FDA Adverse Events Reports (FAERS) Summary for PRILOSEC OTC

These tables and charts are based on 26,338 total reports for PRILOSEC OTC (OMEPRAZOLE MAGNESIUM) received by the FDA Adverse Event Reporting System (FAERS) from 2004 through July 30, 2026.

This FAERS total includes 26,132 pharmaceutical company-submitted and non-U.S. FAERS reports and 206 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 206 U.S. reports filed via the FDA MedWatch voluntary reporting system, view our FDA MedWatch PRILOSEC OTC summary report. (See notes section below for explanation of FDA’s mandatory and voluntary reporting system.)

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

 Side Effect# of FDA Reports
1CHRONIC KIDNEY DISEASE16325
2ACUTE KIDNEY INJURY8524
3KIDNEY FAILURE7120
4KIDNEY FAILURE5172
5KIIDNEY INJURY4974
6TUBULOINTERSTITIAL NEPHRITIS2143
7HYPERCHLORHYDRIA2134
8REBOUND EFFECT1979
9PAIN1920
10DRUG DEPENDENCE1671
11GASTROOESOPHAGEAL REFLUX DISEASE1631
12DRUG INEFFECTIVE1471
13NEPHROGENIC ANAEMIA1467
14REBOUND ACID HYPERSECRETION1233
15DEATH1196
16INDIGESTION936
17HYPERPARATHYROIDISM SECONDARY716
18DRUG DOSE OMISSION651
19KIDNEY IMPAIRMENT576
20DIARRHEA544

Latest Known Outcomes for Reactions Reported for PRILOSEC OTC

Latest Known Outcome for Reported ReactionsNumber of Cases
1Unknown Outcome19899
2Patient has not recovered/symtoms have not resolved9969
3Patient died1959
4Patient recovered1438
5Patient is recovering/symptoms resolving410
6Patient has recovered but has consequent health issues14

Yearly FDA Adverse Event Reports (Table)

YearNumber of Reports
200425
200537
200653
200778
200874
2009524
2010429
2011662
20121177
2013617
2014534
2015593
2016539
2017393
20188278
20197052
20202184
20211565
2022455
2023228
2024245
2025372
2026224

Reports by Patient Age Group (Table)

Age GroupNumber of Reports
0-100
11-2051
21-30203
31-40592
41-501353
51-602375
61-702094
71-801189
81-90432
91+155

Based on 8444 reports that included a patient age.

PRILOSEC OTC Total Reports

 Male    Female    Unknown    Total  
 7622    11307    7409    26,338  

Top Countries Reporting

 Country  Number of Reports
1 United States  23748
2 Canada  2
3 United Kingdom  2
4 Puerto Rico  2
5 China  1
6 France  1
7 Uzbekistan  1

Outcomes for Reports

Serious: 20054
Not Serious: 6278
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      
Gastrooesophageal reflux disease
INDIGESTION
Gastrointestinal disorder
Constipation

Top Companies Reporting

   ALEXION PHARMACEUTICALS

Safety-Related FDA Updates

FDA Approval Date: 2003-06-20

PRILOSEC OTC (OMEPRAZOLE MAGNESIUM) Over-the-counter Drug:
Safety-related Labeling Changes


Have experience (good or bad) with PRILOSEC OTC? Rate PRILOSEC OTC at Ask a Patient.

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 PRILOSEC OTC 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.