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What the label lists and what reports show

Olmesartan side effects

Olmesartan's FDA label: “The most common adverse reaction in adults was dizziness (3%) ( 6.1 ).” FAERS holds 35,743 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 sprue-like enteropathy (3,478 reports).

  • Generic listed
  • Boxed warning

Check it at the source: the olmesartan FDA label on DailyMed (effective September 23, 2025, Cosette Pharmaceuticals, Inc.); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

The most common adverse reaction in adults was dizziness (3%) ( 6.1 ).

From the label: adverse reactions, continued

The most common adverse reaction in adults was dizziness (3%) ( 6.1 ). To report SUSPECTED ADVERSE REACTIONS, contact Cosette Pharmaceuticals, Inc. at 1-800-922-1038 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 6.1 Clinical Trials Experience Because clinical studies are conducted under widely varying conditions, adverse reaction rates observed in the clinical studies of a drug cannot be directly compared to rates in the clinical studies of another drug and may not reflect the rates observed in practice. Adult Hypertension Benicar has been evaluated for safety in more than 3825 patients/subjects, including more than 3275 patients treated for hypertension in controlled trials. This experience included about 900 patients treated for at least 6 months and more than 525 for at least 1 year. Events generally were mild, transient and had no relationship to the dose of Benicar. Analysis of gender, age and race groups demonstrated no differences between Benicar and placebo-treated patients. The rate of withdrawals due to adverse reactions in all trials of hypertensive patients was 2.4% (i.e., 79/3278) of patients treated with Benicar and 2.7% (i.e., 32/1179) of control patients. In placebo-controlled trials, the only adverse reaction that occurred in more than 1% of patients treated with Benicar and at a higher incidence versus placebo was dizziness (3% vs. 1%). …

Source: FDA drug label, Cosette Pharmaceuticals, Inc., effective September 23, 2025 (SPL set dc3f1fd4-5578-4c5d-be7b-12e3f8f3e7df), via openFDA; the full label on DailyMed

What do FAERS reports show?

35,743 reports list olmesartan among the medicines taken, each a report of something that happened, not proof the medicine caused it; 1,618 are coded as a death and 13,467 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 22 reactions below, 8 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

  • Sprue-Like Enteropathy (named in the label)3,478
  • Diarrhoea (named in the label)2,478
  • Weight Decreased2,217
  • Dizziness (named in the label)2,101
  • Gastrooesophageal Reflux Disease2,077
  • Nausea2,038
  • Acute Kidney Injury2,018
  • Drug Ineffective (a use or a product term, not a reaction)1,971
  • Fatigue1,686
  • Headache1,410
  • Haemorrhoids1,369
  • Dyspnoea1,340
  • Hypotension (named in the label)1,315
  • Constipation1,306
  • Vomiting (named in the label)1,203
  • Pain1,119
  • Asthenia (named in the label)1,063
  • Blood Pressure Increased1,056
  • Hypertension (a use or a product term, not a reaction)1,044
  • Chronic Kidney Disease988
  • Hiatus Hernia977
  • Pruritus (named in the label)947
  • Renal Failure (named in the label)933
  • Arthralgia923
  • Off Label Use (a use or a product term, not a reaction)913

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

What next?

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