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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

ARTHRALGIA
3,730
DRUG INEFFECTIVE
3,621
PAIN
3,613
NAUSEA
2,991
FATIGUE
2,911
OFF LABEL USE
2,817
DYSPNOEA
2,802
VOMITING
2,735
DIARRHOEA
2,685
PNEUMONIA
2,434
DRUG HYPERSENSITIVITY
2,417
HEADACHE
2,327
RHEUMATOID ARTHRITIS
2,319
MALAISE
2,297
PAIN IN EXTREMITY
2,136
FALL
1,987
JOINT SWELLING
1,957
ASTHENIA
1,913
CONDITION AGGRAVATED
1,896
HYPERTENSION
1,875

Who Reports Side Effects

Gender Distribution

Female 23,730 (85%)
Male 3,957 (14%)
Unknown 74

Age Distribution

0-17 91 (0%)
18-44 2,041 (10%)
45-64 6,555 (32%)
65-74 5,861 (29%)
75+ 5,775 (28%)

Reporting Trend by Year

2003 2025

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

Compare risedronate vs abaloparatide →

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.