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safinamide Side Effects

Also known as: Xadago

Analysis of 1,205 adverse event reports submitted to the FDA from 2016 to 2025.

Total Reports

1,205

Death-Related

151

12.5% of reports

Hospitalizations

496

41.2% of reports

Top Indication

Parkinson^S Disease

Most Reported Adverse Reactions

FALL
154
HALLUCINATION
142
DYSKINESIA
137
GAIT DISTURBANCE
93
DEATH
90
PARKINSON^S DISEASE
89
DRUG INEFFECTIVE
86
TREMOR
81
FATIGUE
76
FREEZING PHENOMENON
74
ON AND OFF PHENOMENON
72
SOMNOLENCE
64
ANXIETY
61
NAUSEA
60
DIZZINESS
56
WEIGHT DECREASED
54
BRADYKINESIA
53
CONFUSIONAL STATE
53
CONSTIPATION
52
DEVICE ISSUE
48

Who Reports Side Effects

Gender Distribution

Female 456 (41%)
Male 648 (59%)

Age Distribution

0-17 2 (0%)
18-44 10 (1%)
45-64 143 (18%)
65-74 330 (41%)
75+ 324 (40%)

Reporting Trend by Year

16
17
18
19
20
21
22
23
24
25

Reactions in Death Reports

Top reactions reported in 151 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 90
GENERAL PHYSICAL HEALTH DETERIORATION 16
PARKINSON^S DISEASE 12
FALL 11
VOMITING 9
DYSKINESIA 8
EPILEPSY 7
MYOCARDIAL INFARCTION 7
DYSPHAGIA 6
HALLUCINATION 6
HEAD INJURY 6
DIZZINESS 5
LOSS OF CONSCIOUSNESS 5
ON AND OFF PHENOMENON 5
PNEUMONIA 5
RESTLESSNESS 5
TREMOR 5
UNRESPONSIVE TO STIMULI 5
DEVICE DISLOCATION 4
FATIGUE 4

Reactions in Hospitalization Reports

Top reactions in 496 reports where hospitalization was an outcome.

Reaction Reports
FALL 107
HALLUCINATION 69
DYSKINESIA 61
PARKINSON^S DISEASE 39
ON AND OFF PHENOMENON 38
GAIT DISTURBANCE 37
HYPERKINESIA 33
GENERAL PHYSICAL HEALTH DETERIORATION 31
WEIGHT DECREASED 31
MOBILITY DECREASED 30
SOMNOLENCE 29
CONFUSIONAL STATE 28
FREEZING PHENOMENON 27
ASTHENIA 26
DEVICE ISSUE 25
HYPOKINESIA 25
DRUG INEFFECTIVE 24
DEVICE DISLOCATION 23
TREMOR 23
URINARY TRACT INFECTION 22

Nearby — Related Medications

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What the FAERS Data Reveals About safinamide Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 1,205 voluntary reports linked to safinamide and its brand equivalents (Xadago), spanning 2016 through 2025. Of those, 151 (12.5%) listed death as an outcome and 496 (41.2%) involved hospitalization. The most common indication reported alongside adverse events was Parkinson^S Disease.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 41% were female and 59% male; age distribution skews toward 65-74, with 330 reports in that bracket. The single most reported reaction is fall with 154 submissions, followed by hallucination and dyskinesia.

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.