AZITHROMYCIN

82/100 · Critical

Manufactured by AiPing Pharmaceutical, Inc.

Azithromycin Adverse Events Show High Seriousness and Diverse Reactions

88,134 FDA adverse event reports analyzed

Last updated: 2026-05-12

About AZITHROMYCIN

AZITHROMYCIN is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by AiPing Pharmaceutical, Inc.. Based on analysis of 88,134 FDA adverse event reports, AZITHROMYCIN has a safety score of 82 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 AZITHROMYCIN include OFF LABEL USE, DRUG INEFFECTIVE, DYSPNOEA, NAUSEA, PAIN. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for AZITHROMYCIN.

AI Safety Analysis

Azithromycin has a safety concern score of 82 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 88,134 adverse event reports for this medication, which is primarily manufactured by Aiping Pharmaceutical, Inc..

The most commonly reported adverse events include Off Label Use, Drug Ineffective, Dyspnoea. Of classified reports, 78.6% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. High percentage of serious adverse events (78.6%) indicates significant safety concerns.

Diverse range of reactions, including respiratory, gastrointestinal, and cardiovascular issues. Common reactions like nausea, pain, and cough are frequently reported.

Patients taking Azithromycin should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Azithromycin can interact with other drugs, leading to adverse effects. Warnings include drug interactions and potential exacerbation of certain conditions. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 82/100

Azithromycin received a safety concern score of 82/100 (high concern). This is based on a 78.6% serious event ratio across 37,352 classified reports. The score accounts for 88,134 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

OFF LABEL USE3,915 reports
DRUG INEFFECTIVE3,661 reports
DYSPNOEA3,059 reports
NAUSEA2,232 reports
PAIN2,206 reports
PNEUMONIA2,087 reports
COUGH2,030 reports
DIARRHOEA1,825 reports
FATIGUE1,756 reports
HEADACHE1,659 reports
CONDITION AGGRAVATED1,627 reports
ASTHMA1,592 reports
PYREXIA1,529 reports
ANXIETY1,458 reports
VOMITING1,372 reports
CHRONIC KIDNEY DISEASE1,368 reports
ACUTE KIDNEY INJURY1,294 reports
WHEEZING1,210 reports
PRODUCT USE IN UNAPPROVED INDICATION1,179 reports
RASH1,173 reports
MALAISE1,169 reports
WEIGHT DECREASED1,124 reports
DIZZINESS1,055 reports
ABDOMINAL PAIN1,020 reports
ASTHENIA992 reports
DRUG INTERACTION976 reports
DRUG HYPERSENSITIVITY964 reports
RENAL FAILURE931 reports
COVID 19881 reports
GASTROOESOPHAGEAL REFLUX DISEASE871 reports
DEATH862 reports
PRURITUS861 reports
PRODUCTIVE COUGH849 reports
ANAEMIA806 reports
PRODUCT DOSE OMISSION ISSUE794 reports
ARTHRALGIA765 reports
THERAPEUTIC PRODUCT EFFECT INCOMPLETE751 reports
PAIN IN EXTREMITY748 reports
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION740 reports
CHEST PAIN729 reports
EMOTIONAL DISTRESS714 reports
DEPRESSION699 reports
CONSTIPATION698 reports
FALL691 reports
PULMONARY EMBOLISM679 reports
CHEST DISCOMFORT677 reports
HYPERTENSION670 reports
ABDOMINAL PAIN UPPER667 reports
MATERNAL EXPOSURE DURING PREGNANCY666 reports
CHRONIC OBSTRUCTIVE PULMONARY DISEASE660 reports
INFECTION660 reports
HYPERSENSITIVITY658 reports
SINUSITIS654 reports
LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES652 reports
NASOPHARYNGITIS640 reports
INJURY630 reports
INSOMNIA611 reports
ERYTHEMA608 reports
DRUG INTOLERANCE605 reports
LUNG DISORDER592 reports
BACK PAIN590 reports
URTICARIA585 reports
DECREASED APPETITE566 reports
BRONCHITIS558 reports
HYPOTENSION556 reports
OBSTRUCTIVE AIRWAYS DISORDER555 reports
HAEMOPTYSIS554 reports
FULL BLOOD COUNT ABNORMAL550 reports
INFLUENZA550 reports
OEDEMA PERIPHERAL537 reports
WEIGHT INCREASED528 reports
RESPIRATORY FAILURE520 reports
UPPER RESPIRATORY TRACT INFECTION498 reports
SLEEP DISORDER DUE TO A GENERAL MEDICAL CONDITION488 reports
URINARY TRACT INFECTION487 reports
HYPOXIA485 reports
ELECTROCARDIOGRAM QT PROLONGED482 reports
BRONCHIECTASIS471 reports
DYSPEPSIA468 reports
MACULAR DEGENERATION467 reports
GENERAL PHYSICAL HEALTH DETERIORATION456 reports
ILLNESS456 reports
TREMOR455 reports
ANHEDONIA444 reports
OROPHARYNGEAL PAIN438 reports
FOETAL EXPOSURE DURING PREGNANCY436 reports
DEEP VEIN THROMBOSIS429 reports
GAIT DISTURBANCE427 reports
DYSPNOEA EXERTIONAL425 reports
SEPSIS421 reports
DYSPHONIA415 reports
FEELING ABNORMAL412 reports
ABDOMINAL DISCOMFORT410 reports
NASAL CONGESTION410 reports
END STAGE RENAL DISEASE402 reports
PREMATURE BABY401 reports
RHINORRHOEA395 reports
ATRIAL FIBRILLATION390 reports
OXYGEN SATURATION DECREASED385 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION381 reports

Key Safety Signals

  • High number of serious reactions (29,377 out of 37,352, 78.6%)
  • Multiple respiratory issues including pneumonia, wheezing, and pulmonary embolism
  • Cardiovascular concerns such as hypotension and QT prolongation

Patient Demographics

Adverse event reports by sex: Female: 20,280, Male: 13,838, Unknown: 93. The most frequently reported age groups are age 65 (637 reports), age 60 (599 reports), age 61 (539 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 37,352 classified reports for AZITHROMYCIN:

  • Serious: 29,377 reports (78.6%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 7,975 reports (21.4%)
Serious 78.6%Non-Serious 21.4%

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

Female20,280 (59.3%)
Male13,838 (40.4%)
Unknown93 (0.3%)

Reports by Age

Age 65637 reports
Age 60599 reports
Age 61539 reports
Age 64530 reports
Age 63524 reports
Age 71515 reports
Age 62510 reports
Age 74460 reports
Age 67459 reports
Age 69459 reports
Age 52453 reports
Age 75444 reports
Age 54442 reports
Age 72442 reports
Age 57431 reports
Age 68430 reports
Age 58425 reports
Age 55416 reports
Age 41408 reports
Age 66408 reports

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

Drug Interactions & Warnings

Azithromycin can interact with other drugs, leading to adverse effects. Warnings include drug interactions and potential exacerbation of certain conditions.

What You Should Know

If you are taking Azithromycin, here are important things to know. The most commonly reported side effects include off label use, drug ineffective, dyspnoea, nausea, pain. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Always follow prescribed dosages and instructions from healthcare providers. Report any serious adverse events to the FDA or your healthcare provider immediately. 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 ensuring proper use of the drug.

Frequently Asked Questions

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

The FDA has received approximately 88,134 adverse event reports associated with Azithromycin. 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 Azithromycin?

The most frequently reported adverse events for Azithromycin include Off Label Use, Drug Ineffective, Dyspnoea, Nausea, Pain. By volume, the top reported reactions are: Off Label Use (3,915 reports), Drug Ineffective (3,661 reports), Dyspnoea (3,059 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Azithromycin.

What percentage of Azithromycin adverse event reports are serious?

Out of 37,352 classified reports, 29,377 (78.6%) were classified as serious and 7,975 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 Azithromycin (by sex)?

Adverse event reports for Azithromycin break down by patient sex as follows: Female: 20,280, Male: 13,838, Unknown: 93. 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 Azithromycin?

The most frequently reported age groups for Azithromycin adverse events are: age 65: 637 reports, age 60: 599 reports, age 61: 539 reports, age 64: 530 reports, age 63: 524 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 Azithromycin?

The primary manufacturer associated with Azithromycin adverse event reports is Aiping Pharmaceutical, Inc.. 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 Azithromycin?

Beyond the most common reactions, other reported adverse events for Azithromycin include: Pneumonia, Cough, Diarrhoea, Fatigue, Headache. 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 Azithromycin?

You can report adverse events from Azithromycin 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 Azithromycin's safety score and what does it mean?

Azithromycin has a safety concern score of 82 out of 100 (high 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. High percentage of serious adverse events (78.6%) indicates significant safety concerns.

What are the key safety signals for Azithromycin?

Key safety signals identified in Azithromycin's adverse event data include: High number of serious reactions (29,377 out of 37,352, 78.6%). Multiple respiratory issues including pneumonia, wheezing, and pulmonary embolism. Cardiovascular concerns such as hypotension and QT prolongation. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Azithromycin interact with other drugs?

Azithromycin can interact with other drugs, leading to adverse effects. Warnings include drug interactions and potential exacerbation of certain conditions. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Azithromycin.

What should patients know before taking Azithromycin?

Always follow prescribed dosages and instructions from healthcare providers. Report any serious adverse events to the FDA or your healthcare provider immediately.

Are Azithromycin side effects well-documented?

Azithromycin has 88,134 adverse event reports on file with the FDA. Diverse range of reactions, including respiratory, gastrointestinal, and cardiovascular issues. The volume of reports for Azithromycin reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Azithromycin?

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

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Related Drugs

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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.