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warfarin Side Effects

Also known as: Coumadin, Jantoven

Analysis of 124,873 adverse event reports submitted to the FDA from 1999 to 2025.

Total Reports

124,873

Death-Related

15,949

12.8% of reports

Hospitalizations

57,230

45.8% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

INTERNATIONAL NORMALISED RATIO INCREASED
10,276
DYSPNOEA
8,408
DRUG INTERACTION
6,288
FATIGUE
6,143
NAUSEA
5,921
DIARRHOEA
5,909
DIZZINESS
5,166
DRUG INEFFECTIVE
5,113
FALL
4,809
DEATH
4,718
HEADACHE
4,651
ASTHENIA
4,369
PNEUMONIA
4,097
HAEMORRHAGE
4,036
ANAEMIA
3,928
OFF LABEL USE
3,864
PAIN
3,719
VOMITING
3,640
MALAISE
3,598
HYPOTENSION
3,575

Who Reports Side Effects

Gender Distribution

Female 56,289 (49%)
Male 57,543 (50%)
Unknown 340

Age Distribution

0-17 1,412 (2%)
18-44 7,210 (8%)
45-64 23,771 (27%)
65-74 23,936 (27%)
75+ 32,010 (36%)

Reporting Trend by Year

1999 2025

Reactions in Death Reports

Top reactions reported in 15,949 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 4,705
DYSPNOEA 1,178
PNEUMONIA 1,052
SEPSIS 950
INTERNATIONAL NORMALISED RATIO INCREASED 885
NAUSEA 834
FALL 764
HYPOTENSION 735
CARDIAC ARREST 725
VOMITING 690
CARDIAC FAILURE 674
RENAL FAILURE 660
CEREBRAL HAEMORRHAGE 653
ANAEMIA 616
COMPLETED SUICIDE 606
ASTHENIA 602
GENERAL PHYSICAL HEALTH DETERIORATION 599
DRUG INTERACTION 592
RESPIRATORY FAILURE 592
CONDITION AGGRAVATED 576

Reactions in Hospitalization Reports

Top reactions in 57,230 reports where hospitalization was an outcome.

Reaction Reports
INTERNATIONAL NORMALISED RATIO INCREASED 6,599
DYSPNOEA 5,185
PNEUMONIA 3,342
FALL 3,308
DRUG INTERACTION 3,237
ANAEMIA 2,957
NAUSEA 2,832
DIARRHOEA 2,733
ASTHENIA 2,678
FATIGUE 2,509
DIZZINESS 2,430
HYPOTENSION 2,392
GASTROINTESTINAL HAEMORRHAGE 2,390
ATRIAL FIBRILLATION 2,320
HAEMORRHAGE 2,295
VOMITING 2,154
HAEMOGLOBIN DECREASED 2,126
HEADACHE 1,895
MALAISE 1,881
ACUTE KIDNEY INJURY 1,813

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What the FAERS Data Reveals About warfarin Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 124,873 voluntary reports linked to warfarin and its brand equivalents (Coumadin, Jantoven), spanning 1999 through 2025. Of those, 15,949 (12.8%) listed death as an outcome and 57,230 (45.8%) 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, 49% were female and 50% male; age distribution skews toward 75+, with 32,010 reports in that bracket. The single most reported reaction is international normalised ratio increased with 10,276 submissions, followed by dyspnoea and drug interaction.

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.