Xtampza ERoxycodone
According to the FDA label: XTAMPZA ER is indicated for the management of severe and persistent pain that requires an opioid analgesic and that cannot be adequately treated with alternative options, including immediate-release opioids. XTAMPZA ER is an opioid agonist indicated for the management of severe and persistent pain that requires an opioid analgesic and that cannot be adequately treated with alternative options, including immediate-release opioids.
105,716 adverse event reports submitted to the FDA (2002–2026)
Top Reported Adverse Events
The most frequently reported events in association with Xtampza ER in the FAERS database. These are events reported by patients taking this medication, not necessarily caused by it. A single report may include multiple events.
Show these terms with plain-language definitions
Tap any term below for a plain-language definition.
Pain 10,968 reports
A general report of physical discomfort, used when no more specific location is given.
Full definition in the glossary →Fatigue 9,628 reports
Extreme tiredness or lack of energy that does not improve with rest.
Full definition in the glossary → See all drugs reporting this event →Drug Ineffective 9,036 reports
A report that the medication did not work as expected for the person taking it. This is a reporting category, not a sign the drug is defective. It simply means someone felt it was not helping their condition.
Full definition in the glossary →Nausea 8,180 reports
The feeling of sickness in your stomach that often comes before vomiting.
Full definition in the glossary → See all drugs reporting this event →Off Label Use 6,667 reports
Using a medication for a condition or in a way that the FDA has not officially approved. This is common and often legal, and a report of it does not mean something went wrong. Doctors sometimes prescribe drugs off label based on their judgment.
Full definition in the glossary →Diarrhoea 6,646 reports
Loose or watery bowel movements, often frequent. Also spelled diarrhea in American English.
Full definition in the glossary → See all drugs reporting this event →Death 6,587 reports
A report that the person died. A death appearing in reports for a drug does not mean the drug caused it. Reports record that a death occurred while the medication was being used, which can happen for many unrelated reasons.
Full definition in the glossary →Dyspnoea 6,285 reports
Shortness of breath or difficulty breathing. Also spelled dyspnea in American English.
Full definition in the glossary → See all drugs reporting this event →Rash 6,006 reports
An area of irritated, red, or bumpy skin.
Full definition in the glossary → See all drugs reporting this event →Arthralgia 5,928 reports
Vomiting 5,902 reports
Throwing up the contents of the stomach.
Full definition in the glossary → See all drugs reporting this event →Headache 5,522 reports
Pain in the head or upper neck.
Full definition in the glossary → See all drugs reporting this event →Pyrexia 5,275 reports
The medical term for fever, meaning a raised body temperature.
Full definition in the glossary → See all drugs reporting this event →Confusional State 4,970 reports
A state of being confused, disoriented, or unable to think clearly.
Full definition in the glossary →Drug Dependence 4,926 reports
A report that the body or mind has come to rely on a medication, so that stopping it causes difficulty. The term describes a physical or psychological state, not a judgment about the person.
Full definition in the glossary →
Ranked by frequency of reports, not severity. The most-reported event is not necessarily the most dangerous or the most common in patients taking this drug.
Who Is Reporting
Demographics of patients in FAERS reports that included this information. Not all reports include patient demographics.
By Sex
View reporter sex data as a table
| Sex | Reports |
|---|---|
| Female | 54,353 |
| Male | 42,241 |
| Unknown | 204 |
By Age Group
View age group data as a table
| Age group | Reports |
|---|---|
| 0-17 | 1,636 |
| 18-34 | 6,450 |
| 35-49 | 16,161 |
| 50-64 | 24,434 |
| 65-74 | 14,082 |
| 75+ | 8,085 |
This shows who filed reports, reflecting who takes this drug and who tends to report, not who is at greatest risk.
Reported Outcomes
Outcomes recorded in FAERS reports that included Xtampza ER. A single report may involve multiple reactions, each with a different outcome. These categories are defined by FDA reporting guidelines, not by PillSignal.
View outcome data as a table
| Outcome | Reports |
|---|---|
| Other Serious | 49,597 |
| Hospitalization | 38,482 |
| Non-Serious | 24,346 |
| Death | 23,895 |
| Life-Threatening | 7,516 |
| Disability | 7,382 |
Serious outcomes are far more likely to be reported than mild ones, so this overstates how often outcomes are serious. A recorded death does not mean the drug caused it.
Report Volume Over Time
Number of FAERS reports received per quarter for Xtampza ER. Changes in volume may reflect shifts in prescribing rates, media attention, or reporting behavior, not changes in the medication's safety profile.
View report trend as a table
| Year | Reports |
|---|---|
| 2002 | 1 |
| 2004 | 225 |
| 2005 | 342 |
| 2006 | 287 |
| 2007 | 66 |
| 2008 | 215 |
| 2009 | 918 |
| 2010 | 1,402 |
| 2011 | 1,233 |
| 2012 | 1,679 |
| 2013 | 3,893 |
| 2014 | 5,008 |
| 2015 | 7,651 |
| 2016 | 7,267 |
| 2017 | 7,796 |
| 2018 | 8,858 |
| 2019 | 9,014 |
| 2020 | 9,371 |
| 2021 | 9,071 |
| 2022 | 9,048 |
| 2023 | 7,208 |
| 2024 | 6,814 |
| 2025 | 6,926 |
| 2026 (partial) | 1,423 |
The steep increase around 2004 reflects the FDA's move to electronic submission, not a change in this drug's safety. Trends track reporting volume, not risk.
Medications commonly reported with Xtampza ER
In FDA adverse event reports that mention Xtampza ER, these medications appeared most often in the same report.
- Acetaminophen (20,618 reports)
- Gabapentin (17,335 reports)
- Prednisone (14,778 reports)
- Omeprazole (12,569 reports)
- Ergocalciferol (12,432 reports)
This reflects co-occurrence in submitted reports, not evidence of drug interaction or combined risk. People often report several medications taken for the same condition or for unrelated reasons. Talk to a doctor or pharmacist about your specific medications.
Related Drugs
Other medications with similar adverse event profiles in FDA FAERS reports.
Data Source
This data is sourced from the FDA's Adverse Event Monitoring System (AEMS), formerly FAERS, via the OpenFDA API. PillSignal is not affiliated with the FDA.
View this data on the FDA website →Data last updated: June 2026