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Telotristat Side Effects

The most commonly reported side effects of telotristat include diarrhoea, off label use, and constipation, based on 2,009 FDA adverse event reports from 2016 to 2025. 5.3% of reports found the drug to be ineffective.

Telotristat side effects

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

1
Diarrhoea16.8%338
2
Off Label Use13.4%269
3
Constipation12.0%241
4
Nausea10.3%207
5
Abdominal Pain8.0%161
6
Fatigue7.7%154
7
Death7.5%150
8
Flatulence7.4%148
9
Flushing6.9%139
10
Product Dose Omission Issue5.6%112
11
Hospitalisation5.3%107
12
Decreased Appetite5.3%107
13
Drug Ineffective5.3%106
14
Headache5.2%104
15
Malaise4.3%87

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

Report severity

40.9%Serious821 reports
18.3%Hospitalizations368 reports
9.0%Fatal180 reports

Seriousness is determined by the reporter, not by OpenClaim.

Telotristat drug interactions

Other drugs that appear in adverse event reports alongside telotristat. 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
Lanreotide-acetate7.0%140
2
Carisoprodol6.7%134
3
Octreotide-acetate2.9%59
4
Everolimus1.6%32
5
Cabozantinib0.9%19
6
Loperamide-hydrochloride0.5%11
7
Lutetium0.5%10
8
Lipase0.4%9
9
Pancrelipase-amylase0.4%9
10
Protease0.4%9
11
Ondansetron0.4%8
12
Metformin0.3%7
13
Dihydrocodeine-bitartrate0.3%6
14
Empagliflozin0.3%6
15
Avapritinib0.3%6

Taken alongside

1
Octreotide-acetate23.9%481
2
Lanreotide-acetate7.3%147
3
Loperamide-hydrochloride5.4%109
4
Ergocalciferol5.3%106
5
Lipase5.2%105
6
Pancrelipase-amylase4.9%98
7
Protease4.9%98
8
Acetaminophen4.8%97
9
Aspirin4.3%86
10
Levothyroxine-sodium4.2%84
11
Amlodipine4.0%81
12
Furosemide4.0%81
13
Metoprolol4.0%80
14
Ondansetron3.9%78
15
Atropine3.6%73

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 telotristat side effects

39.3% of telotristat adverse event reports involve female patients and 31.4% involve male patients. The largest age group is elderly at 57%. These figures reflect who reports side effects, not underlying risk.

Sex

Female39.3%
Male31.4%
Unknown29.3%

Age group

< 20.0%
2–110.0%
12–170.0%
18–6443.5%
65+56.5%

What is telotristat used for

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

5-hydroxyindolacetic Acid5-hydroxyindolacetic Acid In Urine5-hydroxyindolacetic AcidAdrenal Gland CancerAbdominal Pain UpperBenign NeoplasmBenign Pancreatic NeoplasmBile Duct CancerBreast Cancer FemaleBronchial CarcinomaCarcinoid CrisisCarcinoid Heart DiseaseCarcinoid SyndromeCarcinoid TumourCarcinoid Tumour Of The Appendix

Showing 15 of 84 indications

Telotristat brand names and reporting trend

Telotristat is sold under the brand name Xermelo.

Brand names

Xermelo44

Quarterly reports (20162025)

2016202020242025

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

Taking telotristat with another medication?

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