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phenazopyridine Side Effects

Also known as: Pyridium, AZO

Analysis of 3,599 adverse event reports submitted to the FDA from 1992 to 2025.

Total Reports

3,599

Death-Related

261

7.3% of reports

Hospitalizations

1,205

33.5% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

CHRONIC KIDNEY DISEASE
392
NAUSEA
296
PAIN
294
URINARY TRACT INFECTION
281
ACUTE KIDNEY INJURY
266
FATIGUE
257
RENAL FAILURE
253
DIARRHOEA
218
ANXIETY
182
HEADACHE
181
VOMITING
179
OFF LABEL USE
173
DRUG HYPERSENSITIVITY
142
DIZZINESS
138
DEPRESSION
136
DRUG INEFFECTIVE
134
DYSPNOEA
134
FALL
130
CONSTIPATION
120
ARTHRALGIA
115

Who Reports Side Effects

Gender Distribution

Female 2,565 (76%)
Male 811 (24%)
Unknown 5

Age Distribution

0-17 70 (3%)
18-44 576 (25%)
45-64 852 (37%)
65-74 480 (21%)
75+ 346 (15%)

Reporting Trend by Year

1992 2025

Reactions in Death Reports

Top reactions reported in 261 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 98
COMPLETED SUICIDE 31
ACUTE KIDNEY INJURY 24
NAUSEA 24
RENAL FAILURE 24
CHRONIC KIDNEY DISEASE 23
URINARY TRACT INFECTION 18
FATIGUE 17
VOMITING 16
PAIN 14
ASTHENIA 13
DIARRHOEA 12
DYSPNOEA 12
END STAGE RENAL DISEASE 12
MYOCARDIAL INFARCTION 12
OFF LABEL USE 12
PNEUMONIA 12
ABDOMINAL PAIN 11
ANAEMIA 11
ANXIETY 11

Reactions in Hospitalization Reports

Top reactions in 1,205 reports where hospitalization was an outcome.

Reaction Reports
URINARY TRACT INFECTION 139
PAIN 127
NAUSEA 123
ACUTE KIDNEY INJURY 104
VOMITING 95
FATIGUE 89
DIARRHOEA 86
CHRONIC KIDNEY DISEASE 85
RENAL FAILURE 82
FALL 76
DYSPNOEA 75
HEADACHE 68
ANXIETY 67
ABDOMINAL PAIN 65
DIZZINESS 63
ANAEMIA 61
DEHYDRATION 61
DEPRESSION 61
PNEUMONIA 61
ASTHENIA 59

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What the FAERS Data Reveals About phenazopyridine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 3,599 voluntary reports linked to phenazopyridine and its brand equivalents (Pyridium, AZO), spanning 1992 through 2025. Of those, 261 (7.3%) listed death as an outcome and 1,205 (33.5%) 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, 76% were female and 24% male; age distribution skews toward 45-64, with 852 reports in that bracket. The single most reported reaction is chronic kidney disease with 392 submissions, followed by nausea and pain.

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.