ACYCLOVIR

75/100 · Elevated

Manufactured by Bausch Health US, LLC

Acyclovir Adverse Events: High Serious Reaction Rate

186,079 FDA adverse event reports analyzed

Last updated: 2026-05-12

About ACYCLOVIR

ACYCLOVIR is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Bausch Health US, LLC. Based on analysis of 186,079 FDA adverse event reports, ACYCLOVIR has a safety score of 75 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for ACYCLOVIR include FATIGUE, DIARRHOEA, OFF LABEL USE, PNEUMONIA, NAUSEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for ACYCLOVIR.

AI Safety Analysis

Acyclovir has a safety concern score of 75 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 186,079 adverse event reports for this medication, which is primarily manufactured by Bausch Health Us, Llc.

The most commonly reported adverse events include Fatigue, Diarrhoea, Off Label Use. Of classified reports, 72.4% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Acyclovir reports include a high percentage of serious adverse events, particularly respiratory and gastrointestinal issues.

The most common reactions are fatigue, diarrhea, and pneumonia, indicating a broad range of potential side effects. Reports show a significant number of serious outcomes, with death being one of the top reported reactions.

Patients taking Acyclovir should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Acyclovir can interact with other drugs, and warnings include potential for severe respiratory and gastrointestinal issues. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 75/100

Acyclovir received a safety concern score of 75/100 (elevated concern). This is based on a 72.4% serious event ratio across 109,610 classified reports. The score accounts for 186,079 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

FATIGUE7,611 reports
DIARRHOEA7,062 reports
OFF LABEL USE5,797 reports
PNEUMONIA5,474 reports
NAUSEA5,326 reports
PYREXIA4,719 reports
DEATH4,676 reports
DRUG INEFFECTIVE4,465 reports
RASH4,121 reports
DYSPNOEA3,451 reports
ASTHENIA3,194 reports
WHITE BLOOD CELL COUNT DECREASED3,088 reports
HEADACHE3,080 reports
NEUTROPENIA3,074 reports
PLATELET COUNT DECREASED2,965 reports
CONSTIPATION2,832 reports
VOMITING2,797 reports
PAIN2,779 reports
FEBRILE NEUTROPENIA2,729 reports
DIZZINESS2,715 reports
NEUROPATHY PERIPHERAL2,543 reports
PLASMA CELL MYELOMA2,515 reports
ANAEMIA2,438 reports
ACUTE KIDNEY INJURY2,387 reports
THROMBOCYTOPENIA2,321 reports
FALL2,196 reports
DECREASED APPETITE2,140 reports
SEPSIS2,121 reports
PRURITUS2,092 reports
MALAISE1,976 reports
COUGH1,949 reports
BACK PAIN1,790 reports
MUSCLE SPASMS1,785 reports
ARTHRALGIA1,775 reports
COVID 191,758 reports
WEIGHT DECREASED1,756 reports
HYPOTENSION1,752 reports
RENAL FAILURE1,672 reports
INSOMNIA1,630 reports
HAEMOGLOBIN DECREASED1,593 reports
INFECTION1,593 reports
URINARY TRACT INFECTION1,573 reports
PRODUCT DOSE OMISSION ISSUE1,538 reports
PERIPHERAL SWELLING1,516 reports
CONFUSIONAL STATE1,449 reports
NASOPHARYNGITIS1,444 reports
CONDITION AGGRAVATED1,426 reports
PAIN IN EXTREMITY1,420 reports
PANCYTOPENIA1,412 reports
DEHYDRATION1,401 reports
ABDOMINAL PAIN1,340 reports
HYPERTENSION1,277 reports
THROMBOSIS1,275 reports
ANXIETY1,265 reports
HYPOAESTHESIA1,256 reports
ATRIAL FIBRILLATION1,251 reports
HERPES ZOSTER1,233 reports
NEUTROPHIL COUNT DECREASED1,215 reports
DISEASE PROGRESSION1,207 reports
TREMOR1,166 reports
ABDOMINAL PAIN UPPER1,103 reports
FEELING ABNORMAL1,098 reports
CYTOKINE RELEASE SYNDROME1,092 reports
INFLUENZA1,091 reports
CHEST PAIN1,073 reports
OEDEMA PERIPHERAL1,072 reports
PARAESTHESIA1,058 reports
FULL BLOOD COUNT DECREASED1,050 reports
WEIGHT INCREASED1,049 reports
BLOOD CREATININE INCREASED1,045 reports
PRODUCT USE IN UNAPPROVED INDICATION1,041 reports
CHILLS1,033 reports
DEEP VEIN THROMBOSIS1,024 reports
RESPIRATORY FAILURE1,013 reports
SINUSITIS993 reports
RENAL IMPAIRMENT976 reports
SOMNOLENCE969 reports
GAIT DISTURBANCE961 reports
ABDOMINAL DISCOMFORT957 reports
SEPTIC SHOCK957 reports
DEPRESSION946 reports
PULMONARY EMBOLISM933 reports
ERYTHEMA930 reports
CHRONIC KIDNEY DISEASE878 reports
DRUG INTERACTION817 reports
MUSCULAR WEAKNESS817 reports
URTICARIA810 reports
LABORATORY TEST ABNORMAL799 reports
VISION BLURRED799 reports
PLEURAL EFFUSION794 reports
MUCOSAL INFLAMMATION781 reports
MYALGIA780 reports
RENAL FAILURE ACUTE780 reports
ALANINE AMINOTRANSFERASE INCREASED756 reports
BRONCHITIS742 reports
ADVERSE DRUG REACTION739 reports
MEMORY IMPAIRMENT737 reports
CONTUSION730 reports
HOSPITALISATION730 reports
ALOPECIA725 reports

Key Safety Signals

  • High percentage of serious reactions (72.4%)
  • Common reactions include fatigue, diarrhea, and pneumonia
  • Death is one of the top reported reactions

Patient Demographics

Adverse event reports by sex: Female: 51,333, Male: 51,024, Unknown: 286. The most frequently reported age groups are age 72 (2,236 reports), age 68 (2,221 reports), age 70 (2,203 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 109,610 classified reports for ACYCLOVIR:

  • Serious: 79,396 reports (72.4%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 30,214 reports (27.6%)
Serious 72.4%Non-Serious 27.6%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female51,333 (50.0%)
Male51,024 (49.7%)
Unknown286 (0.3%)

Reports by Age

Age 722,236 reports
Age 682,221 reports
Age 702,203 reports
Age 692,172 reports
Age 672,144 reports
Age 712,067 reports
Age 732,039 reports
Age 652,036 reports
Age 742,008 reports
Age 641,952 reports
Age 661,946 reports
Age 631,923 reports
Age 751,874 reports
Age 761,819 reports
Age 621,690 reports
Age 601,656 reports
Age 611,646 reports
Age 771,605 reports
Age 591,521 reports
Age 781,466 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Acyclovir can interact with other drugs, and warnings include potential for severe respiratory and gastrointestinal issues.

What You Should Know

If you are taking Acyclovir, here are important things to know. The most commonly reported side effects include fatigue, diarrhoea, off label use, pneumonia, nausea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor for signs of severe respiratory or gastrointestinal issues, especially in elderly patients. Be aware of potential drug interactions, particularly with immunosuppressants and antivirals. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

Regulatory oversight is ongoing, with a focus on monitoring serious adverse events and drug interactions.

Frequently Asked Questions

How many adverse event reports has the FDA received for Acyclovir?

The FDA has received approximately 186,079 adverse event reports associated with Acyclovir. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Acyclovir?

The most frequently reported adverse events for Acyclovir include Fatigue, Diarrhoea, Off Label Use, Pneumonia, Nausea. By volume, the top reported reactions are: Fatigue (7,611 reports), Diarrhoea (7,062 reports), Off Label Use (5,797 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Acyclovir.

What percentage of Acyclovir adverse event reports are serious?

Out of 109,610 classified reports, 79,396 (72.4%) were classified as serious and 30,214 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Acyclovir (by sex)?

Adverse event reports for Acyclovir break down by patient sex as follows: Female: 51,333, Male: 51,024, Unknown: 286. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Acyclovir?

The most frequently reported age groups for Acyclovir adverse events are: age 72: 2,236 reports, age 68: 2,221 reports, age 70: 2,203 reports, age 69: 2,172 reports, age 67: 2,144 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Acyclovir?

The primary manufacturer associated with Acyclovir adverse event reports is Bausch Health Us, Llc. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Acyclovir?

Beyond the most common reactions, other reported adverse events for Acyclovir include: Pyrexia, Death, Drug Ineffective, Rash, Dyspnoea. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Acyclovir?

You can report adverse events from Acyclovir to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Acyclovir's safety score and what does it mean?

Acyclovir has a safety concern score of 75 out of 100 (elevated concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Acyclovir reports include a high percentage of serious adverse events, particularly respiratory and gastrointestinal issues.

What are the key safety signals for Acyclovir?

Key safety signals identified in Acyclovir's adverse event data include: High percentage of serious reactions (72.4%). Common reactions include fatigue, diarrhea, and pneumonia. Death is one of the top reported reactions. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Acyclovir interact with other drugs?

Acyclovir can interact with other drugs, and warnings include potential for severe respiratory and gastrointestinal issues. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Acyclovir.

What should patients know before taking Acyclovir?

Monitor for signs of severe respiratory or gastrointestinal issues, especially in elderly patients. Be aware of potential drug interactions, particularly with immunosuppressants and antivirals.

Are Acyclovir side effects well-documented?

Acyclovir has 186,079 adverse event reports on file with the FDA. The most common reactions are fatigue, diarrhea, and pneumonia, indicating a broad range of potential side effects. The volume of reports for Acyclovir reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Acyclovir?

Regulatory oversight is ongoing, with a focus on monitoring serious adverse events and drug interactions. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to ACYCLOVIR based on therapeutic use, drug class, or shared indications:

ImmunosuppressantsAntiviralsAntibioticsNSAIDsAntifungals
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.