OpenClaim

Setmelanotide Side Effects

The most commonly reported side effects of setmelanotide include nausea, off label use, and skin hyperpigmentation, based on 228 FDA adverse event reports from 2018 to 2025. 7.5% of reports found the drug to be ineffective.

Setmelanotide side effects

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

1
Nausea26.3%60
2
Off Label Use25.9%59
3
Skin Hyperpigmentation22.4%51
4
Vomiting15.8%36
5
Headache15.4%35
6
Diarrhoea14.0%32
7
Skin Discolouration13.6%31
8
Fatigue13.2%30
9
Weight Increased9.2%21
10
Decreased Appetite9.2%21
11
Injection Site Pruritus8.8%20
12
Product Dose Omission Issue8.3%19
13
Injection Site Erythema8.3%19
14
Injection Site Pain8.3%19
15
Melanocytic Naevus7.9%18

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

Report severity

64.0%Serious146 reports
36.8%Hospitalizations84 reports
1.3%Fatal3 reports

Seriousness is determined by the reporter, not by OpenClaim.

Setmelanotide drug interactions

Other drugs that appear in adverse event reports alongside setmelanotide. 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
Risankizumab-rzaa1.8%4
2
Desmopressin-acetate1.3%3
3
Semaglutide0.9%2
4
Topiramate0.9%2
5
Ramipril0.9%2
6
Venlafaxine0.9%2
7
Hydrochlorothiazide0.9%2
8
Dexamethasone0.4%1
9
Ixazomib-citrate0.4%1
10
Rotigotine0.4%1
11
Fenofibrate0.4%1
12
Metreleptin0.4%1
13
Estradiol0.4%1
14
Tirzepatide0.4%1
15
Dapagliflozin0.4%1

Taken alongside

1
Ergocalciferol14.0%32
2
Levothyroxine-sodium12.3%28
3
Metformin11.4%26
4
Hydrocortisone9.6%22
5
Acetaminophen9.2%21
6
Semaglutide9.2%21
7
Albuterol8.3%19
8
Desmopressin-acetate7.5%17
9
Topiramate7.0%16
10
Cholecalciferol6.1%14
11
Fluticasone6.1%14
12
Cetirizine-hydrochloride6.1%14
13
Atorvastatin-calcium5.7%13
14
Omeprazole5.7%13
15
Trazodone-hydrochloride4.4%10

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 setmelanotide side effects

42.5% of setmelanotide adverse event reports involve female patients and 24.6% involve male patients. The largest age group is adult at 46%. These figures reflect who reports side effects, not underlying risk.

Sex

Female42.5%
Male24.6%
Unknown32.9%

Age group

< 20.0%
2–1130.3%
12–1722.8%
18–6445.5%
65+1.4%

What is setmelanotide used for

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

Gene MutationHypothalamic ObesityLaurence-moon-bardet-biedl SyndromeLeptin Receptor DeficiencyOff Label UseObesityOff Label UseProduct Used For Unknown IndicationProduct Use In Unapproved IndicationProduct Used For Unknown IndicationWeight Decreased

Setmelanotide brand names and reporting trend

Setmelanotide is sold under the brand name Imcivree.

Brand names

Imcivree147

Quarterly reports (20182025)

201820242025

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

Taking setmelanotide with another medication?

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