Reported Reactions

Drugs › Aminoglycoside antibacterial

Brand name · Amikacin

Arikayce: adverse event reports filed with FDA

6,471 reports list it as a suspect or interacting product, 2018–2026. Class: Aminoglycoside antibacterial.

6,471
reports as suspect product
0% of all reports · about 801 a year
714
reports, 12 months to June 2026
1,015 in the 12 months before
68.7%
marked serious by the reporter
80.3% across the class
17%
record death among outcomes, as reported
1,100 reports · not verified by FDA

6,471 adverse event reports received by FDA list the brand name Arikayce (amikacin) as a suspect or interacting product, from June 2018 to June 2026. A further 135 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 714 reports listed it, down 30% from 1,015 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 801 reports a year and 0% of the 20,646,523 reports in the database, and 17.1% 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 cough (23.6%), therapy interrupted (21.6%) and hospitalisation (21.2%). A report can list several reactions, so shares add to more than 100%; 692 different terms appear across these reports. Cough is recorded in 23.6% of these reports, a larger share than in the median aminoglycoside antibacterial drug (2.3%).

68.7% of the reports are marked serious by the reporter (80.3% across the class); 17% record death among the outcomes and 39.1% record hospitalisation, as reported. 73.8% of the reports came from consumers, and the largest patient age group is 65 to 74 (12.7%). 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

0123246Jul 2021: 88Aug 2021: 42Sep 2021: 33Oct 2021: 63Nov 2021: 40Dec 2021: 532022Jan 2022: 34Feb 2022: 24Mar 2022: 46Apr 2022: 54May 2022: 52Jun 2022: 43Jul 2022: 46Aug 2022: 57Sep 2022: 36Oct 2022: 47Nov 2022: 150Dec 2022: 502023Jan 2023: 38Feb 2023: 63Mar 2023: 46Apr 2023: 49May 2023: 48Jun 2023: 43Jul 2023: 53Aug 2023: 71Sep 2023: 69Oct 2023: 73Nov 2023: 234Dec 2023: 642024Jan 2024: 64Feb 2024: 75Mar 2024: 69Apr 2024: 92May 2024: 66Jun 2024: 66Jul 2024: 78Aug 2024: 67Sep 2024: 79Oct 2024: 80Nov 2024: 235Dec 2024: 832025Jan 2025: 59Feb 2025: 44Mar 2025: 82Apr 2025: 95May 2025: 57Jun 2025: 56Jul 2025: 30Aug 2025: 50Sep 2025: 42Oct 2025: 51Nov 2025: 246Dec 2025: 512026Jan 2026: 29Feb 2026: 39Mar 2026: 63Apr 2026: 37May 2026: 33Jun 2026: 43

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

06241,2472018: 2320182019: 1,24720192020: 99520202021: 55520212022: 63920222023: 85120232024: 1,05420242025: 86320252026: 2442026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Arikayce reports recording the termmedian drug in aminoglycoside antibacterial

  1. Coughcough23.6%1,527
  2. Hospitalisationadmission to hospital21.2%1,371
  3. Dyspnoeashortness of breath20.6%1,335
  4. Off label useused for a purpose or in a way not on the label16.4%1,059
  5. Dysphoniaa hoarse voice15.5%1,003
  6. Deaththe patient died; cause not stated by this term14.7%953
  7. Product dose omission issuea dose was missed11.6%753
  8. Fatiguetiredness9.6%624
  9. Productive cougha cough with phlegm8.8%567
  10. Aphonia7.8%502
  11. Drug ineffectivethe medicine did not work as expected7.1%460
  12. Haemoptysiscoughing up blood5.9%379
  13. Malaisegeneral feeling of being unwell5.7%371
  14. Nauseafeeling sick5.4%347
  15. Pneumonialung infection5.2%339
  16. Astheniaweakness or lack of energy5.2%338
  17. Diarrhoealoose or frequent stools5.1%328
  18. Weight decreasedweight loss4.8%312
  19. Device issuea problem with the device4.8%309
  20. Oropharyngeal painsore throat4.7%307
  21. Adverse drug reactiona harmful or unpleasant reaction reported to a medicine4.6%298
  22. Illness4.4%286
  23. Headachehead pain3.9%253
  24. Decreased appetitereduced appetite3.7%240
  25. Dizzinesslight-headedness or unsteadiness3.7%240
  26. Mycobacterium avium complex infection3.7%240

Top 30 of 692 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

Death17%1,100
Life-threatening0.6%38
Hospitalisation (initial or prolonged)39.1%2,530
Disability0.5%33
Congenital anomaly0%1
Other serious33.8%2,190
Not serious31.3%2,026

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 20%0
2 to 110.1%6
12 to 170.3%18
18 to 442.4%155
45 to 649.6%619
65 to 7412.7%824
75 and over12.2%791
Age not given62.7%4,058

Patient sex

Female61.9%4,005
Male31.1%2,012
Not given7%454

Who reported

Physician9.8%635
Pharmacist2.8%183
Other health professional13.5%872
Lawyer0%0
Consumer or non-health professional73.8%4,774
Not given0.1%7

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 87.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Mycobacterium avium complex infection2,39337%
Mycobacterial infection1,37521.2%
Atypical mycobacterial infection1532.4%
Mycobacterium abscessus infection1021.6%
Cystic fibrosis580.9%
Bronchiectasis470.7%

The indication field is filled in by the reporter and is often blank; shares are of all 6,471 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Arikayce reports
Ethambutol5448.4%
Azithromycin5258.1%
Rifampin4607.1%
Albuterol3525.4%
Amikacin1692.6%
Clarithromycin1622.5%
Clofazimine1462.3%
Sodium chloride1322%
Oxygen1302%
Azithromycin Anhydrous1131.7%

Other products listed in reports where Arikayce is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureArikayceAminoglycoside antibacterialAll reports
Reports as suspect product6,47137,84020,646,523
Share of that pool—17.1%0%
Reports, latest 12 months714—1,332,454
Marked serious68.7%80.3%57.4%
Death recorded among outcomes, per 1,000 reports17017391
Hospitalisation recorded, per 1,000 reports391415213
Consumer-filed share73.8%31.9%45.8%
Top term, share of reportsCough 23.6%median 2.3%1.3%

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
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%
Amikacin sulfategeneric8284993.5%
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 Arikayce reports

How many adverse event reports has FDA received for Arikayce?

6,471 reports list Arikayce as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 714 of them arrived in the latest 12 months. Another 135 list it only as a concomitant medication.

What reactions are recorded in Arikayce reports?

cough (23.6%), therapy interrupted (21.6%), hospitalisation (21.2%), dyspnoea (20.6%) and off label use (16.4%). 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 Arikayce was responsible.

How serious are the reports?

68.7% are marked serious by the reporter. Among the outcomes recorded, 17% of reports include death and 39.1% 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?

consumer or non-health professional (73.8%), other health professional (13.5%) and physician (9.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Arikayce rising?

714 reports in the 12 months to June 2026, down 30% from 1,015 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 Arikayce 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 Arikayce?

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 Arikayce as a suspect or interacting product; reports listing it only as a concomitant medication (135) 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.