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Trihexyphenidyl Side Effects

The most commonly reported side effects of trihexyphenidyl include off label use, drug interaction, and somnolence, based on 5,983 FDA adverse event reports from 2004 to 2025. 6.0% of reports found the drug to be ineffective.

Trihexyphenidyl side effects

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

1
Off Label Use6.1%366
2
Drug Ineffective6.0%361
3
Drug Interaction4.4%264
4
Somnolence4.0%237
5
Toxicity To Various Agents3.9%231
6
Tremor3.3%196
7
Confusional State3.1%183
8
Hallucination2.9%176
9
Fall2.7%160
10
Dizziness2.7%160
11
Nausea2.6%156
12
Dyskinesia2.6%154
13
Coma2.6%154
14
Dystonia2.4%146
15
Overdose2.2%134

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

Report severity

84.4%Serious5,049 reports
44.0%Hospitalizations2,633 reports
12.9%Fatal770 reports

Seriousness is determined by the reporter, not by OpenClaim.

Trihexyphenidyl drug interactions

Other drugs that appear in adverse event reports alongside trihexyphenidyl. 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
Risperidone11.0%661
2
Clozapine8.0%478
3
Olanzapine7.9%471
4
Quetiapine-fumarate7.3%438
5
Aripiprazole6.8%404
6
Levodopa6.5%389
7
Haloperidol5.9%353
8
Diazepam5.6%338
9
Clonazepam5.5%328
10
Carbidopa5.1%305
11
Lorazepam3.1%184
12
Baclofen3.1%183
13
Pramipexole-dihydrochloride3.0%179
14
Paliperidone2.7%163
15
Valproic-acid2.7%161

Taken alongside

1
Levodopa9.3%558
2
Carbidopa8.5%509
3
Clonazepam7.9%471
4
Acetaminophen6.6%395
5
Lorazepam6.3%377
6
Risperidone5.7%341
7
Omeprazole5.4%322
8
Diazepam5.3%315
9
Haloperidol5.1%308
10
Levothyroxine-sodium5.1%307
11
Aspirin5.0%299
12
Gabapentin4.9%293
13
Amantadine4.8%290
14
Quetiapine-fumarate4.4%266
15
Ergocalciferol4.4%262

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 trihexyphenidyl side effects

40.3% of trihexyphenidyl adverse event reports involve female patients and 52.4% involve male patients. The largest age group is adult at 66%. These figures reflect who reports side effects, not underlying risk.

Sex

Female40.3%
Male52.4%
Unknown7.3%

Age group

< 20.8%
2–114.4%
12–173.0%
18–6465.9%
65+26.0%

What is trihexyphenidyl used for

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

Abnormal BehaviourAcute PsychosisAdjustment DisorderAdjustment Disorder With Depressed MoodAdverse Drug ReactionAdverse EventAffective DisorderAggressionAgitationAkathisiaAkinesiaAlternating Hemiplegia Of ChildhoodAmyotrophic Lateral SclerosisAnaemiaAnxiety

Showing 15 of 304 indications

Trihexyphenidyl brand names and reporting trend

Trihexyphenidyl is sold under the brand name Trihexyphenidyl Hydrochloride.

Brand names

Trihexyphenidyl Hydrochloride114

Quarterly reports (20042025)

20052010201520202025

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

Taking trihexyphenidyl with another medication?

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