CYTARABINE

85/100 · Critical

Manufactured by Fresenius Kabi USA, LLC

High Safety Concerns with Cytarabine, Particularly for Serious Reactions

108,092 FDA adverse event reports analyzed

Last updated: 2026-05-12

About CYTARABINE

CYTARABINE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Fresenius Kabi USA, LLC. Based on analysis of 108,092 FDA adverse event reports, CYTARABINE has a safety score of 85 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 CYTARABINE include FEBRILE NEUTROPENIA, OFF LABEL USE, PYREXIA, NEUTROPENIA, DRUG INEFFECTIVE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for CYTARABINE.

AI Safety Analysis

Cytarabine has a safety concern score of 85 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 108,092 adverse event reports for this medication, which is primarily manufactured by Fresenius Kabi Usa, Llc.

The most commonly reported adverse events include Febrile Neutropenia, Off Label Use, Pyrexia. Of classified reports, 97.4% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Cytarabine is associated with a high frequency of serious adverse reactions, including sepsis, pneumonia, and death.

The drug is frequently reported to cause hematological toxicity, including neutropenia and thrombocytopenia. There is a significant risk of infection, with multiple reports of sepsis and pneumonia.

Patients taking Cytarabine should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Cytarabine can interact with other drugs, and warnings include potential for hematological and infectious complications. Patients should be monitored closely for signs of toxicity and infection. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Cytarabine received a safety concern score of 85/100 (high concern). This is based on a 97.4% serious event ratio across 57,676 classified reports. The score accounts for 108,092 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

FEBRILE NEUTROPENIA7,376 reports
OFF LABEL USE4,870 reports
PYREXIA4,012 reports
NEUTROPENIA3,559 reports
DRUG INEFFECTIVE3,063 reports
SEPSIS2,897 reports
THROMBOCYTOPENIA2,835 reports
DISEASE PROGRESSION2,693 reports
PNEUMONIA2,258 reports
PANCYTOPENIA2,055 reports
DEATH1,995 reports
MYELOSUPPRESSION1,951 reports
SEPTIC SHOCK1,828 reports
NAUSEA1,809 reports
ANAEMIA1,765 reports
INFECTION1,756 reports
PRODUCT USE IN UNAPPROVED INDICATION1,735 reports
DIARRHOEA1,731 reports
VOMITING1,701 reports
MUCOSAL INFLAMMATION1,699 reports
PLATELET COUNT DECREASED1,608 reports
HYPOTENSION1,461 reports
ACUTE MYELOID LEUKAEMIA1,285 reports
RESPIRATORY FAILURE1,232 reports
WHITE BLOOD CELL COUNT DECREASED1,231 reports
ACUTE KIDNEY INJURY1,200 reports
BONE MARROW FAILURE1,197 reports
HEADACHE1,027 reports
ABDOMINAL PAIN993 reports
NEUTROPHIL COUNT DECREASED943 reports
DYSPNOEA937 reports
MYELODYSPLASTIC SYNDROME893 reports
PLEURAL EFFUSION856 reports
MALIGNANT NEOPLASM PROGRESSION854 reports
MULTIPLE ORGAN DYSFUNCTION SYNDROME842 reports
ALANINE AMINOTRANSFERASE INCREASED824 reports
RENAL FAILURE822 reports
HAEMOGLOBIN DECREASED813 reports
TOXICITY TO VARIOUS AGENTS789 reports
TACHYCARDIA787 reports
RASH785 reports
ASTHENIA762 reports
HAEMATOTOXICITY750 reports
STOMATITIS737 reports
FATIGUE731 reports
BACTERIAL INFECTION730 reports
FEBRILE BONE MARROW APLASIA728 reports
COLITIS716 reports
FUNGAL INFECTION711 reports
NEUROPATHY PERIPHERAL710 reports
BRONCHOPULMONARY ASPERGILLOSIS705 reports
NEUROTOXICITY699 reports
LEUKOPENIA698 reports
VENOOCCLUSIVE LIVER DISEASE694 reports
DRUG INTERACTION644 reports
BLOOD BILIRUBIN INCREASED636 reports
ASPARTATE AMINOTRANSFERASE INCREASED633 reports
CYTOKINE RELEASE SYNDROME618 reports
CHILLS609 reports
HYPOXIA607 reports
BACTERAEMIA606 reports
NEOPLASM PROGRESSION603 reports
COVID 19585 reports
COUGH573 reports
TUMOUR LYSIS SYNDROME571 reports
CLOSTRIDIUM DIFFICILE COLITIS568 reports
DECREASED APPETITE567 reports
CONDITION AGGRAVATED557 reports
HYPERBILIRUBINAEMIA546 reports
STAPHYLOCOCCAL INFECTION546 reports
HYPERTENSION544 reports
GENERAL PHYSICAL HEALTH DETERIORATION531 reports
HYPOKALAEMIA526 reports
HEPATOTOXICITY518 reports
CARDIAC FAILURE516 reports
CYTOPENIA510 reports
ACUTE RESPIRATORY DISTRESS SYNDROME507 reports
BLOOD LACTATE DEHYDROGENASE INCREASED502 reports
DISEASE RECURRENCE498 reports
DIFFUSE LARGE B CELL LYMPHOMA491 reports
ASPERGILLUS INFECTION487 reports
PRODUCT USE ISSUE487 reports
CARDIAC ARREST480 reports
CYTOMEGALOVIRUS INFECTION479 reports
POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME477 reports
ENCEPHALOPATHY471 reports
CELLULITIS470 reports
RESPIRATORY DISTRESS469 reports
ACUTE MYELOID LEUKAEMIA RECURRENT468 reports
THERAPY NON RESPONDER463 reports
MULTI ORGAN FAILURE459 reports
DIFFUSE LARGE B CELL LYMPHOMA RECURRENT458 reports
PAIN458 reports
SEIZURE452 reports
ATRIAL FIBRILLATION451 reports
NEUTROPENIC SEPSIS450 reports
BLOOD CREATININE INCREASED421 reports
BLOOD CULTURE POSITIVE416 reports
SECOND PRIMARY MALIGNANCY414 reports
PULMONARY OEDEMA412 reports

Key Safety Signals

  • Severe hematological toxicity is a key safety signal, with multiple reports of neutropenia, thrombocytopenia, and pancytopenia.
  • Infections, particularly sepsis and pneumonia, are frequent and serious adverse events.
  • Death is a notable adverse event, with 1,995 reports of fatalities.

Patient Demographics

Adverse event reports by sex: Male: 27,268, Female: 19,772, Unknown: 609. The most frequently reported age groups are age 63 (811 reports), age 15 (808 reports), age 64 (798 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 57,676 classified reports for CYTARABINE:

  • Serious: 56,197 reports (97.4%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 1,479 reports (2.6%)
Serious 97.4%Non-Serious 2.6%

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

Male27,268 (57.2%)
Female19,772 (41.5%)
Unknown609 (1.3%)

Reports by Age

Age 63811 reports
Age 15808 reports
Age 64798 reports
Age 3796 reports
Age 65796 reports
Age 59792 reports
Age 68780 reports
Age 12742 reports
Age 4738 reports
Age 16738 reports
Age 5725 reports
Age 58719 reports
Age 62715 reports
Age 66711 reports
Age 57709 reports
Age 56708 reports
Age 14696 reports
Age 7694 reports
Age 60691 reports
Age 67691 reports

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

Drug Interactions & Warnings

Cytarabine can interact with other drugs, and warnings include potential for hematological and infectious complications. Patients should be monitored closely for signs of toxicity and infection.

What You Should Know

If you are taking Cytarabine, here are important things to know. The most commonly reported side effects include febrile neutropenia, off label use, pyrexia, neutropenia, drug ineffective. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should be closely monitored for signs of hematological toxicity and infections, as these are common and can be severe. Inform healthcare providers of any pre-existing conditions or concurrent medications to avoid potential drug interactions. 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 Cytarabine for safety, particularly for hematological and infectious complications. Healthcare providers should follow the latest guidelines and report any adverse events.

Frequently Asked Questions

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

The FDA has received approximately 108,092 adverse event reports associated with Cytarabine. 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 Cytarabine?

The most frequently reported adverse events for Cytarabine include Febrile Neutropenia, Off Label Use, Pyrexia, Neutropenia, Drug Ineffective. By volume, the top reported reactions are: Febrile Neutropenia (7,376 reports), Off Label Use (4,870 reports), Pyrexia (4,012 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Cytarabine.

What percentage of Cytarabine adverse event reports are serious?

Out of 57,676 classified reports, 56,197 (97.4%) were classified as serious and 1,479 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 Cytarabine (by sex)?

Adverse event reports for Cytarabine break down by patient sex as follows: Male: 27,268, Female: 19,772, Unknown: 609. 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 Cytarabine?

The most frequently reported age groups for Cytarabine adverse events are: age 63: 811 reports, age 15: 808 reports, age 64: 798 reports, age 3: 796 reports, age 65: 796 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 Cytarabine?

The primary manufacturer associated with Cytarabine adverse event reports is Fresenius Kabi Usa, 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 Cytarabine?

Beyond the most common reactions, other reported adverse events for Cytarabine include: Sepsis, Thrombocytopenia, Disease Progression, Pneumonia, Pancytopenia. 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 Cytarabine?

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

Cytarabine has a safety concern score of 85 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. Cytarabine is associated with a high frequency of serious adverse reactions, including sepsis, pneumonia, and death.

What are the key safety signals for Cytarabine?

Key safety signals identified in Cytarabine's adverse event data include: Severe hematological toxicity is a key safety signal, with multiple reports of neutropenia, thrombocytopenia, and pancytopenia.. Infections, particularly sepsis and pneumonia, are frequent and serious adverse events.. Death is a notable adverse event, with 1,995 reports of fatalities.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Cytarabine interact with other drugs?

Cytarabine can interact with other drugs, and warnings include potential for hematological and infectious complications. Patients should be monitored closely for signs of toxicity and infection. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Cytarabine.

What should patients know before taking Cytarabine?

Patients should be closely monitored for signs of hematological toxicity and infections, as these are common and can be severe. Inform healthcare providers of any pre-existing conditions or concurrent medications to avoid potential drug interactions.

Are Cytarabine side effects well-documented?

Cytarabine has 108,092 adverse event reports on file with the FDA. The drug is frequently reported to cause hematological toxicity, including neutropenia and thrombocytopenia. The volume of reports for Cytarabine reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Cytarabine?

The FDA continues to monitor Cytarabine for safety, particularly for hematological and infectious complications. Healthcare providers should follow the latest guidelines and report any adverse events. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

VincristineDaunorubicinCytarabineFludarabineG-CSF
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.