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nabilone Side Effects

Also known as: Cesamet

Analysis of 1,963 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

1,963

Death-Related

102

5.2% of reports

Hospitalizations

782

39.8% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

PAIN
473
DRUG INEFFECTIVE
360
OFF LABEL USE
349
MUSCULOSKELETAL STIFFNESS
285
INSOMNIA
265
RHEUMATOID ARTHRITIS
265
DRUG HYPERSENSITIVITY
254
GAIT DISTURBANCE
244
NAUSEA
230
FATIGUE
222
ARTHRALGIA
220
DIARRHOEA
193
WHITE BLOOD CELL COUNT ABNORMAL
193
HEADACHE
177
MALAISE
177
VOMITING
153
BACK PAIN
138
THERAPEUTIC PRODUCT EFFECT INCOMPLETE
126
ASTHENIA
125
JOINT SWELLING
123

Who Reports Side Effects

Gender Distribution

Female 1,153 (67%)
Male 566 (33%)
Unknown 2

Age Distribution

0-17 200 (15%)
18-44 284 (22%)
45-64 523 (40%)
65-74 261 (20%)
75+ 48 (4%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 102 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 44
CARDIAC ARREST 12
NAUSEA 9
ASTHENIA 8
OFF LABEL USE 8
ABDOMINAL PAIN 7
PAIN 7
DIARRHOEA 6
COMPLETED SUICIDE 5
DECREASED APPETITE 4
DIZZINESS 4
FATIGUE 4
GENERAL PHYSICAL HEALTH DETERIORATION 4
NEOPLASM PROGRESSION 4
VOMITING 4
COMA 3
DRUG INEFFECTIVE 3
DYSPNOEA 3
HYPOPHAGIA 3
LETHARGY 3

Reactions in Hospitalization Reports

Top reactions in 782 reports where hospitalization was an outcome.

Reaction Reports
OFF LABEL USE 165
DRUG INEFFECTIVE 141
NAUSEA 99
INSPIRATORY CAPACITY DECREASED 97
VOMITING 76
PAIN 71
DIARRHOEA 67
PSYCHOTIC DISORDER 53
HEADACHE 52
MALAISE 52
ABDOMINAL PAIN 50
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION 50
THERAPEUTIC RESPONSE SHORTENED 50
FEBRILE NEUTROPENIA 48
FATIGUE 47
DYSPNOEA 46
ARTHRALGIA 45
DYSTONIA 45
ORTHOSTATIC HYPOTENSION 42
THERAPEUTIC PRODUCT EFFECT INCOMPLETE 42

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What the FAERS Data Reveals About nabilone Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 1,963 voluntary reports linked to nabilone and its brand equivalents (Cesamet), spanning 2004 through 2025. Of those, 102 (5.2%) listed death as an outcome and 782 (39.8%) 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, 67% were female and 33% male; age distribution skews toward 45-64, with 523 reports in that bracket. The single most reported reaction is pain with 473 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.