VANCOMYCIN HYDROCHLORIDE

85/100 · Critical

Manufactured by Hikma Pharmaceuticals USA Inc.

High Safety Concerns with Vancomycin Hydrochloride, Particularly Acute Kidney Injury and Infections

116,197 FDA adverse event reports analyzed

Last updated: 2026-05-12

About VANCOMYCIN HYDROCHLORIDE

VANCOMYCIN HYDROCHLORIDE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Hikma Pharmaceuticals USA Inc.. Based on analysis of 116,197 FDA adverse event reports, VANCOMYCIN HYDROCHLORIDE 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 HYDROCHLORIDE 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 HYDROCHLORIDE.

AI Safety Analysis

Vancomycin Hydrochloride 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 116,197 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, 92.0% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Acute kidney injury is a major safety concern, with 4,706 reports.

Infections, including pneumonia and sepsis, are frequent adverse events. Drug ineffectiveness and off-label use are also significant issues.

Patients taking Vancomycin Hydrochloride should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Vancomycin Hydrochloride can cause severe drug interactions, including with other antibiotics, and should be used with caution. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Vancomycin Hydrochloride received a safety concern score of 85/100 (high concern). This is based on a 92.0% serious event ratio across 63,331 classified reports. The score accounts for 116,197 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 INEFFECTIVE6,910 reports
ACUTE KIDNEY INJURY4,706 reports
OFF LABEL USE4,434 reports
PYREXIA3,954 reports
DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS2,607 reports
RENAL FAILURE2,437 reports
SEPSIS2,348 reports
DIARRHOEA2,319 reports
PNEUMONIA2,198 reports
RASH2,139 reports
HYPOTENSION2,122 reports
CONDITION AGGRAVATED2,064 reports
DYSPNOEA1,823 reports
SEPTIC SHOCK1,759 reports
NAUSEA1,736 reports
THROMBOCYTOPENIA1,690 reports
PAIN1,610 reports
RESPIRATORY FAILURE1,535 reports
RENAL IMPAIRMENT1,486 reports
DRUG HYPERSENSITIVITY1,471 reports
NEUTROPENIA1,454 reports
VOMITING1,438 reports
CLOSTRIDIUM DIFFICILE INFECTION1,407 reports
DEATH1,381 reports
FEBRILE NEUTROPENIA1,342 reports
ANAEMIA1,332 reports
DRUG INTERACTION1,318 reports
PRURITUS1,281 reports
MULTIPLE ORGAN DYSFUNCTION SYNDROME1,198 reports
RENAL FAILURE ACUTE1,191 reports
BLOOD CREATININE INCREASED1,179 reports
ANXIETY1,143 reports
PANCYTOPENIA1,124 reports
PRODUCT USE IN UNAPPROVED INDICATION1,074 reports
FATIGUE1,057 reports
ERYTHEMA1,007 reports
STAPHYLOCOCCAL INFECTION990 reports
ASTHENIA981 reports
ABDOMINAL PAIN979 reports
INFECTION913 reports
TACHYCARDIA911 reports
EOSINOPHILIA909 reports
NEPHROPATHY TOXIC881 reports
CARDIAC ARREST868 reports
RENAL TUBULAR NECROSIS862 reports
PLEURAL EFFUSION850 reports
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION845 reports
PLATELET COUNT DECREASED832 reports
TOXIC EPIDERMAL NECROLYSIS829 reports
HEADACHE817 reports
TOXICITY TO VARIOUS AGENTS813 reports
TREATMENT FAILURE811 reports
TUBULOINTERSTITIAL NEPHRITIS804 reports
RASH MACULO PAPULAR798 reports
MULTI ORGAN FAILURE792 reports
MALAISE763 reports
LEUKOPENIA745 reports
COUGH732 reports
DRUG RESISTANCE732 reports
INJURY732 reports
URINARY TRACT INFECTION726 reports
ALANINE AMINOTRANSFERASE INCREASED715 reports
GENERAL PHYSICAL HEALTH DETERIORATION715 reports
CLOSTRIDIUM DIFFICILE COLITIS710 reports
HYPOXIA707 reports
CONFUSIONAL STATE699 reports
CHRONIC KIDNEY DISEASE698 reports
WEIGHT DECREASED689 reports
DISEASE PROGRESSION679 reports
ATRIAL FIBRILLATION675 reports
HYPERTENSION675 reports
RENAL INJURY675 reports
HYPERSENSITIVITY669 reports
LINEAR IGA DISEASE662 reports
URTICARIA658 reports
CHILLS653 reports
WHITE BLOOD CELL COUNT DECREASED637 reports
HYPOKALAEMIA628 reports
UNEVALUABLE EVENT622 reports
ANAPHYLACTIC REACTION621 reports
EMOTIONAL DISTRESS614 reports
HAEMOGLOBIN DECREASED612 reports
CELLULITIS610 reports
DIZZINESS606 reports
OEDEMA PERIPHERAL597 reports
DRUG LEVEL INCREASED593 reports
ENCEPHALOPATHY593 reports
ASPARTATE AMINOTRANSFERASE INCREASED579 reports
DEHYDRATION567 reports
BACK PAIN552 reports
GASTROINTESTINAL HAEMORRHAGE545 reports
STEVENS JOHNSON SYNDROME541 reports
DEPRESSION537 reports
ARTHRALGIA536 reports
FALL533 reports
PATHOGEN RESISTANCE533 reports
ACUTE RESPIRATORY DISTRESS SYNDROME532 reports
METABOLIC ACIDOSIS523 reports
DECREASED APPETITE514 reports
DISSEMINATED INTRAVASCULAR COAGULATION504 reports

Key Safety Signals

  • Acute kidney injury
  • Infections (pneumonia, sepsis)
  • Drug ineffectiveness and off-label use

Patient Demographics

Adverse event reports by sex: Male: 30,695, Female: 25,974, Unknown: 340. The most frequently reported age groups are age 62 (1,189 reports), age 63 (1,091 reports), age 67 (1,087 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 63,331 classified reports for VANCOMYCIN HYDROCHLORIDE:

  • Serious: 58,261 reports (92.0%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 5,070 reports (8.0%)
Serious 92.0%Non-Serious 8.0%

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

Male30,695 (53.8%)
Female25,974 (45.6%)
Unknown340 (0.6%)

Reports by Age

Age 621,189 reports
Age 631,091 reports
Age 671,087 reports
Age 691,087 reports
Age 651,049 reports
Age 601,033 reports
Age 611,029 reports
Age 711,026 reports
Age 641,016 reports
Age 661,007 reports
Age 591,004 reports
Age 68991 reports
Age 57989 reports
Age 70981 reports
Age 72956 reports
Age 58948 reports
Age 55924 reports
Age 56897 reports
Age 75871 reports
Age 73857 reports

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

Drug Interactions & Warnings

Vancomycin Hydrochloride can cause severe drug interactions, including with other antibiotics, and should be used with caution.

What You Should Know

If you are taking Vancomycin Hydrochloride, 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 kidney function closely, especially in elderly patients. Use the drug only for approved indications and under close medical supervision. 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 frequent updates to safety information and warnings.

Frequently Asked Questions

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

The FDA has received approximately 116,197 adverse event reports associated with Vancomycin Hydrochloride. 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 Hydrochloride?

The most frequently reported adverse events for Vancomycin Hydrochloride 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 (6,910 reports), Acute Kidney Injury (4,706 reports), Off Label Use (4,434 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 Hydrochloride.

What percentage of Vancomycin Hydrochloride adverse event reports are serious?

Out of 63,331 classified reports, 58,261 (92.0%) were classified as serious and 5,070 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 Hydrochloride (by sex)?

Adverse event reports for Vancomycin Hydrochloride break down by patient sex as follows: Male: 30,695, Female: 25,974, Unknown: 340. 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 Hydrochloride?

The most frequently reported age groups for Vancomycin Hydrochloride adverse events are: age 62: 1,189 reports, age 63: 1,091 reports, age 67: 1,087 reports, age 69: 1,087 reports, age 65: 1,049 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 Hydrochloride?

The primary manufacturer associated with Vancomycin Hydrochloride 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 Hydrochloride?

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

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

Vancomycin Hydrochloride 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 is a major safety concern, with 4,706 reports.

What are the key safety signals for Vancomycin Hydrochloride?

Key safety signals identified in Vancomycin Hydrochloride's adverse event data include: Acute kidney injury. Infections (pneumonia, sepsis). Drug ineffectiveness and off-label use. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Vancomycin Hydrochloride interact with other drugs?

Vancomycin Hydrochloride can cause severe drug interactions, including with other antibiotics, and should be used with caution. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Vancomycin Hydrochloride.

What should patients know before taking Vancomycin Hydrochloride?

Monitor kidney function closely, especially in elderly patients. Use the drug only for approved indications and under close medical supervision.

Are Vancomycin Hydrochloride side effects well-documented?

Vancomycin Hydrochloride has 116,197 adverse event reports on file with the FDA. Infections, including pneumonia and sepsis, are frequent adverse events. The volume of reports for Vancomycin Hydrochloride reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Vancomycin Hydrochloride?

Regulatory oversight is ongoing, with frequent updates to safety information and warnings. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

AmoxicillinCeftriaxoneCiprofloxacinAzithromycinClindamycin
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.