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Sacubitril Side Effects

The most commonly reported side effects of sacubitril include hypotension, death, and dyspnoea, based on 115,125 FDA adverse event reports from 2012 to 2025. 2.3% of reports found the drug to be ineffective.

Sacubitril side effects

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

1
Hypotension10.1%11,608
2
Death7.9%9,129
3
Dyspnoea7.8%9,025
4
Dizziness7.5%8,673
5
Fatigue7.5%8,664
6
Cough6.8%7,858
7
Wrong Technique In Product Usage Process6.3%7,299
8
Weight Decreased4.5%5,208
9
Cardiac Failure4.0%4,601
10
Malaise3.9%4,445
11
Asthenia3.3%3,819
12
Weight Increased3.1%3,537
13
Blood Pressure Decreased2.7%3,157
14
Product Dose Omission Issue2.4%2,807
15
Myocardial Infarction2.4%2,781

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

Report severity

51.3%Serious59,087 reports
18.3%Hospitalizations21,028 reports
12.3%Fatal14,135 reports

Seriousness is determined by the reporter, not by OpenClaim.

Sacubitril drug interactions

Other drugs that appear in adverse event reports alongside sacubitril. 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
Valsartan90.8%104,573
2
Furosemide2.0%2,333
3
Carvedilol1.7%1,946
4
Spironolactone1.5%1,757
5
Metoprolol1.3%1,530
6
Apixaban1.2%1,428
7
Bisoprolol-fumarate1.2%1,370
8
Dapagliflozin1.1%1,242
9
Atorvastatin-calcium1.0%1,119
10
Empagliflozin0.7%785
11
Eplerenone0.7%782
12
Amiodarone-hydrochloride0.6%744
13
Metformin0.6%709
14
Aspirin0.6%696
15
Rosuvastatin0.5%632

Taken alongside

1
Valsartan8.5%9,730
2
Furosemide7.4%8,486
3
Spironolactone5.5%6,368
4
Carvedilol5.5%6,360
5
Aspirin5.0%5,770
6
Atorvastatin-calcium4.5%5,167
7
Metoprolol3.5%4,058
8
Bisoprolol-fumarate2.9%3,330
9
Apixaban2.8%3,219
10
Metformin2.1%2,394
11
Levothyroxine-sodium2.0%2,299
12
Dapagliflozin2.0%2,261
13
Ergocalciferol1.9%2,230
14
Pantoprazole-sodium1.9%2,204
15
Amiodarone-hydrochloride1.9%2,150

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 sacubitril side effects

33.2% of sacubitril adverse event reports involve female patients and 59.3% involve male patients. The largest age group is elderly at 62%. These figures reflect who reports side effects, not underlying risk.

Sex

Female33.2%
Male59.3%
Unknown7.5%

Age group

< 2<0.1%
2–11<0.1%
12–170.1%
18–6437.8%
65+61.9%

What is sacubitril used for

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

Acute Coronary SyndromeAcute Left Ventricular FailureAcute Myocardial InfarctionAcute Pulmonary OedemaAmerican TrypanosomiasisAmyloidosisAnaemiaAneurysmAngina PectorisAngina UnstableAngiopathyAnticoagulant TherapyAnxietyAortic StenosisAortic Valve Incompetence

Showing 15 of 596 indications

Sacubitril brand names and reporting trend

Sacubitril is sold under the brand name Entresto Sprinkle.

Brand names

Entresto Sprinkle1,622

Quarterly reports (20122025)

2016202020242025

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

Taking sacubitril with another medication?

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