PlainMeds provides educational information only. This is not medical advice. Always consult your doctor or pharmacist.

fexofenadine Side Effects

Also known as: Allegra

Analysis of 19,831 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

19,831

Death-Related

549

2.8% of reports

Hospitalizations

2,701

13.6% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG INEFFECTIVE
3,555
HEADACHE
878
FATIGUE
858
NAUSEA
778
PRURITUS
765
EXTRA DOSE ADMINISTERED
700
DIARRHOEA
693
NO ADVERSE EVENT
691
DIZZINESS
648
RASH
605
SOMNOLENCE
597
DYSPNOEA
589
COUGH
555
INSOMNIA
530
PAIN
488
FEELING ABNORMAL
485
OFF LABEL USE
478
MALAISE
451
CONDITION AGGRAVATED
450
PRODUCT DOSE OMISSION ISSUE
450

Who Reports Side Effects

Gender Distribution

Female 10,792 (69%)
Male 4,893 (31%)
Unknown 10

Age Distribution

0-17 533 (6%)
18-44 2,114 (23%)
45-64 2,846 (31%)
65-74 1,920 (21%)
75+ 1,865 (20%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 549 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 171
PNEUMONIA 58
MALIGNANT NEOPLASM PROGRESSION 30
PYREXIA 30
DIARRHOEA 29
PLATELET COUNT DECREASED 25
SEPSIS 25
FALL 22
INTERSTITIAL LUNG DISEASE 22
DYSPNOEA 21
SEPTIC SHOCK 20
HEPATIC FUNCTION ABNORMAL 19
NAUSEA 19
RESPIRATORY FAILURE 19
ACUTE KIDNEY INJURY 17
CARDIAC ARREST 17
CONSTIPATION 16
DECREASED APPETITE 16
PNEUMONIA ASPIRATION 16
ANAEMIA 15

Reactions in Hospitalization Reports

Top reactions in 2,701 reports where hospitalization was an outcome.

Reaction Reports
PNEUMONIA 238
NAUSEA 210
DIARRHOEA 206
FATIGUE 183
DYSPNOEA 161
PYREXIA 156
FALL 153
VOMITING 150
PAIN 144
HEADACHE 143
DIZZINESS 133
RASH 131
MALAISE 117
COVID-19 116
PRODUCT DOSE OMISSION ISSUE 109
COUGH 100
DECREASED APPETITE 100
SINUSITIS 100
URINARY TRACT INFECTION 96
PRURITUS 92

Nearby — Related Medications

Compare fexofenadine vs azelastine →

What the FAERS Data Reveals About fexofenadine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 19,831 voluntary reports linked to fexofenadine and its brand equivalents (Allegra), spanning 2004 through 2025. Of those, 549 (2.8%) listed death as an outcome and 2,701 (13.6%) 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, 69% were female and 31% male; age distribution skews toward 45-64, with 2,846 reports in that bracket. The single most reported reaction is drug ineffective with 3,555 submissions, followed by headache and fatigue.

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.