ASTHENIA 1,159
CONFUSIONAL STATE 1,051

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What the FAERS Data Reveals About fentanyl Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 95,293 voluntary reports linked to fentanyl and its brand equivalents (Duragesic, Actiq), spanning 1997 through 2025. Of those, 27,119 (28.5%) listed death as an outcome and 32,091 (33.7%) 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, 51% were female and 49% male; age distribution skews toward 45-64, with 22,231 reports in that bracket. The single most reported reaction is drug abuse with 10,453 submissions, followed by pain and drug dependence.

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.