Reported Reactions

Drugs

Product name as reported

Azithromycin Anhydrous: adverse event reports filed with FDA

12,701 reports list it as a suspect or interacting product, 2006–2026.

12,701
reports as suspect product
0.1% of all reports · about 635 a year
114
reports, 12 months to June 2026
169 in the 12 months before
80%
marked serious by the reporter
57.4% across all reports
9.4%
record death among outcomes, as reported
1,199 reports · not verified by FDA

12,701 adverse event reports received by FDA list the product name "Azithromycin Anhydrous" as reporters wrote it as a suspect or interacting product, from July 2006 to June 2026. A further 22,958 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, 114 reports listed it, down 33% from 169 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 635 reports a year and 0.1% of the 20,646,523 reports in the database. 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 off label use (26%), drug ineffective (11.3%) and drug hypersensitivity (9.4%). A report can list several reactions, so shares add to more than 100%; 1,692 different terms appear across these reports. Off label use is recorded in 26% of these reports, against 4.1% of all reports in the database.

80% of the reports are marked serious by the reporter; 9.4% record death among the outcomes and 30.9% record hospitalisation, as reported. 49.8% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (23.4%). 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

0165330Jul 2021: 281Aug 2021: 330Sep 2021: 285Oct 2021: 272Nov 2021: 17Dec 2021: 142022Jan 2022: 11Feb 2022: 16Mar 2022: 18Apr 2022: 17May 2022: 5Jun 2022: 12Jul 2022: 8Aug 2022: 14Sep 2022: 7Oct 2022: 5Nov 2022: 20Dec 2022: 102023Jan 2023: 15Feb 2023: 13Mar 2023: 7Apr 2023: 18May 2023: 16Jun 2023: 9Jul 2023: 11Aug 2023: 18Sep 2023: 36Oct 2023: 24Nov 2023: 19Dec 2023: 232024Jan 2024: 19Feb 2024: 18Mar 2024: 20Apr 2024: 33May 2024: 18Jun 2024: 6Jul 2024: 10Aug 2024: 19Sep 2024: 20Oct 2024: 15Nov 2024: 13Dec 2024: 92025Jan 2025: 11Feb 2025: 24Mar 2025: 20Apr 2025: 7May 2025: 3Jun 2025: 18Jul 2025: 23Aug 2025: 12Sep 2025: 15Oct 2025: 6Nov 2025: 8Dec 2025: 122026Jan 2026: 11Feb 2026: 10Mar 2026: 6Apr 2026: 5May 2026: 4Jun 2026: 2

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

01,8313,6612006: 120062007: 62008: 22009: 320092010: 12011: 22012: 520122013: 82014: 192015: 6520152016: 8172017: 8622018: 1,58220182019: 1,6942020: 3,6612021: 3,22420212022: 1432023: 2092024: 20020242025: 1592026: 38

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Azithromycin Anhydrous reports recording the termall reports in the database

  1. Off label useused for a purpose or in a way not on the label26%3,303
  2. Drug ineffectivethe medicine did not work as expected11.3%1,441
  3. Drug hypersensitivityan allergic-type reaction to a medicine9.4%1,189
  4. Dyspnoeashortness of breath6.4%814
  5. Product use in unapproved indicationused for a purpose not on the label5%634
  6. Drug interactionan interaction between medicines4.9%621
  7. Asthmaasthma4.8%614
  8. Nauseafeeling sick4.8%614
  9. Condition aggravatedthe condition being treated got worse4.7%595
  10. Electrocardiogram QT prolongeda QT prolongation on the ECG4.5%568
  11. Diarrhoealoose or frequent stools4.4%559
  12. Coughcough4%507
  13. Wheezingwheezing3.7%475
  14. Pyrexiafever3.5%446
  15. Vomitingbeing sick3.3%415
  16. Malaisegeneral feeling of being unwell3%379
  17. Headachehead pain2.9%362
  18. Maternal exposure during pregnancythe mother took the medicine during pregnancy2.6%335
  19. Rashskin rash2.6%331
  20. Pneumonialung infection2.5%323
  21. Exposure during pregnancythe medicine was taken during pregnancy2.5%315
  22. Abdominal painstomach or belly pain2.4%311
  23. Productive cougha cough with phlegm2.3%292
  24. Macular degenerationa disease of the central retina2.1%265
  25. Painpain, site not specified2%260
  26. Acute kidney injurysudden loss of kidney function1.9%247
  27. Abortion spontaneousmiscarriage1.9%246

Top 30 of 1,692 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 share of all reports in the database; 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

Death9.4%1,199
Life-threatening6%765
Hospitalisation (initial or prolonged)30.9%3,923
Disability1.9%246
Congenital anomaly0.6%81
Other serious62.1%7,885
Not serious20%2,545

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 20,646,523 reports. 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 21.3%161
2 to 113.8%482
12 to 172.1%270
18 to 4417.6%2,241
45 to 6423.4%2,975
65 to 7414.3%1,820
75 and over10.9%1,380
Age not given26.5%3,372

Patient sex

Female49.3%6,263
Male39.5%5,011
Not given11.2%1,427

Who reported

Physician25.4%3,227
Pharmacist5.1%645
Other health professional49.8%6,320
Lawyer0.1%19
Consumer or non-health professional17.6%2,237
Not given2%253

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 37.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Covid-192,32218.3%
Covid-19 pneumonia6214.9%
Pneumonia5694.5%
Coronavirus infection3132.5%
Bronchitis1881.5%
Antibiotic therapy1331%

The indication field is filled in by the reporter and is often blank; shares are of all 12,701 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Azithromycin Anhydrous reports
Hydroxychloroquine2,36918.7%
Prednisone1,49611.8%
Ceftriaxone1,32610.4%
Tocilizumab6184.9%
Methylprednisolone5914.7%
Meropenem4863.8%
Acetaminophen4833.8%
Lopinavir and ritonavir4823.8%
Pantoprazole4763.7%
Tacrolimus4433.5%

Other products listed in reports where Azithromycin Anhydrous 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

MeasureAzithromycin AnhydrousAll reports
Reports as suspect product12,70120,646,523
Share of that pool—0.1%
Reports, latest 12 months1141,332,454
Marked serious80%57.4%
Death recorded among outcomes, per 1,000 reports9491
Hospitalisation recorded, per 1,000 reports309213
Consumer-filed share17.6%45.8%
Top term, share of reportsOff label use 26%4.1%

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."

Questions about Azithromycin Anhydrous reports

How many adverse event reports has FDA received for Azithromycin Anhydrous?

12,701 reports list Azithromycin Anhydrous as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 114 of them arrived in the latest 12 months. Another 22,958 list it only as a concomitant medication.

What reactions are recorded in Azithromycin Anhydrous reports?

off label use (26%), drug ineffective (11.3%), drug hypersensitivity (9.4%), dyspnoea (6.4%) and product use in unapproved indication (5%). 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 Azithromycin Anhydrous was responsible.

How serious are the reports?

80% are marked serious by the reporter. Among the outcomes recorded, 9.4% of reports include death and 30.9% 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 (49.8%), physician (25.4%) and consumer or non-health professional (17.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Azithromycin Anhydrous rising?

114 reports in the 12 months to June 2026, down 33% from 169 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 Azithromycin Anhydrous 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 Azithromycin Anhydrous?

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 Azithromycin Anhydrous as a suspect or interacting product; reports listing it only as a concomitant medication (22,958) 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.