Drugs › Aminoglycoside antibacterial
Generic name
Gentamicin: adverse event reports filed with FDA
5,591 reports list it as a suspect or interacting product, 2004–2026. Class: Aminoglycoside antibacterial. Also reported as Gentamicin Injection Usp, Gentamicin Cream, Gentamicin /00047102/.
- 5,591
- reports as suspect product
- 0% of all reports · about 249 a year
- 285
- reports, 12 months to June 2026
- 317 in the 12 months before
- 94.7%
- marked serious by the reporter
- 80.3% across the class
- 15.3%
- record death among outcomes, as reported
- 853 reports · not verified by FDA
5,591 adverse event reports received by FDA list gentamicin, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 7,598 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, 285 reports listed it, down 10% from 317 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 249 reports a year and 0% of the 20,646,523 reports in the database, and 14.8% 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.
Reporters most often recorded drug ineffective (12.8%), acute kidney injury (11.1%) and maternal exposure during pregnancy (5.4%). A report can list several reactions, so shares add to more than 100%; 1,104 different terms appear across these reports. Drug ineffective is recorded in 12.8% of these reports, a larger share than in the median aminoglycoside antibacterial drug (7.1%).
94.7% of the reports are marked serious by the reporter (80.3% across the class); 15.3% record death among the outcomes and 45% record hospitalisation, as reported. 50% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (20.2%). 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 Gentamicin reports recording the termmedian drug in aminoglycoside antibacterial
- Drug ineffectivethe medicine did not work as expected12.8%717
- Acute kidney injurysudden loss of kidney function11.1%622
- Maternal exposure during pregnancythe mother took the medicine during pregnancy5.4%301
- Premature babya baby born early5.3%296
- Foetal exposure during pregnancythe unborn baby was exposed to the medicine5.2%291
- Pyrexiafever4.9%272
- Premature delivery4.3%240
- Condition aggravatedthe condition being treated got worse4.3%238
- Product use in unapproved indicationused for a purpose not on the label4.1%232
- Off label useused for a purpose or in a way not on the label4.1%231
- Renal failure acute3.9%220
- Drug interactionan interaction between medicines3.1%171
- Renal failurekidney failure3%167
- Septic shockshock arising from infection2.6%145
- Rashskin rash2.5%139
- Hypotensionlow blood pressure2.5%138
- Nephropathy toxic2.3%131
- Renal impairmentreduced kidney function2.3%130
- Sepsisa severe body-wide response to infection2.3%126
- Blood creatinine increasedraised creatinine, a kidney test2.2%123
- Anaphylactic reactiona severe, sudden allergic reaction2.2%122
- Drug reaction with eosinophilia and systemic symptomsDRESS, a severe reaction with rash, fever and organ involvement2.1%118
- Pathogen resistance2.1%118
- Drug resistance1.9%109
- Delivery1.8%103
- Diarrhoealoose or frequent stools1.8%100
- Thrombocytopenialow platelets1.8%99
- Dizzinesslight-headedness or unsteadiness1.7%96
- Normal labour1.7%96
Top 30 of 1,104 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. 22.1% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Antibiotic therapy | 282 | 5% |
| Endocarditis | 270 | 4.8% |
| Antibiotic prophylaxis | 173 | 3.1% |
| Infection | 118 | 2.1% |
| Foetal exposure during pregnancy | 114 | 2% |
| Ureaplasma infection | 111 | 2% |
The indication field is filled in by the reporter and is often blank; shares are of all 5,591 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Gentamicin reports |
|---|---|---|
| Vancomycin | 1,243 | 22.2% |
| Ampicillin | 969 | 17.3% |
| Meropenem | 585 | 10.5% |
| Metronidazole | 511 | 9.1% |
| Ceftriaxone | 506 | 9.1% |
| Azithromycin | 450 | 8% |
| Ciprofloxacin | 438 | 7.8% |
| Betamethasone | 352 | 6.3% |
| Amoxicillin | 318 | 5.7% |
| Clindamycin | 315 | 5.6% |
Other products listed in reports where Gentamicin 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 | Gentamicin | Aminoglycoside antibacterial | All reports |
|---|---|---|---|
| Reports as suspect product | 5,591 | 37,840 | 20,646,523 |
| Share of that pool | — | 14.8% | 0% |
| Reports, latest 12 months | 285 | — | 1,332,454 |
| Marked serious | 94.7% | 80.3% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 153 | 173 | 91 |
| Hospitalisation recorded, per 1,000 reports | 450 | 415 | 213 |
| Consumer-filed share | 8.2% | 31.9% | 45.8% |
| Top term, share of reports | Drug ineffective 12.8% | 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
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Arikayce | brand | 6,471 | 714 | 68.7% |
| 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% |
| Bethkis | brand | 1,931 | 62 | 57.5% |
| 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 Gentamicin reports
How many adverse event reports has FDA received for Gentamicin?
5,591 reports list Gentamicin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 285 of them arrived in the latest 12 months. Another 7,598 list it only as a concomitant medication.
What reactions are recorded in Gentamicin reports?
drug ineffective (12.8%), acute kidney injury (11.1%), maternal exposure during pregnancy (5.4%), premature baby (5.3%) and foetal exposure during pregnancy (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 Gentamicin was responsible.
How serious are the reports?
94.7% are marked serious by the reporter. Among the outcomes recorded, 15.3% of reports include death and 45% 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 (50%), physician (28.3%) and pharmacist (8.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Gentamicin rising?
285 reports in the 12 months to June 2026, down 10% from 317 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 Gentamicin 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 Gentamicin?
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 Gentamicin as a suspect or interacting product; reports listing it only as a concomitant medication (7,598) 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.