risedronate Side Effects
Also known as: Actonel
Analysis of 30,089 adverse event reports submitted to the FDA from 2003 to 2025.
Total Reports
30,089
Death-Related
2,696
9.0% of reports
Hospitalizations
12,023
40.0% of reports
Top Indication
Product Used For Unknown Indication
Most Reported Adverse Reactions
Who Reports Side Effects
Gender Distribution
Age Distribution
Reporting Trend by Year
Reactions in Death Reports
Top reactions reported in 2,696 reports where death was an outcome. These are voluntarily reported and do not establish causation.
| Reaction | Reports |
|---|---|
| DEATH | 572 |
| PAIN | 547 |
| VOMITING | 544 |
| DIARRHOEA | 543 |
| FATIGUE | 515 |
| GENERAL PHYSICAL HEALTH DETERIORATION | 511 |
| ARTHRALGIA | 505 |
| CONFUSIONAL STATE | 505 |
| OFF LABEL USE | 501 |
| JOINT SWELLING | 500 |
| ASTHENIA | 497 |
| RHEUMATOID ARTHRITIS | 496 |
| DYSPNOEA | 485 |
| SYSTEMIC LUPUS ERYTHEMATOSUS | 484 |
| WHEEZING | 484 |
| INFUSION RELATED REACTION | 474 |
| LOWER RESPIRATORY TRACT INFECTION | 474 |
| PSORIATIC ARTHROPATHY | 474 |
| RASH | 474 |
| SWELLING | 474 |
Reactions in Hospitalization Reports
Top reactions in 12,023 reports where hospitalization was an outcome.
| Reaction | Reports |
|---|---|
| PAIN | 1,849 |
| ARTHRALGIA | 1,775 |
| FATIGUE | 1,643 |
| DIARRHOEA | 1,641 |
| NAUSEA | 1,627 |
| DRUG INEFFECTIVE | 1,606 |
| OFF LABEL USE | 1,439 |
| FALL | 1,406 |
| VOMITING | 1,356 |
| DYSPNOEA | 1,315 |
| RHEUMATOID ARTHRITIS | 1,299 |
| HYPERTENSION | 1,287 |
| ASTHENIA | 1,277 |
| PNEUMONIA | 1,260 |
| HEADACHE | 1,256 |
| MALAISE | 1,221 |
| DRUG HYPERSENSITIVITY | 1,216 |
| PYREXIA | 1,177 |
| JOINT SWELLING | 1,157 |
| CONDITION AGGRAVATED | 1,142 |
Nearby — Related Medications
What the FAERS Data Reveals About risedronate Side Effects
The FDA Adverse Event Reporting System (FAERS) contains 30,089 voluntary reports linked to risedronate and its brand equivalents (Actonel), spanning 2003 through 2025. Of those, 2,696 (9.0%) listed death as an outcome and 12,023 (40.0%) 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 45-64, with 6,555 reports in that bracket. The single most reported reaction is arthralgia with 3,730 submissions, followed by drug ineffective 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.
Read our methodology — how this data is sourced, computed, and verified.