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Methimazole Side Effects

The most commonly reported side effects of methimazole include off label use, fatigue, and nausea, based on 9,403 FDA adverse event reports from 2004 to 2025. 7.0% of reports found the drug to be ineffective.

Methimazole side effects

Percentages show how often each reaction appears relative to total reports for methimazole.

1
Drug Ineffective7.0%656
2
Off Label Use5.8%547
3
Fatigue5.1%478
4
Nausea4.5%427
5
Hyperthyroidism4.2%399
6
Diarrhoea4.1%389
7
Headache3.9%365
8
Pain3.8%354
9
Dyspnoea3.5%325
10
Dizziness3.3%307
11
Asthenia2.9%272
12
Anxiety2.6%247
13
Weight Decreased2.5%234
14
Arthralgia2.5%234
15
Agranulocytosis2.4%226

These are voluntary reports and do not establish that methimazole caused these reactions.

Report severity

72.4%Serious6,809 reports
37.9%Hospitalizations3,563 reports
8.1%Fatal761 reports

Seriousness is determined by the reporter, not by OpenClaim.

Methimazole drug interactions

Other drugs that appear in adverse event reports alongside methimazole. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Propranolol-hydrochloride4.8%449
2
Teprotumumab-trbw3.5%331
3
Prednisone2.4%225
4
Lenalidomide2.3%213
5
Propylthiouracil2.2%203
6
Metoprolol2.1%196
7
Adalimumab2.0%187
8
Amiodarone-hydrochloride1.9%176
9
Furosemide1.9%175
10
Treprostinil1.8%165
11
Hydrocortisone1.7%156
12
Apixaban1.5%145
13
Aspirin1.4%136
14
Dupilumab1.3%120
15
Methylprednisolone1.2%117

Taken alongside

1
Metoprolol11.3%1,062
2
Aspirin11.2%1,053
3
Ergocalciferol11.2%1,050
4
Acetaminophen10.2%960
5
Furosemide10.2%959
6
Atorvastatin-calcium8.8%831
7
Omeprazole7.4%695
8
Pantoprazole-sodium7.2%678
9
Amlodipine7.1%669
10
Propranolol-hydrochloride6.5%613
11
Albuterol6.4%602
12
Prednisone6.3%591
13
Metformin5.9%556
14
Gabapentin5.8%550
15
Lisinopril5.8%541

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports methimazole side effects

65.1% of methimazole adverse event reports involve female patients and 25.2% involve male patients. The largest age group is adult at 53%. These figures reflect who reports side effects, not underlying risk.

Sex

Female65.1%
Male25.2%
Unknown9.6%

Age group

< 21.3%
2–111.3%
12–172.4%
18–6453.2%
65+41.8%

What is methimazole used for

Conditions and purposes for which patients were taking methimazole when the adverse event was reported.

Acute Kidney InjuryAcute Myeloid LeukaemiaAcute Myocardial InfarctionAdverse Drug ReactionAdverse EventAnti-thyroid AntibodyAnticoagulant TherapyArthralgiaAsthmaAtrial FibrillationAtrial FlutterAutoimmune DisorderAutoimmune Thyroid DisorderAutoimmune ThyroiditisAbdominal Infection

Showing 15 of 208 indications

Methimazole brand names and reporting trend

Methimazole is sold under the brand name Tapazole.

Brand names

Tapazole8,626

Quarterly reports (20042025)

20052010201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking methimazole with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.