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promethazine Side Effects

Also known as: Phenergan

Analysis of 17,969 adverse event reports submitted to the FDA from 1996 to 2025.

Total Reports

17,969

Death-Related

1,754

9.8% of reports

Hospitalizations

7,143

39.8% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

NAUSEA
2,530
VOMITING
1,734
PAIN
1,453
FATIGUE
1,408
DIARRHOEA
1,271
HEADACHE
1,191
DYSPNOEA
1,063
ANXIETY
864
DRUG INEFFECTIVE
855
ASTHENIA
804
PNEUMONIA
791
ABDOMINAL PAIN
776
PYREXIA
768
DIZZINESS
752
MALAISE
733
OFF LABEL USE
717
WEIGHT DECREASED
686
ARTHRALGIA
685
DRUG HYPERSENSITIVITY
664
FALL
627

Who Reports Side Effects

Gender Distribution

Female 12,671 (75%)
Male 4,129 (25%)
Unknown 35

Age Distribution

0-17 448 (4%)
18-44 3,868 (32%)
45-64 5,108 (42%)
65-74 1,703 (14%)
75+ 945 (8%)

Reporting Trend by Year

1996 2025

Reactions in Death Reports

Top reactions reported in 1,754 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 521
NAUSEA 213
TOXICITY TO VARIOUS AGENTS 204
VOMITING 172
PNEUMONIA 152
FATIGUE 140
DYSPNOEA 135
ASTHENIA 120
CARDIAC ARREST 116
DIARRHOEA 113
SEPSIS 112
RENAL FAILURE 111
PAIN 110
OFF LABEL USE 109
HYPOTENSION 106
RESPIRATORY FAILURE 94
ANAEMIA 91
ABDOMINAL PAIN 90
PYREXIA 85
DECREASED APPETITE 81

Reactions in Hospitalization Reports

Top reactions in 7,143 reports where hospitalization was an outcome.

Reaction Reports
NAUSEA 1,057
VOMITING 903
PAIN 777
DIARRHOEA 615
PNEUMONIA 608
DYSPNOEA 602
FATIGUE 576
ABDOMINAL PAIN 506
HEADACHE 486
PYREXIA 484
ANXIETY 458
DEHYDRATION 451
ASTHENIA 442
FALL 379
WEIGHT DECREASED 355
ANAEMIA 350
CHEST PAIN 349
DIZZINESS 343
URINARY TRACT INFECTION 331
MALAISE 316

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What the FAERS Data Reveals About promethazine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 17,969 voluntary reports linked to promethazine and its brand equivalents (Phenergan), spanning 1996 through 2025. Of those, 1,754 (9.8%) listed death as an outcome and 7,143 (39.8%) 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, 75% were female and 25% male; age distribution skews toward 45-64, with 5,108 reports in that bracket. The single most reported reaction is nausea with 2,530 submissions, followed by vomiting 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.