NITROFURANTOIN

85/100 · Critical

Manufactured by ANI Pharmaceuticals, Inc.

Nitrofurantoin Adverse Events: High Serious Reaction Rate

39,526 FDA adverse event reports analyzed

Last updated: 2026-05-12

About NITROFURANTOIN

NITROFURANTOIN is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by ANI Pharmaceuticals, Inc.. Based on analysis of 39,526 FDA adverse event reports, NITROFURANTOIN 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 NITROFURANTOIN include URINARY TRACT INFECTION, FATIGUE, NAUSEA, HEADACHE, PAIN. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for NITROFURANTOIN.

AI Safety Analysis

Nitrofurantoin 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 39,526 adverse event reports for this medication, which is primarily manufactured by Ani Pharmaceuticals, Inc..

The most commonly reported adverse events include Urinary Tract Infection, Fatigue, Nausea. Of classified reports, 80.4% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Nitrofurantoin reports include a high percentage of serious adverse events, particularly urinary tract infections and gastrointestinal issues.

The most common reactions are fatigue, nausea, and pain, but serious conditions like kidney injury and pneumonia are also reported. Reported reactions are diverse, with over 100 distinct reactions recorded, indicating a wide range of potential side effects. The majority of reports are from females, with a significant number of adverse events reported in older adults.

Patients taking Nitrofurantoin should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Nitrofurantoin can cause serious adverse events such as kidney injury and pneumonia. It is important to monitor patients, especially the elderly, for signs of these conditions and to avoid drug interactions, particularly with other antibiotics and an This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Nitrofurantoin received a safety concern score of 85/100 (high concern). This is based on a 80.4% serious event ratio across 15,763 classified reports. The score accounts for 39,526 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

URINARY TRACT INFECTION1,301 reports
FATIGUE1,240 reports
NAUSEA1,186 reports
HEADACHE1,102 reports
PAIN966 reports
DYSPNOEA950 reports
DIARRHOEA879 reports
RASH852 reports
MALAISE851 reports
VOMITING808 reports
PYREXIA796 reports
DIZZINESS788 reports
DRUG INEFFECTIVE746 reports
OFF LABEL USE691 reports
CHRONIC KIDNEY DISEASE588 reports
FALL585 reports
WEIGHT DECREASED576 reports
ARTHRALGIA544 reports
PAIN IN EXTREMITY540 reports
ASTHENIA533 reports
COUGH517 reports
ABDOMINAL PAIN514 reports
PRURITUS500 reports
DEPRESSION496 reports
PNEUMONIA480 reports
ANXIETY473 reports
ACUTE KIDNEY INJURY471 reports
DRUG HYPERSENSITIVITY469 reports
BACK PAIN445 reports
CONDITION AGGRAVATED432 reports
CONFUSIONAL STATE430 reports
ABDOMINAL PAIN UPPER404 reports
RENAL FAILURE391 reports
GAIT DISTURBANCE389 reports
FEELING ABNORMAL385 reports
DECREASED APPETITE373 reports
CHEST PAIN365 reports
CYSTITIS362 reports
ABDOMINAL DISCOMFORT345 reports
INSOMNIA342 reports
SOMNOLENCE338 reports
PALPITATIONS333 reports
MIGRAINE329 reports
COVID 19318 reports
HYPERHIDROSIS317 reports
CONSTIPATION314 reports
URTICARIA306 reports
MYALGIA303 reports
PARAESTHESIA301 reports
CHILLS299 reports
STRESS295 reports
PULMONARY EMBOLISM292 reports
HYPERSENSITIVITY291 reports
SWOLLEN TONGUE289 reports
DEATH284 reports
PRODUCT USE IN UNAPPROVED INDICATION283 reports
TREMOR280 reports
HYPOAESTHESIA276 reports
MUSCLE SPASMS267 reports
TINNITUS264 reports
MUSCULAR WEAKNESS259 reports
NASOPHARYNGITIS256 reports
PERIPHERAL SWELLING251 reports
SWELLING FACE251 reports
VISION BLURRED250 reports
HYPERTENSION247 reports
ARTHRITIS244 reports
DRUG INDUCED LIVER INJURY244 reports
HYPOTENSION241 reports
HALLUCINATION239 reports
DRUG INTERACTION236 reports
BLOOD PRESSURE INCREASED231 reports
CHEST DISCOMFORT229 reports
DEEP VEIN THROMBOSIS228 reports
DEHYDRATION228 reports
LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES226 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION225 reports
ALOPECIA217 reports
CEREBROVASCULAR ACCIDENT214 reports
ASTHMA210 reports
TUBULOINTERSTITIAL NEPHRITIS210 reports
NEUROPATHY PERIPHERAL203 reports
ERYTHEMA201 reports
JOINT SWELLING200 reports
OEDEMA PERIPHERAL199 reports
INJURY196 reports
WHEEZING192 reports
MEDICATION ERROR191 reports
INTENTIONAL PRODUCT USE ISSUE189 reports
VERTIGO189 reports
BALANCE DISORDER183 reports
JAUNDICE181 reports
INTERSTITIAL LUNG DISEASE177 reports
BRONCHITIS173 reports
DRUG INTOLERANCE173 reports
PRODUCTIVE COUGH173 reports
ANAEMIA172 reports
MYOCARDIAL INFARCTION172 reports
AGITATION171 reports
GASTROOESOPHAGEAL REFLUX DISEASE171 reports

Key Safety Signals

  • High percentage of serious adverse events (80.4%)
  • Multiple reports of kidney injury and pneumonia
  • Diverse range of reactions including neurological and cardiovascular issues
  • Significant number of reports involving falls and confusion in elderly patients

Patient Demographics

Adverse event reports by sex: Female: 12,216, Male: 2,275, Unknown: 26. The most frequently reported age groups are age 53 (335 reports), age 69 (285 reports), age 61 (272 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 15,763 classified reports for NITROFURANTOIN:

  • Serious: 12,680 reports (80.4%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 3,083 reports (19.6%)
Serious 80.4%Non-Serious 19.6%

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

Female12,216 (84.1%)
Male2,275 (15.7%)
Unknown26 (0.2%)

Reports by Age

Age 53335 reports
Age 69285 reports
Age 61272 reports
Age 73270 reports
Age 75270 reports
Age 63259 reports
Age 72257 reports
Age 68250 reports
Age 71249 reports
Age 74246 reports
Age 77238 reports
Age 64236 reports
Age 70233 reports
Age 79233 reports
Age 60227 reports
Age 76227 reports
Age 81225 reports
Age 65213 reports
Age 78212 reports
Age 57209 reports

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

Drug Interactions & Warnings

Nitrofurantoin can cause serious adverse events such as kidney injury and pneumonia. It is important to monitor patients, especially the elderly, for signs of these conditions and to avoid drug interactions, particularly with other antibiotics and an

What You Should Know

If you are taking Nitrofurantoin, here are important things to know. The most commonly reported side effects include urinary tract infection, fatigue, nausea, headache, pain. 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 kidney injury and pneumonia, especially in elderly patients. Be aware of potential drug interactions, particularly with other antibiotics and anticoagulants. 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 Nitrofurantoin for safety. Healthcare providers should report any adverse events to the FDA's MedWatch program.

Frequently Asked Questions

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

The FDA has received approximately 39,526 adverse event reports associated with Nitrofurantoin. 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 Nitrofurantoin?

The most frequently reported adverse events for Nitrofurantoin include Urinary Tract Infection, Fatigue, Nausea, Headache, Pain. By volume, the top reported reactions are: Urinary Tract Infection (1,301 reports), Fatigue (1,240 reports), Nausea (1,186 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Nitrofurantoin.

What percentage of Nitrofurantoin adverse event reports are serious?

Out of 15,763 classified reports, 12,680 (80.4%) were classified as serious and 3,083 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 Nitrofurantoin (by sex)?

Adverse event reports for Nitrofurantoin break down by patient sex as follows: Female: 12,216, Male: 2,275, Unknown: 26. 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 Nitrofurantoin?

The most frequently reported age groups for Nitrofurantoin adverse events are: age 53: 335 reports, age 69: 285 reports, age 61: 272 reports, age 73: 270 reports, age 75: 270 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 Nitrofurantoin?

The primary manufacturer associated with Nitrofurantoin adverse event reports is Ani Pharmaceuticals, 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 Nitrofurantoin?

Beyond the most common reactions, other reported adverse events for Nitrofurantoin include: Dyspnoea, Diarrhoea, Rash, Malaise, Vomiting. 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 Nitrofurantoin?

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

Nitrofurantoin 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. Nitrofurantoin reports include a high percentage of serious adverse events, particularly urinary tract infections and gastrointestinal issues.

What are the key safety signals for Nitrofurantoin?

Key safety signals identified in Nitrofurantoin's adverse event data include: High percentage of serious adverse events (80.4%). Multiple reports of kidney injury and pneumonia. Diverse range of reactions including neurological and cardiovascular issues. Significant number of reports involving falls and confusion in elderly patients. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Nitrofurantoin interact with other drugs?

Nitrofurantoin can cause serious adverse events such as kidney injury and pneumonia. It is important to monitor patients, especially the elderly, for signs of these conditions and to avoid drug interactions, particularly with other antibiotics and an Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Nitrofurantoin.

What should patients know before taking Nitrofurantoin?

Monitor for signs of kidney injury and pneumonia, especially in elderly patients. Be aware of potential drug interactions, particularly with other antibiotics and anticoagulants.

Are Nitrofurantoin side effects well-documented?

Nitrofurantoin has 39,526 adverse event reports on file with the FDA. The most common reactions are fatigue, nausea, and pain, but serious conditions like kidney injury and pneumonia are also reported. The volume of reports for Nitrofurantoin reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Nitrofurantoin?

The FDA continues to monitor Nitrofurantoin for safety. Healthcare providers should report any adverse events to the FDA's MedWatch program. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

AmoxicillinCiprofloxacinLevofloxacinWarfarinClindamycin
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.