OpenClaim

Perampanel Side Effects

The most commonly reported side effects of perampanel include seizure, off label use, and somnolence, based on 7,274 FDA adverse event reports from 2012 to 2025. 14.4% of reports found the drug to be ineffective.

Perampanel side effects

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

1
Seizure15.1%1,099
2
Drug Ineffective14.4%1,049
3
Off Label Use10.1%732
4
Somnolence6.8%492
5
Aggression6.7%490
6
Dizziness5.3%388
7
Epilepsy4.6%336
8
Status Epilepticus4.5%330
9
Drug Interaction4.5%329
10
Multiple-drug Resistance4.3%313
11
Fatigue4.0%293
12
Irritability3.3%241
13
Condition Aggravated3.1%227
14
Fall3.1%223
15
Product Use In Unapproved Indication3.0%217

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

Report severity

83.0%Serious6,037 reports
38.3%Hospitalizations2,784 reports
6.3%Fatal459 reports

Seriousness is determined by the reporter, not by OpenClaim.

Perampanel drug interactions

Other drugs that appear in adverse event reports alongside perampanel. 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
Levetiracetam28.5%2,074
2
Lacosamide22.3%1,619
3
Lamotrigine12.2%889
4
Clobazam10.6%774
5
Valproic-acid9.7%702
6
Topiramate9.5%692
7
Phenytoin9.0%653
8
Cannabidiol8.3%601
9
Carbamazepine7.9%577
10
Phenobarbital-sodium7.8%565
11
Brivaracetam6.7%488
12
Valproate-sodium6.1%446
13
Zonisamide6.0%437
14
Midazolam5.9%427
15
Clonazepam5.6%408

Taken alongside

1
Levetiracetam16.8%1,224
2
Clobazam12.4%905
3
Lamotrigine10.6%771
4
Lacosamide10.1%732
5
Topiramate7.2%523
6
Clonazepam6.6%478
7
Carbamazepine5.4%396
8
Zonisamide5.1%371
9
Valproic-acid4.8%347
10
Valproate-sodium4.7%345
11
Phenobarbital-sodium4.5%330
12
Diazepam4.5%327
13
Midazolam3.9%282
14
Phenytoin3.7%268
15
Oxcarbazepine3.5%258

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 perampanel side effects

44.6% of perampanel adverse event reports involve female patients and 38.3% involve male patients. The largest age group is adult at 62%. These figures reflect who reports side effects, not underlying risk.

Sex

Female44.6%
Male38.3%
Unknown17.1%

Age group

< 23.8%
2–1111.6%
12–1710.6%
18–6462.3%
65+11.7%

What is perampanel used for

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

Accidental Exposure To Product By ChildAggressionAmnestic DisorderAmyotrophic Lateral SclerosisAtonic SeizuresAuraAccidental Exposure To ProductAccidental Exposure To Product By ChildAccidental OverdoseAcquired Epileptic AphasiaAdjuvant TherapyAnxietyAstrocytomaAtonic SeizuresAutonomic Seizure

Showing 15 of 216 indications

Perampanel brand names and reporting trend

Perampanel is sold under the brand name Perampanel.

Brand names

Perampanel3,910

Quarterly reports (20122025)

20122016202020242025

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

Taking perampanel with another medication?

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