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tetrabenazine Side Effects

Also known as: Xenazine

Analysis of 7,235 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

7,235

Death-Related

1,527

21.1% of reports

Hospitalizations

1,469

20.3% of reports

Top Indication

Huntington^S Disease

Most Reported Adverse Reactions

DEATH
1,216
OFF LABEL USE
1,121
DRUG INEFFECTIVE
696
DEPRESSION
474
SOMNOLENCE
451
FATIGUE
360
FALL
314
HOSPITALISATION
296
INSOMNIA
276
INTENTIONAL PRODUCT USE ISSUE
274
ANXIETY
263
DRUG ADMINISTRATION ERROR
241
CONDITION AGGRAVATED
224
DRUG DOSE OMISSION
224
DYSKINESIA
223
TREMOR
221
TREATMENT NONCOMPLIANCE
195
PRESCRIBED OVERDOSE
194
MOVEMENT DISORDER
189
SUICIDAL IDEATION
176

Who Reports Side Effects

Gender Distribution

Female 4,130 (58%)
Male 2,958 (42%)
Unknown 14

Age Distribution

0-17 343 (9%)
18-44 735 (18%)
45-64 1,496 (37%)
65-74 816 (20%)
75+ 642 (16%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 1,527 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 1,210
OFF LABEL USE 110
PRESCRIBED OVERDOSE 56
PNEUMONIA 47
HUNTINGTON^S DISEASE 40
HOSPITALISATION 34
DYSPHAGIA 33
FALL 32
PNEUMONIA ASPIRATION 28
DISEASE PROGRESSION 21
SOMNOLENCE 21
INTENTIONAL PRODUCT USE ISSUE 20
DYSKINESIA 17
CARDIAC ARREST 16
DRUG ADMINISTRATION ERROR 16
HUNTINGTON'S DISEASE 16
ASPIRATION 13
COMPLETED SUICIDE 13
HOSPICE CARE 13
DECREASED APPETITE 12

Reactions in Hospitalization Reports

Top reactions in 1,469 reports where hospitalization was an outcome.

Reaction Reports
HOSPITALISATION 293
OFF LABEL USE 216
FALL 124
PNEUMONIA 85
DRUG INEFFECTIVE 80
DEPRESSION 79
DEATH 74
ANXIETY 60
DYSPHAGIA 56
TARDIVE DYSKINESIA 53
URINARY TRACT INFECTION 53
SOMNOLENCE 52
INVESTIGATION 49
DYSKINESIA 48
CONDITION AGGRAVATED 47
DEHYDRATION 45
VOMITING 45
NAUSEA 44
PRESCRIBED OVERDOSE 43
DYSTONIA 42

Nearby — Related Medications

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What the FAERS Data Reveals About tetrabenazine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 7,235 voluntary reports linked to tetrabenazine and its brand equivalents (Xenazine), spanning 2004 through 2025. Of those, 1,527 (21.1%) listed death as an outcome and 1,469 (20.3%) involved hospitalization. The most common indication reported alongside adverse events was Huntington^S Disease.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 58% were female and 42% male; age distribution skews toward 45-64, with 1,496 reports in that bracket. The single most reported reaction is death with 1,216 submissions, followed by off label use 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.