Reported Reactions

Drugs › Aminoglycoside antibacterial

Generic name

Amikacin sulfate: adverse event reports filed with FDA

828 reports list it as a suspect or interacting product, 2004–2026. Class: Aminoglycoside antibacterial. Also reported as Amikacin Sulfate Injection Usp.

828
reports as suspect product
0% of all reports · about 37 a year
49
reports, 12 months to June 2026
68 in the 12 months before
93.5%
marked serious by the reporter
80.3% across the class
19.4%
record death among outcomes, as reported
161 reports · not verified by FDA

Between February 2004 and June 2026, 828 adverse event reports received by FDA list amikacin sulfate, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (880) are left out of every figure here.

In the 12 months to June 2026, 49 reports listed it, down 28% from 68 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 37 reports a year and 0% of the 20,646,523 reports in the database, and 2.2% of the reports for the aminoglycoside antibacterial class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are drug ineffective (14.3%), off label use (9.1%) and pyrexia (8.9%). A report can list several reactions, so shares add to more than 100%; 328 different terms appear across these reports. Drug ineffective is recorded in 14.3% of these reports, a larger share than in the median aminoglycoside antibacterial drug (7.1%).

93.5% of the reports are marked serious by the reporter (80.3% across the class); 19.4% record death among the outcomes and 44.1% record hospitalisation, as reported. 46.7% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (23.8%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

0714Jul 2021: 2Aug 2021: 1Sep 2021: 3Oct 2021: 2Nov 2021: 10Dec 2021: 32022Jan 2022: 6Feb 2022: 2Mar 2022: 11Apr 2022: 8May 2022: 7Jun 2022: 7Jul 2022: 4Aug 2022: 9Sep 2022: 4Oct 2022: 2Nov 2022: 5Dec 2022: 42023Jan 2023: 2Feb 2023: 3Mar 2023: 2Apr 2023: 1May 2023: 2Jun 2023: 8Jul 2023: 1Aug 2023: 2Sep 2023: 2Oct 2023: 3Nov 2023: 14Dec 2023: 102024Jan 2024: 3Feb 2024: 10Mar 2024: 5Apr 2024: 3May 2024: 10Jun 2024: 4Jul 2024: 9Aug 2024: 7Sep 2024: 4Oct 2024: 5Nov 2024: 12Dec 2024: 82025Jan 2025: 7Feb 2025: 2Mar 2025: 2Apr 2025: 4May 2025: 4Jun 2025: 4Jul 2025: 3Aug 2025: 5Sep 2025: 2Oct 2025: 3Nov 2025: 3Dec 2025: 102026Jan 2026: 4Feb 2026: 6Mar 2026: 2Apr 2026: 2May 2026: 4Jun 2026: 5

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

0571142004: 1320042005: 92006: 102007: 1920072008: 222009: 192010: 1820102011: 232012: 152013: 1020132014: 92015: 82016: 2620162017: 262018: 812019: 11420192020: 802021: 552022: 6920222023: 502024: 802025: 4920252026: 23

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Amikacin sulfate reports recording the termmedian drug in aminoglycoside antibacterial

  1. Drug ineffectivethe medicine did not work as expected14.3%118
  2. Off label useused for a purpose or in a way not on the label9.1%75
  3. Pyrexiafever8.9%74
  4. Acute kidney injurysudden loss of kidney function5.2%43
  5. Condition aggravatedthe condition being treated got worse5.1%42
  6. Nauseafeeling sick5.1%42
  7. Vomitingbeing sick3.9%32
  8. Thrombocytopenialow platelets3.7%31
  9. Dyspnoeashortness of breath3.6%30
  10. Product use in unapproved indicationused for a purpose not on the label3.4%28
  11. Ototoxicity3%25
  12. Diarrhoealoose or frequent stools2.9%24
  13. Drug interactionan interaction between medicines2.9%24
  14. Sepsisa severe body-wide response to infection2.9%24
  15. Somnolencedrowsiness2.9%24
  16. Deafnesshearing loss2.5%21
  17. General physical health deteriorationgeneral decline in health2.5%21
  18. Heart rate increaseda fast heart rate reading2.5%21
  19. Performance status decreased2.5%21
  20. Multiple organ dysfunction syndromeseveral organs failing2.4%20
  21. Deaththe patient died; cause not stated by this term2.3%19
  22. Dizzinesslight-headedness or unsteadiness2.3%19
  23. Rashskin rash2.3%19
  24. Neutropenialow neutrophils, a type of white blood cell2.2%18
  25. Astheniaweakness or lack of energy2.1%17
  26. Chest painchest pain2.1%17

Top 30 of 328 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 15 drugs in the aminoglycoside antibacterial class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death19.4%161
Life-threatening11.7%97
Hospitalisation (initial or prolonged)44.1%365
Disability6.3%52
Congenital anomaly0.2%2
Other serious59.8%495
Not serious6.5%54

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 37,840 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 25.4%45
2 to 116.2%51
12 to 173.6%30
18 to 4419%157
45 to 6423.8%197
65 to 7411.2%93
75 and over12%99
Age not given18.8%156

Patient sex

Female38.2%316
Male50.7%420
Not given11.1%92

Who reported

Physician35.7%296
Pharmacist4.7%39
Other health professional46.7%387
Lawyer0.1%1
Consumer or non-health professional10.4%86
Not given2.3%19

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 19.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Mycobacterium abscessus infection445.3%
Tuberculosis384.6%
Mycobacterium avium complex infection344.1%
Infection313.7%
Sepsis263.1%
Pneumonia172.1%

The indication field is filled in by the reporter and is often blank; shares are of all 828 reports.

In context

MeasureAmikacin sulfateAminoglycoside antibacterialAll reports
Reports as suspect product82837,84020,646,523
Share of that pool—2.2%0%
Reports, latest 12 months49—1,332,454
Marked serious93.5%80.3%57.4%
Death recorded among outcomes, per 1,000 reports19417391
Hospitalisation recorded, per 1,000 reports441415213
Consumer-filed share10.4%31.9%45.8%
Top term, share of reportsDrug ineffective 14.3%median 7.1%6.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the aminoglycoside antibacterial class

DrugName typeReportsLatest 12 monthsMarked serious
Arikaycebrand6,47171468.7%
Gentamicingeneric5,59128594.7%
Amikacingeneric5,38053191.9%
Tobramycingeneric4,82738883.4%
Tobibrand3,7021282.7%
TOBI Podhalerbrand2,6494072.7%
Bethkisbrand1,9316257.5%
Gentamicin sulfategeneric1,6386783.5%
Neomycinbrand1,11025692.7%
TobraDexbrand9618873.9%
Neomycin sulfategeneric7705759.4%
Streptomycingeneric692889.6%
Kitabis Pakbrand6576873.2%
Bacitracingeneric633622.6%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Amikacin sulfate reports

How many adverse event reports has FDA received for Amikacin sulfate?

828 reports list Amikacin sulfate as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 49 of them arrived in the latest 12 months. Another 880 list it only as a concomitant medication.

What reactions are recorded in Amikacin sulfate reports?

drug ineffective (14.3%), off label use (9.1%), pyrexia (8.9%), drug resistance (6.2%) and acute kidney injury (5.2%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Amikacin sulfate was responsible.

How serious are the reports?

93.5% are marked serious by the reporter. Among the outcomes recorded, 19.4% of reports include death and 44.1% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

other health professional (46.7%), physician (35.7%) and consumer or non-health professional (10.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Amikacin sulfate rising?

49 reports in the 12 months to June 2026, down 28% from 68 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Amikacin sulfate was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Amikacin sulfate?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Amikacin sulfate as a suspect or interacting product; reports listing it only as a concomitant medication (880) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.