AZITHROMYCIN DIHYDRATE

78/100 · Elevated

Manufactured by Aurobindo Pharma Limited

Highly Reported Adverse Reactions for Azithromycin Dihydrate

126,693 FDA adverse event reports analyzed

Last updated: 2026-05-12

About AZITHROMYCIN DIHYDRATE

AZITHROMYCIN DIHYDRATE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Aurobindo Pharma Limited. Based on analysis of 126,693 FDA adverse event reports, AZITHROMYCIN DIHYDRATE has a safety score of 78 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 DIHYDRATE 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 DIHYDRATE.

AI Safety Analysis

Azithromycin Dihydrate has a safety concern score of 78 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 126,693 adverse event reports for this medication, which is primarily manufactured by Aurobindo Pharma Limited.

The most commonly reported adverse events include Off Label Use, Drug Ineffective, Dyspnoea. Of classified reports, 74.9% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Serious reactions such as pneumonia, dyspnoea, and renal failure are frequently reported.

A significant number of reports involve off-label use and drug ineffectiveness. The majority of reactions are non-serious, but serious reactions are concerning.

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

Safety Score: 78/100

Azithromycin Dihydrate received a safety concern score of 78/100 (high concern). This is based on a 74.9% serious event ratio across 55,390 classified reports. The score accounts for 126,693 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 USE4,747 reports
DRUG INEFFECTIVE4,697 reports
DYSPNOEA4,325 reports
NAUSEA3,252 reports
PAIN3,156 reports
PNEUMONIA3,003 reports
DRUG HYPERSENSITIVITY2,926 reports
COUGH2,863 reports
DIARRHOEA2,802 reports
FATIGUE2,691 reports
HEADACHE2,454 reports
PYREXIA2,276 reports
ANXIETY2,208 reports
VOMITING2,160 reports
ASTHMA2,038 reports
CONDITION AGGRAVATED2,014 reports
CHRONIC KIDNEY DISEASE1,971 reports
RASH1,880 reports
MALAISE1,816 reports
ACUTE KIDNEY INJURY1,730 reports
DIZZINESS1,670 reports
WEIGHT DECREASED1,614 reports
ASTHENIA1,582 reports
WHEEZING1,552 reports
ABDOMINAL PAIN1,513 reports
PRODUCT USE IN UNAPPROVED INDICATION1,470 reports
RENAL FAILURE1,463 reports
DRUG INTERACTION1,324 reports
PRURITUS1,296 reports
DEATH1,259 reports
CHEST PAIN1,235 reports
SINUSITIS1,209 reports
ARTHRALGIA1,205 reports
DEPRESSION1,183 reports
ANAEMIA1,165 reports
PAIN IN EXTREMITY1,163 reports
GASTROOESOPHAGEAL REFLUX DISEASE1,156 reports
COVID 191,125 reports
PRODUCTIVE COUGH1,107 reports
BRONCHITIS1,090 reports
FALL1,067 reports
HYPERTENSION1,049 reports
EMOTIONAL DISTRESS1,043 reports
HYPERSENSITIVITY1,027 reports
PULMONARY EMBOLISM1,027 reports
ABDOMINAL PAIN UPPER1,015 reports
NASOPHARYNGITIS1,000 reports
INJURY998 reports
INSOMNIA997 reports
BACK PAIN976 reports
URTICARIA973 reports
CONSTIPATION960 reports
CHEST DISCOMFORT949 reports
INFECTION927 reports
PRODUCT DOSE OMISSION ISSUE926 reports
CHRONIC OBSTRUCTIVE PULMONARY DISEASE896 reports
THERAPEUTIC PRODUCT EFFECT INCOMPLETE884 reports
ERYTHEMA861 reports
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION835 reports
DECREASED APPETITE833 reports
OEDEMA PERIPHERAL812 reports
HYPOTENSION798 reports
WEIGHT INCREASED791 reports
UPPER RESPIRATORY TRACT INFECTION778 reports
INFLUENZA775 reports
LUNG DISORDER748 reports
MATERNAL EXPOSURE DURING PREGNANCY747 reports
URINARY TRACT INFECTION725 reports
DRUG INTOLERANCE722 reports
LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES722 reports
TREMOR719 reports
FEELING ABNORMAL717 reports
RESPIRATORY FAILURE703 reports
HAEMOPTYSIS695 reports
DYSPEPSIA679 reports
OROPHARYNGEAL PAIN679 reports
DEEP VEIN THROMBOSIS665 reports
ABDOMINAL DISCOMFORT650 reports
PALPITATIONS632 reports
GAIT DISTURBANCE624 reports
HYPOXIA615 reports
OBSTRUCTIVE AIRWAYS DISORDER611 reports
GENERAL PHYSICAL HEALTH DETERIORATION608 reports
MUSCLE SPASMS606 reports
ANHEDONIA597 reports
MACULAR DEGENERATION597 reports
BLOOD PRESSURE INCREASED595 reports
ELECTROCARDIOGRAM QT PROLONGED592 reports
DYSPHONIA589 reports
NASAL CONGESTION582 reports
RHINORRHOEA577 reports
END STAGE RENAL DISEASE575 reports
HEART RATE INCREASED575 reports
FULL BLOOD COUNT ABNORMAL573 reports
SEPSIS573 reports
ATRIAL FIBRILLATION571 reports
ILLNESS568 reports
DEHYDRATION565 reports
DYSPNOEA EXERTIONAL564 reports
HYPERHIDROSIS546 reports

Key Safety Signals

  • Pneumonia and dyspnoea are the most common serious reactions.
  • Off-label use and drug ineffectiveness are significant safety signals.
  • Renal failure and acute kidney injury are also notable safety concerns.

Patient Demographics

Adverse event reports by sex: Female: 31,269, Male: 19,695, Unknown: 169. The most frequently reported age groups are age 65 (924 reports), age 60 (805 reports), age 62 (741 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 55,390 classified reports for AZITHROMYCIN DIHYDRATE:

  • Serious: 41,511 reports (74.9%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 13,879 reports (25.1%)
Serious 74.9%Non-Serious 25.1%

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

Female31,269 (61.2%)
Male19,695 (38.5%)
Unknown169 (0.3%)

Reports by Age

Age 65924 reports
Age 60805 reports
Age 62741 reports
Age 64739 reports
Age 61736 reports
Age 63707 reports
Age 71702 reports
Age 69676 reports
Age 72672 reports
Age 58652 reports
Age 67649 reports
Age 68645 reports
Age 57630 reports
Age 74619 reports
Age 59611 reports
Age 55604 reports
Age 75602 reports
Age 54594 reports
Age 52590 reports
Age 66589 reports

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

Drug Interactions & Warnings

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

What You Should Know

If you are taking Azithromycin Dihydrate, 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. Follow prescribed dosages and indications strictly to avoid off-label use and drug ineffectiveness. Monitor for signs of serious reactions such as dyspnoea and renal failure, and report any adverse events to healthcare providers. 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

The FDA continues to monitor the safety of azithromycin dihydrate, and regulatory actions may be taken based on ongoing data analysis.

Frequently Asked Questions

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

The FDA has received approximately 126,693 adverse event reports associated with Azithromycin Dihydrate. 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 Dihydrate?

The most frequently reported adverse events for Azithromycin Dihydrate include Off Label Use, Drug Ineffective, Dyspnoea, Nausea, Pain. By volume, the top reported reactions are: Off Label Use (4,747 reports), Drug Ineffective (4,697 reports), Dyspnoea (4,325 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 Dihydrate.

What percentage of Azithromycin Dihydrate adverse event reports are serious?

Out of 55,390 classified reports, 41,511 (74.9%) were classified as serious and 13,879 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 Dihydrate (by sex)?

Adverse event reports for Azithromycin Dihydrate break down by patient sex as follows: Female: 31,269, Male: 19,695, Unknown: 169. 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 Dihydrate?

The most frequently reported age groups for Azithromycin Dihydrate adverse events are: age 65: 924 reports, age 60: 805 reports, age 62: 741 reports, age 64: 739 reports, age 61: 736 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 Dihydrate?

The primary manufacturer associated with Azithromycin Dihydrate adverse event reports is Aurobindo Pharma Limited. 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 Dihydrate?

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

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

Azithromycin Dihydrate has a safety concern score of 78 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. Serious reactions such as pneumonia, dyspnoea, and renal failure are frequently reported.

What are the key safety signals for Azithromycin Dihydrate?

Key safety signals identified in Azithromycin Dihydrate's adverse event data include: Pneumonia and dyspnoea are the most common serious reactions.. Off-label use and drug ineffectiveness are significant safety signals.. Renal failure and acute kidney injury are also notable safety concerns.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Azithromycin Dihydrate interact with other drugs?

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

What should patients know before taking Azithromycin Dihydrate?

Follow prescribed dosages and indications strictly to avoid off-label use and drug ineffectiveness. Monitor for signs of serious reactions such as dyspnoea and renal failure, and report any adverse events to healthcare providers.

Are Azithromycin Dihydrate side effects well-documented?

Azithromycin Dihydrate has 126,693 adverse event reports on file with the FDA. A significant number of reports involve off-label use and drug ineffectiveness. The volume of reports for Azithromycin Dihydrate reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Azithromycin Dihydrate?

The FDA continues to monitor the safety of azithromycin dihydrate, and regulatory actions may be taken based on ongoing data analysis. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

AmoxicillinCiprofloxacinMetronidazole
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.