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Drug side effects

vibegron Side Effects

The reactions most often reported to the FDA for vibegron (also sold as Gems), with demographics, serious outcomes, and reporting trends.

Data updated 2026-05-15

6,501
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 2016 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.

The most commonly reported side effects of vibegron come from 6,501 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 6,501 reports to the FDA Adverse Event Reporting System (FAERS) for vibegron (Gems): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.

Total Reports

6,501

Reports Mentioning Death

296

4.6% of reports — not proof the medicine caused the death

Hospitalizations

687

10.6% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DIARRHOEA
328
HEADACHE
328
URINARY TRACT INFECTION
280
INABILITY TO AFFORD MEDICATION
265
URINARY RETENTION
258
FATIGUE
248
NAUSEA
219
DEATH
205
CONSTIPATION
202
POLLAKIURIA
196
URINARY INCONTINENCE
193
THERAPEUTIC PRODUCT EFFECT INCOMPLETE
183
DIZZINESS
181
NOCTURIA
174
FALL
172
PRODUCT AVAILABILITY ISSUE
163
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION
154
DRUG EFFECT LESS THAN EXPECTED
153

Who Reports Side Effects

Gender Distribution

Female 3,210 (67%)
Male 1,605 (33%)
Unknown 2

Age Distribution

0-17 81 (4%)
18-44 68 (3%)
45-64 313 (14%)
65-74 568 (26%)
75+ 1,179 (53%)

Reporting Trend by Year

16
17
18
19
20
21
22
23
24
25

Reactions in Death Reports

Top reactions reported in 296 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 200
NEOPLASM MALIGNANT 15
FALL 11
PNEUMONIA 8
MYOCARDIAL INFARCTION 7
GENERAL PHYSICAL HEALTH DETERIORATION 6
PARKINSON^S DISEASE 6
PNEUMONIA ASPIRATION 6
URINARY TRACT INFECTION 6
DECREASED APPETITE 5
INTERSTITIAL LUNG DISEASE 5
MALAISE 5
PYREXIA 5
SEPSIS 5
ACUTE KIDNEY INJURY 4
ASTHENIA 4
CONDITION AGGRAVATED 4
CYTOKINE RELEASE SYNDROME 4

Reactions in Hospitalization Reports

Top reactions in 687 reports where hospitalization was an outcome.

Reaction Reports
FALL 89
URINARY TRACT INFECTION 71
COVID-19 39
PNEUMONIA 38
FATIGUE 35
HOSPITALISATION 33
URINARY RETENTION 33
ASTHENIA 32
DIARRHOEA 31
NAUSEA 29
MALAISE 28
DECREASED APPETITE 26
DIZZINESS 25
HEADACHE 25
SEIZURE 25
DYSPNOEA 24
CONSTIPATION 23
GAIT DISTURBANCE 22

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What the FAERS Data Reveals About vibegron Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 6,501 voluntary reports linked to vibegron and its brand equivalents (Gems), spanning 2016 through 2025. Of those, 296 (4.6%) listed death as an outcome and 687 (10.6%) 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, 67% were female and 33% male; age distribution skews toward 75+, with 1,179 reports in that bracket. The single most reported reaction is diarrhoea with 328 submissions, followed by headache and urinary tract infection.

How to read these numbers

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.