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pseudoephedrine Side Effects

Also known as: Sudafed

Analysis of 9,450 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

9,450

Death-Related

3,156

33.4% of reports

Hospitalizations

3,766

39.9% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

SYSTEMIC LUPUS ERYTHEMATOSUS
5,062
PAIN
5,007
DRUG INEFFECTIVE
4,987
PEMPHIGUS
4,947
RHEUMATOID ARTHRITIS
4,930
ABDOMINAL DISCOMFORT
4,840
ALOPECIA
4,782
GLOSSODYNIA
4,574
FATIGUE
4,429
SWELLING
4,417
WOUND
4,407
RASH
4,324
HAND DEFORMITY
4,321
ARTHROPATHY
4,081
SYNOVITIS
4,059
PERICARDITIS
4,058
INFUSION RELATED REACTION
3,901
JOINT SWELLING
3,810
CONTRAINDICATED PRODUCT ADMINISTERED
3,691
HYPERSENSITIVITY
3,677

Who Reports Side Effects

Gender Distribution

Female 7,126 (92%)
Male 594 (8%)
Unknown 6

Age Distribution

0-17 80 (2%)
18-44 3,647 (69%)
45-64 1,140 (21%)
65-74 235 (4%)
75+ 207 (4%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 3,156 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
SYSTEMIC LUPUS ERYTHEMATOSUS 1,408
TYPE 2 DIABETES MELLITUS 1,404
WOUND 1,385
SYNOVITIS 1,371
RHEUMATOID ARTHRITIS 1,367
OFF LABEL USE 1,353
RASH 1,338
PSORIATIC ARTHROPATHY 1,333
SWELLING 1,283
PERICARDITIS 1,275
INFUSION RELATED REACTION 1,272
PEMPHIGUS 1,271
GLOSSODYNIA 1,260
JOINT SWELLING 1,253
HAND DEFORMITY 1,251
PAIN 1,230
DUODENAL ULCER PERFORATION 1,195
GENERAL PHYSICAL HEALTH DETERIORATION 1,189
FIBROMYALGIA 1,171
ABDOMINAL DISCOMFORT 1,160

Reactions in Hospitalization Reports

Top reactions in 3,766 reports where hospitalization was an outcome.

Reaction Reports
RHEUMATOID ARTHRITIS 1,895
SYSTEMIC LUPUS ERYTHEMATOSUS 1,868
SYNOVITIS 1,813
OFF LABEL USE 1,785
SWELLING 1,773
RASH 1,748
PEMPHIGUS 1,727
PAIN 1,725
PERICARDITIS 1,725
ABDOMINAL DISCOMFORT 1,722
WOUND 1,694
INFUSION RELATED REACTION 1,657
GLOSSODYNIA 1,646
JOINT SWELLING 1,642
ALOPECIA 1,637
FATIGUE 1,636
HAND DEFORMITY 1,631
HEPATIC ENZYME INCREASED 1,608
DRUG INEFFECTIVE 1,569
DUODENAL ULCER PERFORATION 1,554

Nearby — Related Medications

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What the FAERS Data Reveals About pseudoephedrine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 9,450 voluntary reports linked to pseudoephedrine and its brand equivalents (Sudafed), spanning 2004 through 2025. Of those, 3,156 (33.4%) listed death as an outcome and 3,766 (39.9%) 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, 92% were female and 8% male; age distribution skews toward 18-44, with 3,647 reports in that bracket. The single most reported reaction is systemic lupus erythematosus with 5,062 submissions, followed by pain and drug ineffective.

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.