Reported Reactions

Drugs › Fluoroquinolone antibacterial

Generic name

Ciprofloxacin hydrochloride: adverse event reports filed with FDA

3,653 reports list it as a suspect or interacting product, 2004–2026. Class: Fluoroquinolone antibacterial. Also reported as Ciprofloxacin Hcl 500mg, Ciprofloxacin Hcl 500mg Tab.

3,653
reports as suspect product
0% of all reports · about 162 a year
375
reports, 12 months to June 2026
379 in the 12 months before
94.2%
marked serious by the reporter
89.7% across the class
6.1%
record death among outcomes, as reported
222 reports · not verified by FDA

Between January 2004 and June 2026, 3,653 adverse event reports received by FDA list ciprofloxacin hydrochloride, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (2,501) are left out of every figure here.

In the 12 months to June 2026, 375 reports listed it, close to the 379 of 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 162 reports a year and 0% of the 20,646,523 reports in the database, and 4.1% of the reports for the fluoroquinolone antibacterial class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded vomiting (16.5%), drug hypersensitivity (14.6%) and pneumonia (14.5%). A report can list several reactions, so shares add to more than 100%; 926 different terms appear across these reports. Vomiting is recorded in 16.5% of these reports, a larger share than in the median fluoroquinolone antibacterial drug (4.7%).

94.2% of the reports are marked serious by the reporter (89.7% across the class); 6.1% record death among the outcomes and 34.9% record hospitalisation, as reported. 38.8% of the reports came from other health professionals, and the largest patient age group is 65 to 74 (24.5%). 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

02754Jul 2021: 30Aug 2021: 33Sep 2021: 22Oct 2021: 27Nov 2021: 23Dec 2021: 492022Jan 2022: 14Feb 2022: 21Mar 2022: 13Apr 2022: 32May 2022: 23Jun 2022: 24Jul 2022: 22Aug 2022: 34Sep 2022: 36Oct 2022: 22Nov 2022: 15Dec 2022: 362023Jan 2023: 30Feb 2023: 37Mar 2023: 23Apr 2023: 27May 2023: 27Jun 2023: 18Jul 2023: 24Aug 2023: 37Sep 2023: 22Oct 2023: 48Nov 2023: 13Dec 2023: 342024Jan 2024: 31Feb 2024: 37Mar 2024: 41Apr 2024: 42May 2024: 34Jun 2024: 35Jul 2024: 42Aug 2024: 31Sep 2024: 29Oct 2024: 44Nov 2024: 25Dec 2024: 302025Jan 2025: 20Feb 2025: 25Mar 2025: 28Apr 2025: 35May 2025: 16Jun 2025: 54Jul 2025: 36Aug 2025: 15Sep 2025: 40Oct 2025: 47Nov 2025: 42Dec 2025: 202026Jan 2026: 29Feb 2026: 38Mar 2026: 28Apr 2026: 25May 2026: 22Jun 2026: 33

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

02114212004: 1220042005: 272006: 232007: 4220072008: 502009: 842010: 3120102011: 422012: 1632013: 17920132014: 1632015: 1032016: 12420162017: 662018: 1162019: 32020192020: 2142021: 2862022: 29220222023: 3402024: 4212025: 37820252026: 175

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Ciprofloxacin hydrochloride reports recording the termmedian drug in fluoroquinolone antibacterial

  1. Vomitingbeing sick16.5%604
  2. Drug hypersensitivityan allergic-type reaction to a medicine14.6%533
  3. Pneumonialung infection14.5%531
  4. Malaisegeneral feeling of being unwell12.9%473
  5. Wheezingwheezing12.9%471
  6. Dyspnoeashortness of breath12.8%467
  7. Painpain, site not specified11.8%430
  8. Nauseafeeling sick11.1%407
  9. Drug ineffectivethe medicine did not work as expected11%402
  10. Off label useused for a purpose or in a way not on the label10.9%400
  11. Asthmaasthma10.5%382
  12. Oedemaswelling from fluid10.4%379
  13. Headachehead pain9.8%359
  14. Diarrhoealoose or frequent stools9.7%354
  15. Abdominal painstomach or belly pain7.5%274
  16. Anxietyanxiety7.4%271
  17. Fatiguetiredness7.4%270
  18. Rashskin rash7.3%267
  19. Arthralgiajoint pain7%257
  20. Pyrexiafever6.2%227
  21. Dizzinesslight-headedness or unsteadiness6%218
  22. Coughcough5.9%214
  23. Erythemaskin redness5.8%213
  24. Pruritusitching5.5%201
  25. Depressionlow mood5.1%188
  26. Abdominal pain upperupper stomach pain5.1%186
  27. Chest painchest pain4.9%179
  28. Drug intolerancethe medicine was not tolerated4.8%176
  29. Condition aggravatedthe condition being treated got worse4.6%168
  30. Hypersensitivityan allergic-type reaction4.5%166

Top 30 of 926 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 7 drugs in the fluoroquinolone 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

Death6.1%222
Life-threatening5.3%194
Hospitalisation (initial or prolonged)34.9%1,274
Disability9.3%341
Congenital anomaly0.3%12
Other serious73%2,668
Not serious5.8%211

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 88,718 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 20.2%7
2 to 111%36
12 to 170.6%21
18 to 4419.7%719
45 to 6422.1%809
65 to 7424.5%894
75 and over11.6%422
Age not given20.4%745

Patient sex

Female61.8%2,259
Male30.1%1,099
Not given8.1%295

Who reported

Physician19.9%727
Pharmacist4.8%174
Other health professional38.8%1,418
Lawyer0.2%9
Consumer or non-health professional33.1%1,209
Not given3.2%116

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 16.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Urinary tract infection2978.1%
Urticaria1042.8%
Migraine701.9%
Prostatitis601.6%
Infection551.5%
Cystitis431.2%

The indication field is filled in by the reporter and is often blank; shares are of all 3,653 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Ciprofloxacin hydrochloride reports
Prednisone93925.7%
Aspirin52014.2%
Acetaminophen47212.9%
Moxifloxacin hydrochloride45712.5%
Tramadol hydrochloride43411.9%
Ergocalciferol43211.8%
Clonazepam41811.4%
Rituximab41111.3%
Metronidazole38110.4%
Theophylline36410%

Other products listed in reports where Ciprofloxacin hydrochloride 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

MeasureCiprofloxacin hydrochlorideFluoroquinolone antibacterialAll reports
Reports as suspect product3,65388,71820,646,523
Share of that pool—4.1%0%
Reports, latest 12 months375—1,332,454
Marked serious94.2%89.7%57.4%
Death recorded among outcomes, per 1,000 reports619291
Hospitalisation recorded, per 1,000 reports349384213
Consumer-filed share33.1%23%45.8%
Top term, share of reportsVomiting 16.5%median 4.7%2.2%

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 fluoroquinolone antibacterial class

DrugName typeReportsLatest 12 monthsMarked serious
Ciprofloxacingeneric39,5702,40588.2%
Levofloxacingeneric30,6901,91291.1%
Moxifloxacingeneric8,86391891.4%
Moxifloxacin hydrochloridegeneric3,11654296.7%
Ciprofloxacin hclgeneric2,025081.7%
Vigamoxbrand8013770.7%

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 Ciprofloxacin hydrochloride reports

How many adverse event reports has FDA received for Ciprofloxacin hydrochloride?

3,653 reports list Ciprofloxacin hydrochloride as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 375 of them arrived in the latest 12 months. Another 2,501 list it only as a concomitant medication.

What reactions are recorded in Ciprofloxacin hydrochloride reports?

vomiting (16.5%), drug hypersensitivity (14.6%), pneumonia (14.5%), malaise (12.9%) and wheezing (12.9%). 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 Ciprofloxacin hydrochloride was responsible.

How serious are the reports?

94.2% are marked serious by the reporter. Among the outcomes recorded, 6.1% of reports include death and 34.9% 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 (38.8%), consumer or non-health professional (33.1%) and physician (19.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Ciprofloxacin hydrochloride rising?

375 reports in the 12 months to June 2026, close to the 379 of 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 Ciprofloxacin hydrochloride 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 Ciprofloxacin hydrochloride?

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 Ciprofloxacin hydrochloride as a suspect or interacting product; reports listing it only as a concomitant medication (2,501) 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.