Dextroamphetamine Saccharate side effects: what 35,081 FDA adverse event reports show
Drug class
No validated FDA label found
Who reports
35,081 reports · 46% serious · 461 with death outcome · 72% female
Used for
—
Causality screen of the 40 strongest signals
What the badges mean
- Reporting / coding artifact An administrative, monitoring or exposure term (product issue, off-label use, 'test normal', overdose...). Not a biological reaction; a high PRR here reflects how reports are coded.
- Not in label — unassessed Not found in the label text, not an artifact pattern. This is a genuine candidate for a formal causality assessment (Bradford Hill / WHO-UMC); it has NOT had one here.
- No label text to screen No validated FDA label was retrievable for this product, so the screen could not run. Disproportionality only.
Strongest disproportionality signals
Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,135 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Cataplexy | 162 | 76.4 64.9–89.9ROR 76.7 · calibrated p 9e-7 ✓ | 67.2 EB05 59.0 · IC025 +5.6 3/3 methods agree | No label text to screen | serious n=128 | no trial arm names this drug |
| Pre-existing condition improved | 645 | 68.0 62.7–73.7ROR 69.2 · calibrated p 2e-6 ✓ | 60.9 EB05 57.1 · IC025 +5.7 3/3 methods agree | No label text to screen | serious n=350 | no trial arm names this drug |
| Product administration interrupted | 639 | 54.3 50.1–58.8ROR 55.2 · calibrated p 7e-6 ✓ | 49.7 EB05 46.5 · IC025 +5.5 3/3 methods agree | Reporting / coding artifact | serious n=596 | no trial arm names this drug |
| Asthma exercise induced | 24 | 44.3 29.2–67.0ROR 44.3 · calibrated p 6e-5 ✓ | 40.0 EB05 28.3 · IC025 +3.8 3/3 methods agree | No label text to screen | serious n=20 | no trial arm names this drug |
| Periodic limb movement disorder | 24 | 41.5 27.5–62.8ROR 41.6 · calibrated p 8e-5 ✓ | 37.8 EB05 26.7 · IC025 +3.8 3/3 methods agree | No label text to screen | serious n=20 · ♀ 100% (drug 72%) | no trial arm names this drug |
| Sleep-related eating disorder | 58 | 39.3 30.1–51.2ROR 39.3 · calibrated p 8e-5 ✓ | 36.5 EB05 29.3 · IC025 +4.4 3/3 methods agree | No label text to screen | serious n=35 | no trial arm names this drug |
| Sleep paralysis | 88 | 38.2 30.8–47.3ROR 38.3 · calibrated p 8e-5 ✓ | 35.6 EB05 29.8 · IC025 +4.6 3/3 methods agree | No label text to screen | serious n=47 | no trial arm names this drug |
| Narcolepsy | 107 | 35.9 29.5–43.6ROR 36.0 · calibrated p 1e-4 ✓ | 33.7 EB05 28.7 · IC025 +4.6 3/3 methods agree | No label text to screen | serious n=97 · 74% consumer | no trial arm names this drug |
| Perinatal depression | 24 | 34.0 22.5–51.2ROR 34.0 · calibrated p 2e-4 ✓ | 31.4 EB05 22.2 · IC025 +3.6 3/3 methods agree | No label text to screen | serious n=22 · ♀ 100% (drug 72%) | no trial arm names this drug |
| Manufacturing issue | 24 | 33.2 22.0–50.1ROR 33.3 · calibrated p 3e-4 ✓ | 30.8 EB05 21.8 · IC025 +3.6 3/3 methods agree | No label text to screen | 100% consumer | no trial arm names this drug |
| Abnormal sleep-related event | 63 | 29.8 23.1–38.3ROR 29.8 · calibrated p 3e-4 ✓ | 28.2 EB05 22.8 · IC025 +4.1 3/3 methods agree | No label text to screen | serious n=35 | no trial arm names this drug |
| Parasomnia | 33 | 29.5 20.8–41.8ROR 29.5 · calibrated p 4e-4 ✓ | 27.7 EB05 20.6 · IC025 +3.7 3/3 methods agree | No label text to screen | serious n=20 | no trial arm names this drug |
| Sleep attacks | 22 | 29.0 18.9–44.5ROR 29.0 · calibrated p 5e-4 ✓ | 27.1 EB05 18.9 · IC025 +3.4 3/3 methods agree | No label text to screen | – | no trial arm names this drug |
| Postural orthostatic tachycardia syndrome | 55 | 26.1 19.9–34.2ROR 26.2 · calibrated p 7e-4 ✓ | 24.9 EB05 19.8 · IC025 +3.9 3/3 methods agree | No label text to screen | serious n=45 | no trial arm names this drug |
| Somnambulism | 275 | 26.0 23.0–29.3ROR 26.2 · calibrated p 6e-4 ✓ | 24.9 EB05 22.5 · IC025 +4.4 3/3 methods agree | No label text to screen | serious n=155 | no trial arm names this drug |
| Ehlers-danlos syndrome | 19 | 25.5 16.1–40.4ROR 25.5 · calibrated p 0.001 ✓ | 24.0 EB05 16.2 · IC025 +3.2 3/3 methods agree | No label text to screen | serious n=16 | no trial arm names this drug |
| Attention deficit hyperactivity disorder | 170 | 25.5 –ROR 25.6 · – | – | No label text to screen | serious n=125 · 70% consumer | no trial arm names this drug |
| Obstructive sleep apnoea syndrome | 56 | 24.9 19.1–32.6ROR 25.0 · calibrated p 8e-4 ✓ | 23.8 EB05 19.0 · IC025 +3.9 3/3 methods agree | No label text to screen | serious n=53 | no trial arm names this drug |
| Enuresis | 160 | 24.6 21.0–28.8ROR 24.7 · calibrated p 8e-4 ✓ | 23.6 EB05 20.7 · IC025 +4.2 3/3 methods agree | No label text to screen | serious n=82 | no trial arm names this drug |
| Substance use | 61 | 24.6 19.0–31.8ROR 24.6 · calibrated p 9e-4 ✓ | 23.5 EB05 18.9 · IC025 +3.9 3/3 methods agree | Reporting / coding artifact | serious n=35 | no trial arm names this drug |
| Snoring | 147 | 24.2 20.5–28.5ROR 24.3 · calibrated p 8e-4 ✓ | 23.2 EB05 20.2 · IC025 +4.2 3/3 methods agree | No label text to screen | serious n=85 | no trial arm names this drug |
| Attention deficit/hyperactivity disorder | 113 | 21.3 17.7–25.7ROR 21.4 · calibrated p 0.002 ✓ | 20.6 EB05 17.6 · IC025 +3.9 3/3 methods agree | No label text to screen | serious n=68 · 76% consumer | no trial arm names this drug |
| Dissociation | 255 | 20.9 18.4–23.6ROR 21.0 · calibrated p 0.002 ✓ | 20.2 EB05 18.2 · IC025 +4.1 3/3 methods agree | No label text to screen | serious n=223 · 90% clinician | no trial arm names this drug |
| Sleep apnoea syndrome | 629 | 20.3 18.7–21.9ROR 20.6 · calibrated p 0.002 ✓ | 19.6 EB05 18.4 · IC025 +4.1 3/3 methods agree | No label text to screen | serious PRR 27.2 | no trial arm names this drug |
| Job dissatisfaction | 19 | 18.0 11.4–28.4ROR 18.0 · calibrated p 0.005 ✓ | 17.0 EB05 11.2 · IC025 +2.8 3/3 methods agree | No label text to screen | – | no trial arm names this drug |
| Hangover | 102 | 17.7 14.5–21.6ROR 17.8 · calibrated p 0.004 ✓ | 17.2 EB05 14.5 · IC025 +3.7 3/3 methods agree | No label text to screen | serious n=52 | no trial arm names this drug |
| Thyrotoxic crisis | 32 | 17.4 12.2–24.7ROR 17.4 · calibrated p 0.005 ✓ | 16.7 EB05 12.2 · IC025 +3.2 3/3 methods agree | No label text to screen | serious n=32 · ♀ 0% (drug 72%) · 100% clinician | no trial arm names this drug |
| Sudden onset of sleep | 36 | 15.8 11.4–22.0ROR 15.8 · calibrated p 0.007 ✓ | 15.2 EB05 11.3 · IC025 +3.1 3/3 methods agree | No label text to screen | serious n=24 | no trial arm names this drug |
| Choroidal effusion | 20 | 15.3 9.8–23.9ROR 15.3 · calibrated p 0.009 ✓ | 14.4 EB05 9.4 · IC025 +2.7 3/3 methods agree | No label text to screen | serious n=20 · 100% clinician | no trial arm names this drug |
| Terminal insomnia | 41 | 14.4 10.6–19.7ROR 14.4 · calibrated p 0.010 ✓ | 13.9 EB05 10.5 · IC025 +3.1 3/3 methods agree | No label text to screen | 100% consumer | no trial arm names this drug |
| Generalised anxiety disorder | 34 | 14.1 10.1–19.9ROR 14.2 · calibrated p 0.011 ✓ | 13.5 EB05 9.9 · IC025 +3.0 3/3 methods agree | No label text to screen | serious n=29 | no trial arm names this drug |
| Post-traumatic stress disorder | 155 | 14.1 12.0–16.5ROR 14.1 · calibrated p 0.009 ✓ | 13.7 EB05 12.0 · IC025 +3.5 3/3 methods agree | No label text to screen | serious n=133 | no trial arm names this drug |
| Sleep talking | 39 | 13.9 10.1–19.1ROR 13.9 · calibrated p 0.011 ✓ | 13.4 EB05 10.0 · IC025 +3.0 3/3 methods agree | No label text to screen | serious n=14 | no trial arm names this drug |
| Feeling drunk | 164 | 13.4 11.5–15.6ROR 13.5 · calibrated p 0.011 ✓ | 13.1 EB05 11.5 · IC025 +3.4 3/3 methods agree | No label text to screen | serious n=85 | no trial arm names this drug |
| Mast cell activation syndrome | 29 | 13.4 9.2–19.3ROR 13.4 · calibrated p 0.014 ✓ | 12.6 EB05 8.9 · IC025 +2.8 3/3 methods agree | No label text to screen | serious n=27 · ♀ 100% (drug 72%) · 100% consumer | no trial arm names this drug |
| Moaning | 23 | 12.5 8.3–18.9ROR 12.5 · calibrated p 0.019 ✓ | 11.6 EB05 7.7 · IC025 +2.6 3/3 methods agree | No label text to screen | – | no trial arm names this drug |
| Tachyphrenia | 68 | 11.9 9.4–15.2ROR 12.0 · calibrated p 0.019 ✓ | 11.5 EB05 9.3 · IC025 +3.0 3/3 methods agree | No label text to screen | serious n=35 | no trial arm names this drug |
| Gambling disorder | 51 | 11.4 8.7–15.1ROR 11.4 · calibrated p 0.022 ✓ | 10.9 EB05 8.5 · IC025 +2.9 3/3 methods agree | No label text to screen | serious n=36 | no trial arm names this drug |
| Binge eating | 20 | 11.3 7.3–17.6ROR 11.3 · calibrated p 0.027 ✓ | 10.2 EB05 6.6 · IC025 +2.4 3/3 methods agree | No label text to screen | – | no trial arm names this drug |
| Abnormal uterine bleeding | 46 | 11.2 8.4–15.0ROR 11.2 · calibrated p 0.024 ✓ | 10.7 EB05 8.2 · IC025 +2.8 3/3 methods agree | No label text to screen | serious n=34 · ♀ 100% (drug 72%) | no trial arm names this drug |
Trial evidence (ClinicalTrials.gov)
Most frequently reported reactions
By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Drug ineffective (drug did not work) | 3,331 | 1.5 1.5–1.6ROR 1.6 · calibrated p 0.685 | 1.5 EB05 1.5 · IC025 +0.5 | Reporting / coding artifact | serious PRR 1.7 · 73% consumer | no trial arm names this drug |
| Fatigue (tiredness) | 2,835 | 2.2 2.1–2.3ROR 2.3 · calibrated p 0.908 | 2.2 EB05 2.1 · IC025 +1.1 3/3 methods agree | No label text to screen | serious PRR 2.3 · 71% consumer | no trial arm names this drug |
| Nausea | 2,627 | 2.0 1.9–2.1ROR 2.1 · calibrated p 0.983 | 2.0 EB05 1.9 · IC025 +0.9 | No label text to screen | serious PRR 2.2 | no trial arm names this drug |
| Headache | 2,305 | 2.2 2.1–2.3ROR 2.3 · calibrated p 0.909 | 2.2 EB05 2.1 · IC025 +1.1 3/3 methods agree | No label text to screen | serious PRR 2.6 | no trial arm names this drug |
| Anxiety | 2,179 | 4.6 4.4–4.8ROR 4.8 · calibrated p 0.254 | 4.6 EB05 4.4 · IC025 +2.1 3/3 methods agree | No label text to screen | serious PRR 5.0 | no trial arm names this drug |
| Depression | 1,881 | 4.9 4.7–5.2ROR 5.2 · calibrated p 0.217 | 4.9 EB05 4.7 · IC025 +2.2 3/3 methods agree | No label text to screen | serious PRR 5.8 | no trial arm names this drug |
| Pain | 1,645 | 1.6 1.5–1.7ROR 1.6 · calibrated p 0.724 | 1.6 EB05 1.5 · IC025 +0.6 | No label text to screen | serious PRR 1.9 | no trial arm names this drug |
| Feeling abnormal | 1,643 | 4.1 3.9–4.3ROR 4.3 · calibrated p 0.334 | 4.1 EB05 3.9 · IC025 +1.9 3/3 methods agree | No label text to screen | serious PRR 5.2 · 72% consumer | no trial arm names this drug |
| Dizziness | 1,592 | 1.9 1.8–2.0ROR 2.0 · calibrated p 0.920 | 1.9 EB05 1.8 · IC025 +0.9 | No label text to screen | serious PRR 2.1 · 70% consumer | no trial arm names this drug |
| Somnolence (drowsiness) | 1,460 | 4.4 4.1–4.6ROR 4.5 · calibrated p 0.295 | 4.3 EB05 4.1 · IC025 +2.0 3/3 methods agree | No label text to screen | serious PRR 4.1 | no trial arm names this drug |
| Insomnia (trouble sleeping) | 1,380 | 3.1 2.9–3.3ROR 3.2 · calibrated p 0.569 | 3.1 EB05 3.0 · IC025 +1.5 3/3 methods agree | No label text to screen | serious PRR 3.5 · 73% consumer | no trial arm names this drug |
| Off label use (used outside approved label) | 1,228 | 0.8 0.8–0.9ROR 0.8 · calibrated p 0.207 | 0.8 EB05 0.8 · IC025 -0.3 PRR-only: not supported by EBGM or IC | Reporting / coding artifact | serious PRR 0.9 | no trial arm names this drug |
| Vomiting | 1,180 | 1.5 1.4–1.6ROR 1.5 · calibrated p 0.656 | 1.5 EB05 1.4 · IC025 +0.5 | No label text to screen | serious PRR 1.5 | no trial arm names this drug |
| Fall | 1,093 | 2.0 1.9–2.1ROR 2.0 · calibrated p 0.943 | 2.0 EB05 1.9 · IC025 +0.9 | No label text to screen | serious PRR 2.2 | no trial arm names this drug |
| Condition aggravated | 1,044 | 2.1 1.9–2.2ROR 2.1 · calibrated p 0.998 | 2.1 EB05 2.0 · IC025 +0.9 | Reporting / coding artifact | serious PRR 2.3 | no trial arm names this drug |
Unlabeled candidate signals
Every screened signal with n ≥ 20 was either labeled, an indication term, or an artifact pattern — no unlabeled candidate stood out in the top signals.
✓ A hand-written Bradford Hill causality assessment exists for this drug: Amphetamine ↔ Drug Abuse.
Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.
Common questions
What are the most reported side effects of Dextroamphetamine Saccharate?
In FDA FAERS, the most frequently co-reported reaction terms for Dextroamphetamine Saccharate are fatigue, nausea, headache, anxiety, depression, pain. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.
Does Dextroamphetamine Saccharate have an FDA boxed warning?
No validated FDA label could be retrieved for this product name, so this page cannot say.
Do FAERS signals prove that Dextroamphetamine Saccharate causes these side effects?
No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.
Sources & methods
- No FDA label passed the name-validation check for this product string, so label-based screening was skipped
- Bayesian shrinkage measures computed offline over all 1,317,300 cached pairs: BCPNN information component (IC, with Norén closed-form IC025) and MGPS empirical-Bayes geometric mean (EBGM, EB05) with a two-component gamma prior fitted by maximum marginal likelihood (α₁=0.57, β₁=0.02, α₂=1.42, β₂=0.70, w=0.17); unstratified
- FAERS pair statistics from the OpenPV build of 2026-09-14 (openFDA
count=aggregation, fieldpatient.drug.openfda.generic_name.exact, 1,175 reaction terms, min 3 co-reports); PRR/ROR with 95% CI, chi-square with Yates correction - Serious-only and stratified counts (serious:1, patient.patientsex, primarysource.qualification) from openFDA count queries; serious-only PRR uses the drug serious report total and the term global serious total (N_serious=11,882,979); strata shown only when n ≥ 20
- Seriousness and sex counts from openFDA
count=serious,patient.patientsex,seriousnessdeath - ClinicalTrials.gov API v2 (query
DEXTROAMPHETAMINE SACCHARATE, results-bearing studies sorted by enrollment)
Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.