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icosapent ethyl Side Effects

Also known as: Vascepa

Analysis of 7,801 adverse event reports submitted to the FDA from 2011 to 2025.

Total Reports

7,801

Death-Related

497

6.4% of reports

Hospitalizations

1,413

18.1% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

PRODUCT ODOUR ABNORMAL
963
PRODUCT PHYSICAL ISSUE
733
OFF LABEL USE
728
DIARRHOEA
546
DRUG INEFFECTIVE
535
POOR QUALITY PRODUCT ADMINISTERED
501
NAUSEA
488
ARTHRALGIA
468
PRODUCT TASTE ABNORMAL
430
FATIGUE
389
PRESCRIBED UNDERDOSE
301
BLOOD TRIGLYCERIDES INCREASED
283
HEADACHE
274
DIZZINESS
271
ERUCTATION
265
ABDOMINAL DISCOMFORT
250
CONDITION AGGRAVATED
249
PAIN IN EXTREMITY
249
PAIN
238
VOMITING
237

Who Reports Side Effects

Gender Distribution

Female 3,300 (47%)
Male 3,684 (52%)
Unknown 44

Age Distribution

0-17 68 (1%)
18-44 464 (10%)
45-64 1,701 (35%)
65-74 1,594 (33%)
75+ 996 (21%)

Reporting Trend by Year

11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

Reactions in Death Reports

Top reactions reported in 497 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 224
CONDITION AGGRAVATED 129
OFF LABEL USE 106
MATERNAL EXPOSURE DURING PREGNANCY 101
TYPE 2 DIABETES MELLITUS 68
FIBROMYALGIA 67
OVERLAP SYNDROME 67
STOMATITIS 67
HYPOAESTHESIA 65
URTICARIA 65
SWELLING 64
FATIGUE 63
ALOPECIA 61
HELICOBACTER INFECTION 61
HYPERTENSION 61
OSTEOARTHRITIS 61
MOBILITY DECREASED 59
NASOPHARYNGITIS 59
PYREXIA 52
VOMITING 52

Reactions in Hospitalization Reports

Top reactions in 1,413 reports where hospitalization was an outcome.

Reaction Reports
DRUG INEFFECTIVE 139
FATIGUE 120
OFF LABEL USE 98
PNEUMONIA 95
CONDITION AGGRAVATED 93
HEADACHE 92
HYPERTENSION 92
PYREXIA 92
DYSPNOEA 89
VOMITING 89
HYPOAESTHESIA 84
SWELLING 81
TYPE 2 DIABETES MELLITUS 81
DIZZINESS 80
NASOPHARYNGITIS 80
HOSPITALISATION 78
STOMATITIS 78
ASTHENIA 77
FIBROMYALGIA 77
DIARRHOEA 76

Nearby — Related Medications

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What the FAERS Data Reveals About icosapent ethyl Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 7,801 voluntary reports linked to icosapent ethyl and its brand equivalents (Vascepa), spanning 2011 through 2025. Of those, 497 (6.4%) listed death as an outcome and 1,413 (18.1%) 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, 47% were female and 52% male; age distribution skews toward 45-64, with 1,701 reports in that bracket. The single most reported reaction is product odour abnormal with 963 submissions, followed by product physical issue and off label use.

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.