Drugs › Aminoglycoside antibacterial
Brand name · Tobramycin
Bethkis: adverse event reports filed with FDA
1,931 reports list it as a suspect or interacting product, 2015–2026. Class: Aminoglycoside antibacterial.
- 1,931
- reports as suspect product
- 0% of all reports · about 173 a year
- 62
- reports, 12 months to June 2026
- 78 in the 12 months before
- 57.5%
- marked serious by the reporter
- 80.3% across the class
- 5.4%
- record death among outcomes, as reported
- 104 reports · not verified by FDA
Between May 2015 and June 2026, 1,931 adverse event reports received by FDA list the brand name Bethkis (tobramycin) as a suspect or interacting product. Reports that mention it only as a concomitant medication (518) are left out of every figure here.
In the 12 months to June 2026, 62 reports listed it, down 21% from 78 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 173 reports a year and 0% of the 20,646,523 reports in the database, and 5.1% 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 reactions recorded most often are off label use (29.1%), ill-defined disorder (15%) and pneumonia (6.6%). A report can list several reactions, so shares add to more than 100%; 237 different terms appear across these reports. Off label use is recorded in 29.1% of these reports, a larger share than in the median aminoglycoside antibacterial drug (7.6%).
57.5% of the reports are marked serious by the reporter (80.3% across the class); 5.4% record death among the outcomes and 47.3% record hospitalisation, as reported. 39.5% of the reports came from physicians, and the largest patient age group is 18 to 44 (9%). 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
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
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Bethkis reports recording the termmedian drug in aminoglycoside antibacterial
- Off label useused for a purpose or in a way not on the label29.1%562
- Ill-defined disordera condition that was not clearly described15%289
- Pneumonialung infection6.6%127
- Product use issuea problem in how the product was used4.3%83
- Deaththe patient died; cause not stated by this term4.2%82
- Dyspnoeashortness of breath4.1%80
- Coughcough3.9%75
- Product dose omission issuea dose was missed3.3%64
- Hospitalisationadmission to hospital3.1%60
- Drug prescribing errora prescribing mistake3.1%59
- Condition aggravatedthe condition being treated got worse3%57
- Inappropriate schedule of product administrationthe product was taken at the wrong times2.9%56
- Product dose omissiona dose was missed2.8%55
- Product use in unapproved indicationused for a purpose not on the label2.6%51
- Cystic fibrosis2.4%46
- Incorrect route of product administrationthe product was given by the wrong route2.1%41
- Drug dose omissiona dose was missed2%39
- No adverse eventno adverse event was reported1.5%28
- Dysphoniaa hoarse voice1.4%27
- Haemoptysiscoughing up blood1.2%24
- Headachehead pain1.2%24
- Infectionan infection, type not specified1.2%24
- Malaisegeneral feeling of being unwell1.2%24
- Fatiguetiredness1%20
- Pyrexiafever1%20
- Treatment noncompliancethe treatment was not taken as directed1%20
- Diarrhoealoose or frequent stools1%19
- Lung infection1%19
- Oropharyngeal painsore throat0.8%16
Top 30 of 237 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
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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.8% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Cystic fibrosis | 942 | 48.8% |
| Bronchiectasis | 106 | 5.5% |
| Off label use | 90 | 4.7% |
| Cystic fibrosis lung | 76 | 3.9% |
| Pseudomonas infection | 74 | 3.8% |
| Chronic respiratory failure | 24 | 1.2% |
The indication field is filled in by the reporter and is often blank; shares are of all 1,931 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Bethkis reports |
|---|---|---|
| Pulmozyme | 569 | 29.5% |
| Sodium chloride | 314 | 16.3% |
| Creon | 230 | 11.9% |
| Azithromycin Anhydrous | 169 | 8.8% |
| Ergocalciferol | 137 | 7.1% |
| Zenpep | 121 | 6.3% |
| Orkambi | 106 | 5.5% |
| Albuterol | 105 | 5.4% |
| Omeprazole | 97 | 5% |
| Montelukast | 94 | 4.9% |
Other products listed in reports where Bethkis 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
| Measure | Bethkis | Aminoglycoside antibacterial | All reports |
|---|---|---|---|
| Reports as suspect product | 1,931 | 37,840 | 20,646,523 |
| Share of that pool | — | 5.1% | 0% |
| Reports, latest 12 months | 62 | — | 1,332,454 |
| Marked serious | 57.5% | 80.3% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 54 | 173 | 91 |
| Hospitalisation recorded, per 1,000 reports | 473 | 415 | 213 |
| Consumer-filed share | 12.7% | 31.9% | 45.8% |
| Top term, share of reports | Off label use 29.1% | median 7.6% | 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."
Other drugs in the aminoglycoside antibacterial class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Arikayce | brand | 6,471 | 714 | 68.7% |
| Gentamicin | generic | 5,591 | 285 | 94.7% |
| Amikacin | generic | 5,380 | 531 | 91.9% |
| Tobramycin | generic | 4,827 | 388 | 83.4% |
| Tobi | brand | 3,702 | 12 | 82.7% |
| TOBI Podhaler | brand | 2,649 | 40 | 72.7% |
| Gentamicin sulfate | generic | 1,638 | 67 | 83.5% |
| Neomycin | brand | 1,110 | 256 | 92.7% |
| TobraDex | brand | 961 | 88 | 73.9% |
| Amikacin sulfate | generic | 828 | 49 | 93.5% |
| Neomycin sulfate | generic | 770 | 57 | 59.4% |
| Streptomycin | generic | 692 | 8 | 89.6% |
| Kitabis Pak | brand | 657 | 68 | 73.2% |
| Bacitracin | generic | 633 | 6 | 22.6% |
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 Bethkis reports
How many adverse event reports has FDA received for Bethkis?
1,931 reports list Bethkis as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 62 of them arrived in the latest 12 months. Another 518 list it only as a concomitant medication.
What reactions are recorded in Bethkis reports?
off label use (29.1%), ill-defined disorder (15%), pneumonia (6.6%), infective pulmonary exacerbation of cystic fibrosis (6.5%) and product use issue (4.3%). 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 Bethkis was responsible.
How serious are the reports?
57.5% are marked serious by the reporter. Among the outcomes recorded, 5.4% of reports include death and 47.3% 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?
physician (39.5%), pharmacist (28.5%) and other health professional (16.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Bethkis rising?
62 reports in the 12 months to June 2026, down 21% from 78 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 Bethkis 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 Bethkis?
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 Bethkis as a suspect or interacting product; reports listing it only as a concomitant medication (518) 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.