RIBAVIRIN

78/100 · Elevated

Manufactured by Bausch Health US, LLC

Ribavirin Adverse Events: High Incidence of Serious Hematological and Gastrointestinal Reactions

157,291 FDA adverse event reports analyzed

Last updated: 2026-05-12

About RIBAVIRIN

RIBAVIRIN is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Bausch Health US, LLC. Based on analysis of 157,291 FDA adverse event reports, RIBAVIRIN 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 RIBAVIRIN include FATIGUE, ANAEMIA, NAUSEA, RASH, HEADACHE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for RIBAVIRIN.

AI Safety Analysis

Ribavirin 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 157,291 adverse event reports for this medication, which is primarily manufactured by Bausch Health Us, Llc.

The most commonly reported adverse events include Fatigue, Anaemia, Nausea. Of classified reports, 59.3% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Ribavirin is associated with a high incidence of serious hematological reactions such as anemia and leukopenia.

Gastrointestinal symptoms like nausea, vomiting, and diarrhea are commonly reported. The drug is linked to a range of serious reactions including hepatic failure and renal impairment.

Patients taking Ribavirin should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Ribavirin can cause significant hematological and renal side effects, and caution is advised when used with other drugs that may affect these systems. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 78/100

Ribavirin received a safety concern score of 78/100 (high concern). This is based on a 59.3% serious event ratio across 63,882 classified reports. The score accounts for 157,291 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

FATIGUE9,551 reports
ANAEMIA8,365 reports
NAUSEA7,421 reports
RASH5,358 reports
HEADACHE4,783 reports
PRURITUS4,636 reports
VOMITING3,806 reports
DIARRHOEA3,739 reports
ASTHENIA3,613 reports
PYREXIA3,581 reports
WHITE BLOOD CELL COUNT DECREASED3,443 reports
INSOMNIA3,434 reports
DYSPNOEA3,325 reports
DECREASED APPETITE3,268 reports
DRUG INEFFECTIVE3,210 reports
DIZZINESS2,860 reports
HAEMOGLOBIN DECREASED2,628 reports
WEIGHT DECREASED2,586 reports
DEPRESSION2,576 reports
PLATELET COUNT DECREASED2,563 reports
INFLUENZA LIKE ILLNESS2,304 reports
HEPATITIS C2,229 reports
PAIN2,229 reports
MALAISE2,028 reports
CHILLS2,002 reports
ANORECTAL DISCOMFORT1,651 reports
ARTHRALGIA1,500 reports
COUGH1,498 reports
ALOPECIA1,444 reports
DYSGEUSIA1,382 reports
MYALGIA1,370 reports
ANXIETY1,331 reports
THROMBOCYTOPENIA1,325 reports
NEUTROPENIA1,273 reports
RASH PRURITIC1,246 reports
ABDOMINAL PAIN1,238 reports
OFF LABEL USE1,203 reports
ASCITES1,173 reports
IRRITABILITY1,128 reports
DEHYDRATION1,122 reports
DRY SKIN1,090 reports
RED BLOOD CELL COUNT DECREASED1,055 reports
ABDOMINAL PAIN UPPER1,030 reports
PNEUMONIA1,022 reports
HAEMORRHOIDS986 reports
HEPATIC FAILURE981 reports
TREATMENT FAILURE966 reports
HEPATOCELLULAR CARCINOMA963 reports
DRUG DOSE OMISSION957 reports
FEELING ABNORMAL935 reports
NEUTROPHIL COUNT DECREASED895 reports
BACK PAIN874 reports
VISION BLURRED872 reports
BLOOD BILIRUBIN INCREASED867 reports
CHEST PAIN864 reports
RASH GENERALISED855 reports
LEUKOPENIA844 reports
DRUG INTERACTION843 reports
HEPATIC CIRRHOSIS825 reports
ANAL PRURITUS819 reports
PANCYTOPENIA813 reports
CONFUSIONAL STATE790 reports
DRY MOUTH779 reports
SYNCOPE775 reports
SEPSIS760 reports
CONSTIPATION733 reports
PAIN IN EXTREMITY704 reports
FALL698 reports
SOMNOLENCE677 reports
MEMORY IMPAIRMENT651 reports
DEATH638 reports
OEDEMA PERIPHERAL637 reports
RENAL IMPAIRMENT623 reports
RENAL FAILURE618 reports
MUSCLE SPASMS616 reports
EPISTAXIS600 reports
JAUNDICE599 reports
ABDOMINAL DISCOMFORT566 reports
TREMOR566 reports
WEIGHT INCREASED560 reports
DYSPEPSIA558 reports
PRURITUS GENERALISED547 reports
LOSS OF CONSCIOUSNESS531 reports
HYPERHIDROSIS521 reports
INJECTION SITE ERYTHEMA516 reports
URINARY TRACT INFECTION515 reports
ABDOMINAL DISTENSION513 reports
HEPATIC ENCEPHALOPATHY507 reports
PROCTALGIA503 reports
ALANINE AMINOTRANSFERASE INCREASED501 reports
HYPERBILIRUBINAEMIA489 reports
STOMATITIS487 reports
SUICIDAL IDEATION487 reports
LETHARGY486 reports
OROPHARYNGEAL PAIN475 reports
MOOD SWINGS473 reports
HYPOTENSION470 reports
BLOOD PRESSURE INCREASED450 reports
RECTAL HAEMORRHAGE449 reports
HAEMATEMESIS445 reports

Key Safety Signals

  • High frequency of serious hematological reactions (anemia, leukopenia, thrombocytopenia)
  • Common gastrointestinal symptoms (nausea, vomiting, diarrhea)
  • Reports of serious hepatic and renal reactions

Patient Demographics

Adverse event reports by sex: Male: 33,394, Female: 24,734, Unknown: 866. The most frequently reported age groups are age 57 (1,711 reports), age 54 (1,636 reports), age 59 (1,614 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 63,882 classified reports for RIBAVIRIN:

  • Serious: 37,913 reports (59.3%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 25,969 reports (40.7%)
Serious 59.3%Non-Serious 40.7%

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

Male33,394 (56.6%)
Female24,734 (41.9%)
Unknown866 (1.5%)

Reports by Age

Age 571,711 reports
Age 541,636 reports
Age 591,614 reports
Age 551,612 reports
Age 561,605 reports
Age 601,599 reports
Age 581,592 reports
Age 531,544 reports
Age 521,517 reports
Age 611,449 reports
Age 511,401 reports
Age 501,393 reports
Age 621,316 reports
Age 491,162 reports
Age 631,132 reports
Age 641,079 reports
Age 481,028 reports
Age 65916 reports
Age 47877 reports
Age 46763 reports

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

Drug Interactions & Warnings

Ribavirin can cause significant hematological and renal side effects, and caution is advised when used with other drugs that may affect these systems.

What You Should Know

If you are taking Ribavirin, here are important things to know. The most commonly reported side effects include fatigue, anaemia, nausea, rash, headache. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor blood counts and liver function regularly during treatment with Ribavirin. Be cautious when combining Ribavirin with other drugs that may affect hematopoiesis or renal function. 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 for serious adverse events, particularly hematological and renal issues.

Frequently Asked Questions

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

The FDA has received approximately 157,291 adverse event reports associated with Ribavirin. 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 Ribavirin?

The most frequently reported adverse events for Ribavirin include Fatigue, Anaemia, Nausea, Rash, Headache. By volume, the top reported reactions are: Fatigue (9,551 reports), Anaemia (8,365 reports), Nausea (7,421 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Ribavirin.

What percentage of Ribavirin adverse event reports are serious?

Out of 63,882 classified reports, 37,913 (59.3%) were classified as serious and 25,969 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 Ribavirin (by sex)?

Adverse event reports for Ribavirin break down by patient sex as follows: Male: 33,394, Female: 24,734, Unknown: 866. 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 Ribavirin?

The most frequently reported age groups for Ribavirin adverse events are: age 57: 1,711 reports, age 54: 1,636 reports, age 59: 1,614 reports, age 55: 1,612 reports, age 56: 1,605 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 Ribavirin?

The primary manufacturer associated with Ribavirin 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 Ribavirin?

Beyond the most common reactions, other reported adverse events for Ribavirin include: Pruritus, Vomiting, Diarrhoea, Asthenia, Pyrexia. 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 Ribavirin?

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

Ribavirin 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. Ribavirin is associated with a high incidence of serious hematological reactions such as anemia and leukopenia.

What are the key safety signals for Ribavirin?

Key safety signals identified in Ribavirin's adverse event data include: High frequency of serious hematological reactions (anemia, leukopenia, thrombocytopenia). Common gastrointestinal symptoms (nausea, vomiting, diarrhea). Reports of serious hepatic and renal reactions. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Ribavirin interact with other drugs?

Ribavirin can cause significant hematological and renal side effects, and caution is advised when used with other drugs that may affect these systems. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Ribavirin.

What should patients know before taking Ribavirin?

Monitor blood counts and liver function regularly during treatment with Ribavirin. Be cautious when combining Ribavirin with other drugs that may affect hematopoiesis or renal function.

Are Ribavirin side effects well-documented?

Ribavirin has 157,291 adverse event reports on file with the FDA. Gastrointestinal symptoms like nausea, vomiting, and diarrhea are commonly reported. The volume of reports for Ribavirin reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Ribavirin?

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

Related Drugs

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

Interferon alfaRibavirinAmantadineZidovudineAdefovir dipivoxil
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.