VANCOMYCIN

85/100 · Critical

Manufactured by Hikma Pharmaceuticals USA Inc.

High Safety Concerns with Vancomycin, Particularly Acute Kidney Injury and Sepsis

102,861 FDA adverse event reports analyzed

Last updated: 2026-05-12

About VANCOMYCIN

VANCOMYCIN is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Hikma Pharmaceuticals USA Inc.. Based on analysis of 102,861 FDA adverse event reports, VANCOMYCIN 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 VANCOMYCIN include DRUG INEFFECTIVE, ACUTE KIDNEY INJURY, OFF LABEL USE, PYREXIA, DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for VANCOMYCIN.

AI Safety Analysis

Vancomycin 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 102,861 adverse event reports for this medication, which is primarily manufactured by Hikma Pharmaceuticals Usa Inc..

The most commonly reported adverse events include Drug Ineffective, Acute Kidney Injury, Off Label Use. Of classified reports, 92.4% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Acute kidney injury and sepsis are the most frequently reported serious adverse events.

A high number of reports involve drug interactions and hypersensitivity reactions. Renal impairment and failure are significant safety concerns, especially in elderly patients.

Patients taking Vancomycin should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Vancomycin can interact with other antibiotics and may cause drug hypersensitivity reactions. Close monitoring is advised, especially in patients with pre-existing renal or hepatic impairment. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Vancomycin received a safety concern score of 85/100 (high concern). This is based on a 92.4% serious event ratio across 55,548 classified reports. The score accounts for 102,861 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

DRUG INEFFECTIVE6,107 reports
ACUTE KIDNEY INJURY4,178 reports
OFF LABEL USE3,965 reports
PYREXIA3,515 reports
DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS2,311 reports
RENAL FAILURE2,199 reports
SEPSIS2,062 reports
DIARRHOEA2,034 reports
PNEUMONIA1,907 reports
HYPOTENSION1,883 reports
RASH1,819 reports
CONDITION AGGRAVATED1,807 reports
DYSPNOEA1,607 reports
SEPTIC SHOCK1,558 reports
NAUSEA1,535 reports
THROMBOCYTOPENIA1,526 reports
PAIN1,481 reports
RESPIRATORY FAILURE1,376 reports
NEUTROPENIA1,317 reports
RENAL IMPAIRMENT1,301 reports
VOMITING1,288 reports
DEATH1,232 reports
CLOSTRIDIUM DIFFICILE INFECTION1,229 reports
DRUG INTERACTION1,205 reports
DRUG HYPERSENSITIVITY1,184 reports
FEBRILE NEUTROPENIA1,175 reports
ANAEMIA1,170 reports
RENAL FAILURE ACUTE1,081 reports
MULTIPLE ORGAN DYSFUNCTION SYNDROME1,079 reports
PRURITUS1,076 reports
ANXIETY1,063 reports
BLOOD CREATININE INCREASED1,029 reports
PANCYTOPENIA990 reports
PRODUCT USE IN UNAPPROVED INDICATION956 reports
FATIGUE914 reports
STAPHYLOCOCCAL INFECTION902 reports
ABDOMINAL PAIN871 reports
ASTHENIA870 reports
ERYTHEMA868 reports
TACHYCARDIA808 reports
NEPHROPATHY TOXIC800 reports
EOSINOPHILIA798 reports
RENAL TUBULAR NECROSIS776 reports
INFECTION767 reports
CARDIAC ARREST766 reports
TOXICITY TO VARIOUS AGENTS762 reports
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION757 reports
PLEURAL EFFUSION744 reports
MULTI ORGAN FAILURE743 reports
TOXIC EPIDERMAL NECROLYSIS731 reports
TREATMENT FAILURE719 reports
INJURY717 reports
TUBULOINTERSTITIAL NEPHRITIS715 reports
RASH MACULO PAPULAR700 reports
HEADACHE695 reports
PLATELET COUNT DECREASED674 reports
MALAISE663 reports
LEUKOPENIA661 reports
DRUG RESISTANCE646 reports
GENERAL PHYSICAL HEALTH DETERIORATION643 reports
CLOSTRIDIUM DIFFICILE COLITIS642 reports
RENAL INJURY641 reports
COUGH637 reports
HYPOXIA629 reports
CHRONIC KIDNEY DISEASE628 reports
URINARY TRACT INFECTION625 reports
CONFUSIONAL STATE620 reports
ATRIAL FIBRILLATION612 reports
UNEVALUABLE EVENT609 reports
ALANINE AMINOTRANSFERASE INCREASED604 reports
EMOTIONAL DISTRESS601 reports
DISEASE PROGRESSION596 reports
WEIGHT DECREASED585 reports
CHILLS583 reports
LINEAR IGA DISEASE582 reports
HYPERTENSION566 reports
CELLULITIS552 reports
OEDEMA PERIPHERAL543 reports
URTICARIA543 reports
DRUG LEVEL INCREASED538 reports
HYPOKALAEMIA538 reports
DIZZINESS537 reports
HYPERSENSITIVITY537 reports
HAEMOGLOBIN DECREASED526 reports
ENCEPHALOPATHY518 reports
DEHYDRATION515 reports
ASPARTATE AMINOTRANSFERASE INCREASED506 reports
WHITE BLOOD CELL COUNT DECREASED502 reports
PATHOGEN RESISTANCE501 reports
DEPRESSION491 reports
FEAR490 reports
ARTHRALGIA489 reports
ANAPHYLACTIC REACTION487 reports
ANHEDONIA481 reports
STEVENS JOHNSON SYNDROME478 reports
FALL477 reports
MENTAL STATUS CHANGES476 reports
LEUKOCYTOSIS475 reports
ACUTE RESPIRATORY DISTRESS SYNDROME473 reports
GASTROINTESTINAL HAEMORRHAGE473 reports

Key Safety Signals

  • Acute kidney injury and renal failure
  • Sepsis and septic shock
  • Drug hypersensitivity reactions

Patient Demographics

Adverse event reports by sex: Male: 27,010, Female: 22,834, Unknown: 278. The most frequently reported age groups are age 62 (1,042 reports), age 69 (969 reports), age 63 (959 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 55,548 classified reports for VANCOMYCIN:

  • Serious: 51,317 reports (92.4%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 4,231 reports (7.6%)
Serious 92.4%Non-Serious 7.6%

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

Male27,010 (53.9%)
Female22,834 (45.6%)
Unknown278 (0.6%)

Reports by Age

Age 621,042 reports
Age 69969 reports
Age 63959 reports
Age 67959 reports
Age 65933 reports
Age 60924 reports
Age 66919 reports
Age 61904 reports
Age 64904 reports
Age 59895 reports
Age 71890 reports
Age 57880 reports
Age 68874 reports
Age 58868 reports
Age 70860 reports
Age 55827 reports
Age 72821 reports
Age 56820 reports
Age 75764 reports
Age 54756 reports

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

Drug Interactions & Warnings

Vancomycin can interact with other antibiotics and may cause drug hypersensitivity reactions. Close monitoring is advised, especially in patients with pre-existing renal or hepatic impairment.

What You Should Know

If you are taking Vancomycin, here are important things to know. The most commonly reported side effects include drug ineffective, acute kidney injury, off label use, pyrexia, drug reaction with eosinophilia and systemic symptoms. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor renal function closely, especially in elderly patients and those with pre-existing renal impairment. Be aware of potential drug interactions and hypersensitivity reactions. 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 includes monitoring for severe renal and hepatic toxicity, as well as drug interactions. Regular monitoring of renal function is recommended, particularly in elderly patients.

Frequently Asked Questions

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

The FDA has received approximately 102,861 adverse event reports associated with Vancomycin. 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 Vancomycin?

The most frequently reported adverse events for Vancomycin include Drug Ineffective, Acute Kidney Injury, Off Label Use, Pyrexia, Drug Reaction With Eosinophilia And Systemic Symptoms. By volume, the top reported reactions are: Drug Ineffective (6,107 reports), Acute Kidney Injury (4,178 reports), Off Label Use (3,965 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Vancomycin.

What percentage of Vancomycin adverse event reports are serious?

Out of 55,548 classified reports, 51,317 (92.4%) were classified as serious and 4,231 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 Vancomycin (by sex)?

Adverse event reports for Vancomycin break down by patient sex as follows: Male: 27,010, Female: 22,834, Unknown: 278. 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 Vancomycin?

The most frequently reported age groups for Vancomycin adverse events are: age 62: 1,042 reports, age 69: 969 reports, age 63: 959 reports, age 67: 959 reports, age 65: 933 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 Vancomycin?

The primary manufacturer associated with Vancomycin adverse event reports is Hikma Pharmaceuticals Usa 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 Vancomycin?

Beyond the most common reactions, other reported adverse events for Vancomycin include: Renal Failure, Sepsis, Diarrhoea, Pneumonia, Hypotension. 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 Vancomycin?

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

Vancomycin 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. Acute kidney injury and sepsis are the most frequently reported serious adverse events.

What are the key safety signals for Vancomycin?

Key safety signals identified in Vancomycin's adverse event data include: Acute kidney injury and renal failure. Sepsis and septic shock. Drug hypersensitivity reactions. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Vancomycin interact with other drugs?

Vancomycin can interact with other antibiotics and may cause drug hypersensitivity reactions. Close monitoring is advised, especially in patients with pre-existing renal or hepatic impairment. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Vancomycin.

What should patients know before taking Vancomycin?

Monitor renal function closely, especially in elderly patients and those with pre-existing renal impairment. Be aware of potential drug interactions and hypersensitivity reactions.

Are Vancomycin side effects well-documented?

Vancomycin has 102,861 adverse event reports on file with the FDA. A high number of reports involve drug interactions and hypersensitivity reactions. The volume of reports for Vancomycin reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Vancomycin?

Regulatory oversight includes monitoring for severe renal and hepatic toxicity, as well as drug interactions. Regular monitoring of renal function is recommended, particularly in elderly patients. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

LinezolidDaptomycinTeicoplanin
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.