NEXLETOL FDA MedWatch Voluntary U.S. Reports Summary

These tables and charts are created from 73 U.S. reports for NEXLETOL (BEMPEDOIC ACID) voluntarily reported by individuals directly to the FDA via the MedWatch Reporting System from 2004 through July 30, 2026. Events listed on this page represent serious and often rare adverse events reported to the FDA, and often do not represent typical side effects for the medication. Find common side effects on the most recent official drug label.

For a summary of adverse events including mandatory reports submitted by pharmaceutical companies (all countries and all reporter types) to the FAERS database, View FDA FAERS NEXLETOL Report.

Top Adverse Events Reported with NEXLETOL (from U.S. FDA Medwatch Reports)

 Side Effect# of FDA Reports
1JOINT PAIN9
2GAIT DISTURBANCE7
3PAIN IN EXTREMITY7
4RASH6
5DIARRHEA5
6MUSCLE SPASMS5
7ITCHING5
8BACK PAIN4
9DIZZINESS4
10FEELING ABNORMAL4
11MUSCLE PAIN4
12PAIN4
13LOWER LIMBS SWELLING4
14TENDON RUPTURE4
15THERAPY CESSATION4
16THERAPY INTERRUPTED4
17LACK OF STRENGTH AND ENERGY (ASTHENIA)3
18BLOOD PRESSURE INCREASED3
19SHORTNESS OF BREATH3
20DIFFICULTY WALKING3
21NAUSEA3
22TENDON DISORDER3
23HIVES3
24ABDOMINAL PAIN2
25ARTHRITIS2
Search all MedWatch Reports by Keyword:

NEXLETOL Total Medwatch Safety Reports by Patient Sex

 Male    Female    Unknown    Total  
 23    47        73  

Medwatch Reporter TypeCount
Consumer45
Physician2
Pharmacist12
Other Health Professional11

Top Indications      
Blood cholesterol increased
Product used for unknown indication
Drug intolerance
Blood cholesterol abnormal
Arteriosclerosis

Type of Outcome Reported
Serious: 56
Not Serious: 17
Note: A serious outcome means the adverse event resulted in death, a life threatening condition, hospitalization, disability, congenital anomaly, or other serious condition.

Suspected Role
Primary Suspect: 73
Concomitant Drugs: 52
Note: A single MedWatch report can list more than one drug. This summary includes NEXLETOL identified as the suspect drug or as a concomitantly taken drug.

FDA Safety-Related Labeling Changes

NEXLETOL (BEMPEDOIC ACID) Rx Drug:
FDA Safety-related Labeling Changes


Have experience (good or bad) with NEXLETOL? Rate NEXLETOL 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

This report, created by AskaPatient.com, is derived from U.S. drug-related adverse event cases that were reported directly to the FDA using the voluntary MedWatch online or paper reporting system. MedWatch is the voluntary FDA system for consumers, physicians, and others to directly report adverse reactions. The Medwatch initiative was launched in 1993 as a voluntary reporting program for consumers, physicians and other healthcare practitioners.

After processing the received forms, the FDA adds the MedWatch reports to the FDA Adverse Events Reporting System(or FAERS database.) Click here for the complete FAERS report summary, which includes mandatory reports submitted by pharmaceutical companies (worldwide) combined with the MedWatch reports. MedWatch Reports only represent about 5% of the FAERS database. For more, read "Does the FDA's Rapidly Growing Database of Adverse Events Improve Drug Safety?"


The data in this report was obtained from Open FDA. Data was last updated to include reports through January 27, 2026. 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. 

Open FDA states that it only includes the most recent version of a case report. It also adds the disclaimer: "Do not rely on Open FDA 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 about this report.