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fosinopril Side Effects

Also known as: Monopril

Analysis of 4,213 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

4,213

Death-Related

398

9.4% of reports

Hospitalizations

1,936

46.0% of reports

Top Indication

Hypertension

Most Reported Adverse Reactions

FATIGUE
239
DIARRHOEA
232
DYSPNOEA
210
NAUSEA
204
DRUG INEFFECTIVE
182
DIZZINESS
179
ACUTE KIDNEY INJURY
176
ASTHENIA
170
RENAL FAILURE
160
HYPOTENSION
142
PAIN
142
HEADACHE
141
MYOCARDIAL INFARCTION
131
VOMITING
131
DRUG INTERACTION
129
FALL
128
RENAL FAILURE ACUTE
128
CARDIAC FAILURE CONGESTIVE
117
ANAEMIA
115
COUGH
113

Who Reports Side Effects

Gender Distribution

Female 1,635 (41%)
Male 2,371 (59%)
Unknown 7

Age Distribution

0-17 29 (1%)
18-44 160 (5%)
45-64 1,035 (33%)
65-74 947 (31%)
75+ 927 (30%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 398 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 95
COMPLETED SUICIDE 43
RENAL FAILURE 43
PNEUMONIA 31
CARDIAC FAILURE CONGESTIVE 27
HYPOTENSION 27
FATIGUE 26
MYOCARDIAL INFARCTION 26
SEPSIS 26
DYSPNOEA 23
PAIN 22
PYREXIA 22
ACUTE KIDNEY INJURY 21
ATRIAL FIBRILLATION 21
DIARRHOEA 21
ANXIETY 20
FALL 20
HYPERTENSION 18
INJURY 18
RESPIRATORY FAILURE 18

Reactions in Hospitalization Reports

Top reactions in 1,936 reports where hospitalization was an outcome.

Reaction Reports
DYSPNOEA 140
ASTHENIA 120
ACUTE KIDNEY INJURY 119
RENAL FAILURE ACUTE 117
HYPOTENSION 106
BRADYCARDIA 103
CARDIAC FAILURE CONGESTIVE 100
MYOCARDIAL INFARCTION 100
DIARRHOEA 97
NAUSEA 90
FALL 89
DRUG INTERACTION 86
DIZZINESS 85
FATIGUE 85
RENAL FAILURE 85
ATRIAL FIBRILLATION 77
HYPERKALAEMIA 77
ANAEMIA 74
PYREXIA 73
PNEUMONIA 72

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What the FAERS Data Reveals About fosinopril Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 4,213 voluntary reports linked to fosinopril and its brand equivalents (Monopril), spanning 2004 through 2025. Of those, 398 (9.4%) listed death as an outcome and 1,936 (46.0%) involved hospitalization. The most common indication reported alongside adverse events was Hypertension.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 41% were female and 59% male; age distribution skews toward 45-64, with 1,035 reports in that bracket. The single most reported reaction is fatigue with 239 submissions, followed by diarrhoea and dyspnoea.

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.