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phentermine Side Effects

Also known as: Adipex-P, Lomaira

Analysis of 6,109 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

6,109

Death-Related

390

6.4% of reports

Hospitalizations

1,481

24.2% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG INEFFECTIVE
537
NAUSEA
475
PAIN
462
FATIGUE
346
HEADACHE
335
ANXIETY
312
VOMITING
237
DIZZINESS
224
OFF LABEL USE
205
CHRONIC KIDNEY DISEASE
204
DIARRHOEA
203
WEIGHT INCREASED
203
DYSPNOEA
193
DEPRESSION
191
ARTHRALGIA
180
ABDOMINAL PAIN
165
INSOMNIA
162
ACUTE KIDNEY INJURY
160
RASH
158
INJURY
155

Who Reports Side Effects

Gender Distribution

Female 4,729 (85%)
Male 772 (14%)
Unknown 92

Age Distribution

0-17 51 (1%)
18-44 1,819 (47%)
45-64 1,667 (43%)
65-74 251 (7%)
75+ 54 (1%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 390 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
COMPLETED SUICIDE 95
DRUG ABUSE 91
TOXICITY TO VARIOUS AGENTS 77
DEATH 60
CARDIO-RESPIRATORY ARREST 43
CARDIAC ARREST 42
RESPIRATORY ARREST 33
OVERDOSE 17
POISONING 15
ACUTE KIDNEY INJURY 12
SUSPECTED SUICIDE 12
HYPOTENSION 10
INTENTIONAL DRUG MISUSE 9
METABOLIC ACIDOSIS 9
COMA 8
DEPRESSED LEVEL OF CONSCIOUSNESS 7
DRUG TOXICITY 7
HYPOGLYCAEMIA 7
PULMONARY EMBOLISM 7
RHABDOMYOLYSIS 7

Reactions in Hospitalization Reports

Top reactions in 1,481 reports where hospitalization was an outcome.

Reaction Reports
PAIN 186
NAUSEA 154
ANXIETY 134
PULMONARY EMBOLISM 127
INJURY 110
VOMITING 100
DEEP VEIN THROMBOSIS 98
ABDOMINAL PAIN 90
DYSPNOEA 86
CHOLECYSTITIS CHRONIC 83
HEADACHE 81
ACUTE KIDNEY INJURY 79
OFF LABEL USE 76
FATIGUE 75
EMOTIONAL DISTRESS 74
CHEST PAIN 72
DEPRESSION 70
CHOLELITHIASIS 67
DIARRHOEA 65
DRUG INTERACTION 65

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What the FAERS Data Reveals About phentermine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 6,109 voluntary reports linked to phentermine and its brand equivalents (Adipex-P, Lomaira), spanning 2004 through 2025. Of those, 390 (6.4%) listed death as an outcome and 1,481 (24.2%) 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, 85% were female and 14% male; age distribution skews toward 18-44, with 1,819 reports in that bracket. The single most reported reaction is drug ineffective with 537 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.