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miglitol Side Effects

Also known as: Glyset

Analysis of 923 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

923

Death-Related

106

11.5% of reports

Hospitalizations

542

58.7% of reports

Top Indication

Diabetes Mellitus

Most Reported Adverse Reactions

HYPOGLYCAEMIA
67
HEPATIC FUNCTION ABNORMAL
46
DECREASED APPETITE
39
DIARRHOEA
37
RENAL IMPAIRMENT
37
LIVER DISORDER
34
DIABETES MELLITUS
29
NAUSEA
28
DRUG INTERACTION
26
ALANINE AMINOTRANSFERASE INCREASED
25
OFF LABEL USE
25
PLATELET COUNT DECREASED
25
DIABETES MELLITUS INADEQUATE CONTROL
24
HYPERGLYCAEMIA
24
CARDIAC FAILURE
22
PNEUMONIA
22
ASPARTATE AMINOTRANSFERASE INCREASED
21
BLOOD GLUCOSE INCREASED
21
MALAISE
20
VOMITING
20

Who Reports Side Effects

Gender Distribution

Female 333 (40%)
Male 508 (60%)

Age Distribution

0-17 23 (3%)
18-44 37 (5%)
45-64 189 (25%)
65-74 233 (31%)
75+ 267 (36%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 106 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 10
PNEUMONIA 10
SEPSIS 10
DECREASED APPETITE 9
DIARRHOEA 8
OFF LABEL USE 7
HEPATIC FUNCTION ABNORMAL 6
INTERSTITIAL LUNG DISEASE 6
PLATELET COUNT DECREASED 6
RESPIRATORY FAILURE 6
CARDIAC FAILURE 5
LIVER DISORDER 5
MALAISE 5
DIABETES MELLITUS 4
DISEASE PROGRESSION 4
DISSEMINATED INTRAVASCULAR COAGULATION 4
DRUG-INDUCED LIVER INJURY 4
HYPOGLYCAEMIA 4
LACTIC ACIDOSIS 4
SEPTIC SHOCK 4

Reactions in Hospitalization Reports

Top reactions in 542 reports where hospitalization was an outcome.

Reaction Reports
HYPOGLYCAEMIA 45
DECREASED APPETITE 27
DRUG INTERACTION 24
HEPATIC FUNCTION ABNORMAL 21
RENAL IMPAIRMENT 20
DIARRHOEA 19
NAUSEA 19
CARDIAC FAILURE 18
HYPERGLYCAEMIA 18
DIABETES MELLITUS 17
DIABETES MELLITUS INADEQUATE CONTROL 16
LIVER DISORDER 16
OFF LABEL USE 16
PEMPHIGOID 16
PNEUMONIA 16
VOMITING 16
DIABETIC KETOACIDOSIS 15
PLATELET COUNT DECREASED 14
ACUTE KIDNEY INJURY 13
ALANINE AMINOTRANSFERASE INCREASED 13

Nearby — Related Medications

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What the FAERS Data Reveals About miglitol Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 923 voluntary reports linked to miglitol and its brand equivalents (Glyset), spanning 2004 through 2025. Of those, 106 (11.5%) listed death as an outcome and 542 (58.7%) involved hospitalization. The most common indication reported alongside adverse events was Diabetes Mellitus.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 40% were female and 60% male; age distribution skews toward 75+, with 267 reports in that bracket. The single most reported reaction is hypoglycaemia with 67 submissions, followed by hepatic function abnormal and decreased appetite.

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.