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primidone Side Effects

Also known as: Mysoline

Analysis of 9,782 adverse event reports submitted to the FDA from 2002 to 2025.

Total Reports

9,782

Death-Related

850

8.7% of reports

Hospitalizations

3,062

31.3% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG INEFFECTIVE
813
FALL
651
FATIGUE
616
TREMOR
568
DIZZINESS
484
DIARRHOEA
480
OFF LABEL USE
476
NAUSEA
458
HEADACHE
385
DRUG INTERACTION
378
SOMNOLENCE
377
ASTHENIA
353
DYSPNOEA
349
WEIGHT DECREASED
321
PAIN
319
PNEUMONIA
297
DEATH
290
GAIT DISTURBANCE
285
SEIZURE
265
CONDITION AGGRAVATED
261

Who Reports Side Effects

Gender Distribution

Female 5,513 (60%)
Male 3,635 (40%)
Unknown 20

Age Distribution

0-17 212 (3%)
18-44 635 (10%)
45-64 1,922 (31%)
65-74 1,784 (29%)
75+ 1,637 (26%)

Reporting Trend by Year

2002 2025

Reactions in Death Reports

Top reactions reported in 850 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 289
COMPLETED SUICIDE 162
TOXICITY TO VARIOUS AGENTS 60
CARDIAC ARREST 35
PNEUMONIA 35
RENAL FAILURE 33
FALL 30
DYSPNOEA 29
CARDIO-RESPIRATORY ARREST 28
ASTHENIA 24
FATIGUE 24
RESPIRATORY ARREST 24
ANAEMIA 23
CARDIAC FAILURE CONGESTIVE 22
HEPATIC FAILURE 22
RESPIRATORY FAILURE 22
CONDITION AGGRAVATED 20
DECREASED APPETITE 20
DIARRHOEA 20
HYPERTENSION 20

Reactions in Hospitalization Reports

Top reactions in 3,062 reports where hospitalization was an outcome.

Reaction Reports
FALL 376
PNEUMONIA 249
TREMOR 191
DIARRHOEA 186
ASTHENIA 173
DYSPNOEA 171
NAUSEA 169
DRUG INEFFECTIVE 166
DRUG INTERACTION 166
FATIGUE 157
WEIGHT DECREASED 147
DIZZINESS 146
URINARY TRACT INFECTION 138
PAIN 127
VOMITING 126
PYREXIA 118
GAIT DISTURBANCE 111
HEADACHE 110
OFF LABEL USE 103
SOMNOLENCE 102

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What the FAERS Data Reveals About primidone Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 9,782 voluntary reports linked to primidone and its brand equivalents (Mysoline), spanning 2002 through 2025. Of those, 850 (8.7%) listed death as an outcome and 3,062 (31.3%) 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, 60% were female and 40% male; age distribution skews toward 45-64, with 1,922 reports in that bracket. The single most reported reaction is drug ineffective with 813 submissions, followed by fall and fatigue.

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.