FDA Adverse Events Reports (FAERS) Summary for COBENFY

These tables and charts are based on 2,089 total reports for COBENFY (TROSPIUM CHLORIDE\XANOMELINE) received by the FDA Adverse Event Reporting System (FAERS) from 2004 through July 30, 2026.

This FAERS total includes 2,042 pharmaceutical company-submitted and non-U.S. FAERS reports and 47 U.S. consumer or healthcare provider-submitted MedWatch reports. Adverse events listed on this page represent serious and sometimes rare adverse events reported to pharmaceutical companies, and often do not represent typical side effects for the medication. Find common side effects in the most recent official drug label.

For a separate summary of the 47 U.S. reports filed via the FDA MedWatch voluntary reporting system, view our FDA MedWatch COBENFY summary report. (See notes section below for explanation of FDA’s mandatory and voluntary reporting system.)

Top 20 Adverse Effects Associated with COBENFY (reported in FAERS Database)

 Side Effect# of FDA Reports
1NAUSEA441
2VOMITING340
3CONSTIPATION157
4OFF LABEL USE138
5URINARY RETENTION130
6DIZZINESS94
7INDIGESTION81
8EXCESS SWEATING75
9VISION BLURRED74
10DRY MOUTH57
11TREATMENT NONCOMPLIANCE55
12DRUG INEFFECTIVE54
13DROOLING48
14GASTROOESOPHAGEAL REFLUX DISEASE46
15DROWSINESS45
16DIARRHEA44
17HEART RATE INCREASED44
18ABDOMINAL DISCOMFORT43
19PSYCHOTIC DISORDER42
20ADVERSE EVENT41

Latest Known Outcomes for Reactions Reported for COBENFY

Latest Known Outcome for Reported ReactionsNumber of Cases
1Unknown Outcome1352
2Patient recovered513
3Patient has not recovered/symtoms have not resolved284
4Patient is recovering/symptoms resolving124
5Patient died21

Yearly FDA Adverse Event Reports (Table)

YearNumber of Reports
2024172
20251254
2026663

Reports by Patient Age Group (Table)

Age GroupNumber of Reports
0-1075
11-2048
21-30227
31-40267
41-50235
51-60151
61-7097
71-8027
81-902
91+0

Based on 1129 reports that included a patient age.

COBENFY Total Reports

 Male    Female    Unknown    Total  
 939    661        2,089  

Top Countries Reporting

 Country  Number of Reports
1 United States  2065
2 Puerto Rico  23
3 United Kingdom  1

Outcomes for Reports

Serious: 513
Not Serious: 1494
Note: A serious outcome means the adverse event resulted in death, a life threatening condition, hospitalization, disability, congenital anomaly, or other serious condition.

Top Indications      
Schizophrenia

Top Companies Reporting

   BRISTOL-MYERS SQUIBB COMPANY

Safety-Related FDA Updates

FDA Approval Date: 2024-09-26

For serious adverse events, report them to the FDA by contacting the drug manufacturer or report directly through the MedWatch voluntary reporting form.

Notes

Events listed on this page represent serious and often rare adverse events reported to pharmaceutical companies, and do not represent typical side effects for the medication. Find common side effects on the most recent official drug label This report, created by AskaPatient.com, is derived from the cases for COBENFY reported to the United States Food and Drug Administration (FDA) FDA Safety Information and Adverse Event Reporting System (FAERS) and obtained from Open FDA. Data was last updated with reports received through July 30, 2026.

This summary includes ALL reports where the drug is a "primary OR secondary OR suspected interacting" drug. Typically, reports are filed for the most serious type or "event" and do not represent incidental or minor side effects. The majority of these reports are mandatory reports submitted by pharmaceutical companies, who receive complaints from consumers. The reactions, side effects, or "adverse events," represent up to the 20 most frequently occuring events in the database for a drug related to the event. This report also features counts of latest known outcomes associated with reported side effects, but does not provide the specific outcomes for specific adverse events.

Adverse Event Reports are submitted to the FAERS database by pharmaceutical companies (mandatory reporting is required by manufacturers, distributors, or importers). Health care providers such as doctors (voluntary reporting), and patients themselves (voluntary reporting) report to the FDA directly through the MedWatch program. Those MedWatch reports are coded and included in the FAERS database. This report mainly consists of the mandatory reports, because the MedWatch reports are a small percentage (3 - 5%) of total reports. Link to the MedWatch summary report at the top of the page for a summary of the directly reported (voluntary) adverse events for this drug.The number of reports included here might differ somewhat from the number of reports in the downloadable quarterly FAERS reports and in the online FAERS dashboard, due to lags in reporting, drug name differences, duplicates, and other factors. Open FDA states that it only includes the most recent version of a case report. It also adds the disclaimer: "Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated."

FDA uses the "MedDRA" classification system to describe reported adverse reactions. MedDRA is a standardized medical terminology that facilitates sharing of regulatory information internationally. In some cases, "patient friendly" terms for the layman designated by MedDRA have been substituted for medical jargon. Please contact us with questions or comments about this report.