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What the label lists and what reports show

Galantamine side effects

Galantamine's FDA label: “The most common adverse reactions (≥ 5%) were nausea, vomiting, diarrhea, dizziness, headache, decreased appetite, and weight decreased ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Slate Run Pharmaceuticals, LLC at 1-888-341-9214 or FDA at …” FAERS holds 3,188 reports naming it through July 30, 2026; the reaction reported most often, leaving out the conditions it is used for, product-use terms and outcomes, is fall (812 reports).

  • Generic listed

Check it at the source: the galantamine FDA label on DailyMed (effective June 1, 2026, Slate Run Pharmaceuticals, LLC); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

The most common adverse reactions (≥ 5%) were nausea, vomiting, diarrhea, dizziness, headache, decreased appetite, and weight decreased ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Slate Run Pharmaceuticals, LLC at 1-888-341-9214 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Table 1. Adverse Reactions Reported by ≥ 1% of Galantamine-Treated Patients in Pooled Placebo-Controlled, Double-Blind Clinical Trials

System/Organ Class Adverse ReactionGalantamine (n = 3956) %Placebo (n = 2546) %
Decreased appetite7.42.1
Depression3.62.3
Dizziness7.53.4
Headache7.15.5
Tremor1.60.7
Somnolence1.50.8
Syncope1.40.6
Lethargy1.30.4
Bradycardia1.00.3
Nausea20.75.5
Vomiting10.52.3
Diarrhea7.44.9
Abdominal pain3.82.0
Abdominal discomfort2.10.7
Dyspepsia1.51.0
Muscle spasms1.20.5
Fatigue3.51.8
Asthenia2.01.5
Malaise1.10.5
Decreased weight4.71.5
Fall3.93.0
Laceration1.10.5

Rows and numbers as the label prints them, under its own column headings (the first rows of a longer table where it runs on). A reaction in a trial table is not necessarily caused by the medicine, and trials differ from everyday use.

From the label: adverse reactions, continued

Serious adverse reactions are discussed in more detail in the following sections of the labeling: Serious skin reactions [see Warnings and Precautions (5.1) ] Cardiovascular Conditions [see Warnings and Precautions (5.3) ] Gastrointestinal Conditions [see Warnings and Precautions (5.4) ] Genitourinary Conditions [see Warnings and Precautions (5.5) ] Neurological Conditions [see Warnings and Precautions (5.6) ] Pulmonary Conditions [see Warnings and Precautions (5.7) ] Deaths in subjects with mild cognitive impairment (MCI) [see Warnings and Precautions (5.8) ] The most common adverse reactions (≥ 5%) were nausea, vomiting, diarrhea, dizziness, headache, decreased appetite, and weight decreased ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Slate Run Pharmaceuticals, LLC at 1-888-341-9214 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. The most common adverse reactions in galantamine-treated patients from double-blind clinical trials (≥ 5%) were nausea, vomiting, diarrhea, dizziness, headache, and decreased appetite. …

Source: FDA drug label, Slate Run Pharmaceuticals, LLC, effective June 1, 2026 (SPL set 56f365e5-0a23-4f69-e054-00144ff8d46c), via openFDA; the full label on DailyMed

What do FAERS reports show?

3,188 reports list galantamine among the medicines taken, each a report of something that happened, not proof the medicine caused it; 342 are coded as a death and 1,681 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is. Of the 20 reactions below, 4 are named by the same term (in US spelling) in the label's adverse reactions, warnings or patient leaflet; a reaction the label does not name may still be there under another word, and a report does not show that the medicine caused it.

Reports received each year

The 25 most reported reactions

  • Fall812
  • Cognitive Disorder664
  • Constipation651
  • Balance Disorder632
  • Hypotension631
  • Orthostatic Hypotension625
  • Sedation588
  • Depressed Level Of Consciousness564
  • Pain551
  • Creatinine Renal Clearance Decreased531
  • Blood Calcium Decreased530
  • Toxicity To Various Agents530
  • Sedation Complication529
  • Mobility Decreased523
  • Drug Interaction (a use or a product term, not a reaction)269
  • Off Label Use (a use or a product term, not a reaction)168
  • Dyspnoea150
  • Drug Ineffective (a use or a product term, not a reaction)129
  • Confusional State125
  • Hallucination (named in the label)114
  • Overdose (a use or a product term, not a reaction)114
  • Diarrhoea (named in the label)106
  • Nausea (named in the label)102
  • Dizziness (named in the label)101
  • Product Use In Unapproved Indication (a use or a product term, not a reaction)101

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026; reactions as MedDRA preferred terms

What next?

Galantamine: the full record
label, generics, price, shortages, recalls
Side effects hub
the most reported medicines and reactions