Reported Reactions

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

060119Jul 2021: 18Aug 2021: 40Sep 2021: 20Oct 2021: 33Nov 2021: 36Dec 2021: 262022Jan 2022: 22Feb 2022: 19Mar 2022: 29Apr 2022: 43May 2022: 39Jun 2022: 47Jul 2022: 119Aug 2022: 23Sep 2022: 47Oct 2022: 26Nov 2022: 28Dec 2022: 862023Jan 2023: 94Feb 2023: 57Mar 2023: 51Apr 2023: 81May 2023: 47Jun 2023: 28Jul 2023: 68Aug 2023: 34Sep 2023: 32Oct 2023: 56Nov 2023: 39Dec 2023: 482024Jan 2024: 32Feb 2024: 20Mar 2024: 36Apr 2024: 27May 2024: 29Jun 2024: 33Jul 2024: 19Aug 2024: 19Sep 2024: 33Oct 2024: 51Nov 2024: 36Dec 2024: 352025Jan 2025: 25Feb 2025: 14Mar 2025: 18Apr 2025: 15May 2025: 35Jun 2025: 17Jul 2025: 27Aug 2025: 25Sep 2025: 25Oct 2025: 31Nov 2025: 23Dec 2025: 212026Jan 2026: 19Feb 2026: 12Mar 2026: 23Apr 2026: 29May 2026: 36Jun 2026: 14

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

03186352004: 8520042005: 1292006: 942007: 9320072008: 932009: 1342010: 11320102011: 1462012: 1342013: 16920132014: 2132015: 2282016: 20420162017: 2792018: 4092019: 35320192020: 4152021: 3582022: 52820222023: 6352024: 3702025: 27620252026: 133

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Gentamicin reports recording the termmedian drug in aminoglycoside antibacterial

  1. Drug ineffectivethe medicine did not work as expected12.8%717
  2. Acute kidney injurysudden loss of kidney function11.1%622
  3. Maternal exposure during pregnancythe mother took the medicine during pregnancy5.4%301
  4. Premature babya baby born early5.3%296
  5. Foetal exposure during pregnancythe unborn baby was exposed to the medicine5.2%291
  6. Pyrexiafever4.9%272
  7. Condition aggravatedthe condition being treated got worse4.3%238
  8. Product use in unapproved indicationused for a purpose not on the label4.1%232
  9. Off label useused for a purpose or in a way not on the label4.1%231
  10. Drug interactionan interaction between medicines3.1%171
  11. Renal failurekidney failure3%167
  12. Septic shockshock arising from infection2.6%145
  13. Rashskin rash2.5%139
  14. Hypotensionlow blood pressure2.5%138
  15. Renal impairmentreduced kidney function2.3%130
  16. Sepsisa severe body-wide response to infection2.3%126
  17. Blood creatinine increasedraised creatinine, a kidney test2.2%123
  18. Anaphylactic reactiona severe, sudden allergic reaction2.2%122
  19. Drug reaction with eosinophilia and systemic symptomsDRESS, a severe reaction with rash, fever and organ involvement2.1%118
  20. Delivery1.8%103
  21. Diarrhoealoose or frequent stools1.8%100
  22. Thrombocytopenialow platelets1.8%99
  23. Dizzinesslight-headedness or unsteadiness1.7%96
  24. 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

Death15.3%853
Life-threatening12.3%690
Hospitalisation (initial or prolonged)45%2,515
Disability4.5%254
Congenital anomaly0.4%20
Other serious60.7%3,396
Not serious5.3%296

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 24.6%255
2 to 113.8%211
12 to 172.3%130
18 to 4414.8%825
45 to 6420.2%1,129
65 to 7414.1%787
75 and over12.5%698
Age not given27.8%1,556

Patient sex

Female40.6%2,268
Male44.5%2,489
Not given14.9%834

Who reported

Physician28.3%1,584
Pharmacist8.5%473
Other health professional50%2,798
Lawyer0.2%10
Consumer or non-health professional8.2%460
Not given4.8%266

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)ReportsShare
Antibiotic therapy2825%
Endocarditis2704.8%
Antibiotic prophylaxis1733.1%
Infection1182.1%
Foetal exposure during pregnancy1142%
Ureaplasma infection1112%

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)ReportsShare of Gentamicin reports
Vancomycin1,24322.2%
Ampicillin96917.3%
Meropenem58510.5%
Metronidazole5119.1%
Ceftriaxone5069.1%
Azithromycin4508%
Ciprofloxacin4387.8%
Betamethasone3526.3%
Amoxicillin3185.7%
Clindamycin3155.6%

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

MeasureGentamicinAminoglycoside antibacterialAll reports
Reports as suspect product5,59137,84020,646,523
Share of that pool—14.8%0%
Reports, latest 12 months285—1,332,454
Marked serious94.7%80.3%57.4%
Death recorded among outcomes, per 1,000 reports15317391
Hospitalisation recorded, per 1,000 reports450415213
Consumer-filed share8.2%31.9%45.8%
Top term, share of reportsDrug 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

DrugName typeReportsLatest 12 monthsMarked serious
Arikaycebrand6,47171468.7%
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 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.