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linaclotide Side Effects

Also known as: Linzess

Analysis of 24,979 adverse event reports submitted to the FDA from 2012 to 2025.

Total Reports

24,979

Death-Related

988

4.0% of reports

Hospitalizations

3,610

14.5% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DIARRHOEA
4,502
DRUG INEFFECTIVE
4,365
OFF LABEL USE
3,216
CONSTIPATION
1,862
NAUSEA
1,373
FATIGUE
1,111
ABDOMINAL DISTENSION
1,100
ABDOMINAL PAIN
1,009
HEADACHE
982
PAIN
896
ABDOMINAL PAIN UPPER
884
DIZZINESS
796
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION
727
FLATULENCE
675
FALL
648
MALAISE
634
DYSPNOEA
633
ASTHENIA
603
VOMITING
589
PRODUCT DOSE OMISSION ISSUE
535

Who Reports Side Effects

Gender Distribution

Female 16,594 (73%)
Male 6,185 (27%)
Unknown 61

Age Distribution

0-17 310 (3%)
18-44 1,604 (14%)
45-64 4,111 (36%)
65-74 2,676 (23%)
75+ 2,808 (24%)

Reporting Trend by Year

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

Reactions in Death Reports

Top reactions reported in 988 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 479
COMPLETED SUICIDE 93
CARDIAC ARREST 71
FALL 39
TOXICITY TO VARIOUS AGENTS 35
CHRONIC KIDNEY DISEASE 33
PNEUMONIA 32
ACUTE KIDNEY INJURY 31
CONSTIPATION 31
CARDIO-RESPIRATORY ARREST 30
DYSPNOEA 29
DECREASED APPETITE 28
NAUSEA 28
PARKINSON^S DISEASE 28
RENAL FAILURE 25
SEPSIS 25
FATIGUE 24
MALAISE 24
DIARRHOEA 23
ASTHENIA 22

Reactions in Hospitalization Reports

Top reactions in 3,610 reports where hospitalization was an outcome.

Reaction Reports
FALL 335
CONSTIPATION 330
NAUSEA 319
DIARRHOEA 310
PNEUMONIA 249
FATIGUE 233
DYSPNOEA 231
PAIN 229
VOMITING 209
OFF LABEL USE 204
HEADACHE 191
ASTHENIA 189
URINARY TRACT INFECTION 182
DEHYDRATION 173
DIZZINESS 172
ABDOMINAL PAIN 165
HOSPITALISATION 162
MALAISE 154
DRUG INEFFECTIVE 143
DECREASED APPETITE 135

Nearby — Related Medications

Compare linaclotide vs alosetron →

What the FAERS Data Reveals About linaclotide Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 24,979 voluntary reports linked to linaclotide and its brand equivalents (Linzess), spanning 2012 through 2025. Of those, 988 (4.0%) listed death as an outcome and 3,610 (14.5%) 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, 73% were female and 27% male; age distribution skews toward 45-64, with 4,111 reports in that bracket. The single most reported reaction is diarrhoea with 4,502 submissions, followed by drug ineffective 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.