PlainMeds provides educational information only. This is not medical advice. Always consult your doctor or pharmacist.

Drug side effects

phenelzine Side Effects

The reactions most often reported to the FDA for phenelzine (also sold as Nardil), with demographics, serious outcomes, and reporting trends.

Data updated 2026-05-15

1,551
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 2004 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.

The most commonly reported side effects of phenelzine come from 1,551 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 1,551 reports to the FDA Adverse Event Reporting System (FAERS) for phenelzine (Nardil): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.

Total Reports

1,551

Reports Mentioning Death

41

2.6% of reports — not proof the medicine caused the death

Hospitalizations

325

21.0% of reports

Top Indication

Depression

Most Reported Adverse Reactions

DEPRESSION
187
HEADACHE
136
ANXIETY
129
WEIGHT INCREASED
120
INSOMNIA
104
DIZZINESS
99
DRUG INTERACTION
99
PHARMACEUTICAL PRODUCT COMPLAINT
97
FATIGUE
94
FEELING ABNORMAL
89
MALAISE
78
NAUSEA
77
HYPERTENSION
76
FALL
61
SOMNOLENCE
57
WEIGHT DECREASED
56
CONDITION AGGRAVATED
52
ASTHENIA
51
SUICIDAL IDEATION
51

Who Reports Side Effects

Gender Distribution

Female 889 (61%)
Male 556 (38%)
Unknown 8

Age Distribution

0-17 3 (0%)
18-44 125 (17%)
45-64 352 (47%)
65-74 204 (27%)
75+ 65 (9%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 41 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 9
COMPLETED SUICIDE 7
CONTRAINDICATED PRODUCT ADMINISTERED 7
DRUG DOSE TITRATION NOT PERFORMED 6
HAEMORRHAGE INTRACRANIAL 6
HYPERTENSIVE CRISIS 6
PRODUCT PRESCRIBING ERROR 6
POTENTIATING DRUG INTERACTION 5
DRUG INTERACTION 4
HAEMORRHAGE 3
SEROTONIN SYNDROME 3
ADVERSE DRUG REACTION 2
AGITATION 2
COMA 2
CONDITION AGGRAVATED 2
CONFUSIONAL STATE 2
DIARRHOEA 2
HYPERHIDROSIS 2
HYPOTENSION 2
MEDICATION ERROR 2

Reactions in Hospitalization Reports

Top reactions in 325 reports where hospitalization was an outcome.

Reaction Reports
DEPRESSION 54
DRUG INTERACTION 43
ANXIETY 42
HEADACHE 34
PHARMACEUTICAL PRODUCT COMPLAINT 30
INSOMNIA 29
MALAISE 28
DIZZINESS 26
FALL 25
CONFUSIONAL STATE 24
HYPERTENSION 24
SEROTONIN SYNDROME 24
FATIGUE 22
HYPOTENSION 22
WEIGHT DECREASED 22
FEELING ABNORMAL 20
SUICIDAL IDEATION 19
SOMNOLENCE 18
WEIGHT INCREASED 18

Compare phenelzine vs acamprosate →

What the FAERS Data Reveals About phenelzine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 1,551 voluntary reports linked to phenelzine and its brand equivalents (Nardil), spanning 2004 through 2025. Of those, 41 (2.6%) listed death as an outcome and 325 (21.0%) involved hospitalization. The most common indication reported alongside adverse events was Depression.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 61% were female and 38% male; age distribution skews toward 45-64, with 352 reports in that bracket. The single most reported reaction is depression with 187 submissions, followed by headache and anxiety.

How to read these numbers

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.