tasimelteon Side Effects
Also known as: Hetlioz
Analysis of 5,762 adverse event reports submitted to the FDA from 2014 to 2025.
Total Reports
5,762
Death-Related
166
2.9% of reports
Hospitalizations
281
4.9% of reports
Top Indication
Non-24-Hour Sleep-Wake Disorder
Most Reported Adverse Reactions
Who Reports Side Effects
Gender Distribution
Age Distribution
Reporting Trend by Year
Reactions in Death Reports
Top reactions reported in 166 reports where death was an outcome. These are voluntarily reported and do not establish causation.
| Reaction | Reports |
|---|---|
| DEATH | 129 |
| CARDIAC ARREST | 4 |
| PNEUMONIA | 4 |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE | 3 |
| COMPLETED SUICIDE | 3 |
| DRUG INEFFECTIVE | 3 |
| SEPSIS | 3 |
| ACCIDENT | 2 |
| CARDIAC FAILURE | 2 |
| CARDIOVASCULAR DISORDER | 2 |
| DYSPHAGIA | 2 |
| HYPOTENSION | 2 |
| MYOCARDIAL INFARCTION | 2 |
| PNEUMONIA ASPIRATION | 2 |
| PULMONARY EMBOLISM | 2 |
| TOXICITY TO VARIOUS AGENTS | 2 |
| ACCIDENTAL DEATH | 1 |
| ACUTE MYOCARDIAL INFARCTION | 1 |
| AORTIC ANEURYSM | 1 |
| ARTERIOSCLEROSIS CORONARY ARTERY | 1 |
Reactions in Hospitalization Reports
Top reactions in 281 reports where hospitalization was an outcome.
| Reaction | Reports |
|---|---|
| FALL | 28 |
| PRODUCT DOSE OMISSION | 23 |
| PNEUMONIA | 18 |
| PRODUCT DOSE OMISSION ISSUE | 16 |
| DRUG DOSE OMISSION | 13 |
| INSOMNIA | 12 |
| CARDIAC DISORDER | 10 |
| DRUG INEFFECTIVE | 10 |
| SOMNOLENCE | 10 |
| URINARY TRACT INFECTION | 10 |
| MALAISE | 9 |
| SEIZURE | 9 |
| MIDDLE INSOMNIA | 8 |
| DIZZINESS | 7 |
| NIGHTMARE | 7 |
| SEPSIS | 7 |
| THROMBOSIS | 7 |
| VOMITING | 7 |
| CEREBROVASCULAR ACCIDENT | 6 |
| CHEST PAIN | 6 |
Nearby — Related Medications
What the FAERS Data Reveals About tasimelteon Side Effects
The FDA Adverse Event Reporting System (FAERS) contains 5,762 voluntary reports linked to tasimelteon and its brand equivalents (Hetlioz), spanning 2014 through 2025. Of those, 166 (2.9%) listed death as an outcome and 281 (4.9%) involved hospitalization. The most common indication reported alongside adverse events was Non-24-Hour Sleep-Wake Disorder.
Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 57% were female and 43% male; age distribution skews toward 45-64, with 1,272 reports in that bracket. The single most reported reaction is drug ineffective with 1,635 submissions, followed by insomnia and product dose omission issue.
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.