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omeprazole Side Effects

Also known as: Prilosec

Analysis of 331,875 adverse event reports submitted to the FDA from 1999 to 2025.

Total Reports

331,875

Death-Related

30,378

9.2% of reports

Hospitalizations

122,601

36.9% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

FATIGUE
19,901
NAUSEA
19,842
DIARRHOEA
19,627
DYSPNOEA
16,336
DRUG INEFFECTIVE
15,639
HEADACHE
14,629
PAIN
13,759
CHRONIC KIDNEY DISEASE
13,547
VOMITING
13,263
DIZZINESS
13,108
OFF LABEL USE
12,603
ACUTE KIDNEY INJURY
11,753
MALAISE
10,918
ASTHENIA
10,698
ARTHRALGIA
10,694
FALL
10,630
PNEUMONIA
9,856
DEATH
9,435
PYREXIA
8,953
RASH
8,237

Who Reports Side Effects

Gender Distribution

Female 180,676 (59%)
Male 124,198 (41%)
Unknown 439

Age Distribution

0-17 6,390 (3%)
18-44 28,776 (13%)
45-64 80,287 (35%)
65-74 58,013 (25%)
75+ 54,492 (24%)

Reporting Trend by Year

1999 2025

Reactions in Death Reports

Top reactions reported in 30,378 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 9,408
PNEUMONIA 2,128
ACUTE KIDNEY INJURY 1,741
DYSPNOEA 1,556
CHRONIC KIDNEY DISEASE 1,506
SEPSIS 1,459
RENAL FAILURE 1,398
DIARRHOEA 1,223
RESPIRATORY FAILURE 1,215
VOMITING 1,162
NAUSEA 1,105
CARDIAC ARREST 1,086
ASTHENIA 1,075
COMPLETED SUICIDE 1,037
PYREXIA 1,027
OFF LABEL USE 1,008
FATIGUE 998
ANAEMIA 907
TOXICITY TO VARIOUS AGENTS 897
CARDIO-RESPIRATORY ARREST 834

Reactions in Hospitalization Reports

Top reactions in 122,601 reports where hospitalization was an outcome.

Reaction Reports
DYSPNOEA 8,160
DIARRHOEA 7,946
PNEUMONIA 7,846
NAUSEA 7,140
VOMITING 7,018
FALL 6,639
FATIGUE 6,112
PYREXIA 5,887
ASTHENIA 5,276
PAIN 5,192
ACUTE KIDNEY INJURY 5,092
MALAISE 4,753
DIZZINESS 4,627
DRUG INTERACTION 4,439
ANAEMIA 4,293
HYPOTENSION 4,245
ABDOMINAL PAIN 4,227
OFF LABEL USE 4,210
HEADACHE 4,186
URINARY TRACT INFECTION 3,748

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What the FAERS Data Reveals About omeprazole Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 331,875 voluntary reports linked to omeprazole and its brand equivalents (Prilosec), spanning 1999 through 2025. Of those, 30,378 (9.2%) listed death as an outcome and 122,601 (36.9%) 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, 59% were female and 41% male; age distribution skews toward 45-64, with 80,287 reports in that bracket. The single most reported reaction is fatigue with 19,901 submissions, followed by nausea and diarrhoea.

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.