Reported Reactions

Drugs › Tetracycline-class drug

Generic name

Minocycline hydrochloride: adverse event reports filed with FDA

2,688 reports list it as a suspect or interacting product, 2004–2026. Class: Tetracycline-class drug. Also reported as Minocycline Hydrochloride Capsule, Minocycline Hydrochloride Extended Release Tablet, Minocycline Hydrochloride Er 90mg Tablets.

2,688
reports as suspect product
0% of all reports · about 119 a year
419
reports, 12 months to June 2026
479 in the 12 months before
94.6%
marked serious by the reporter
80.6% across the class
44.9%
record death among outcomes, as reported
1,207 reports · not verified by FDA

2,688 adverse event reports received by FDA list minocycline hydrochloride, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 1,630 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, 419 reports listed it, down 13% from 479 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 119 reports a year and 0% of the 20,646,523 reports in the database, and 7.4% of the reports for the tetracycline-class drug 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 (40.6%), off label use (37%) and drug intolerance (32.1%). A report can list several reactions, so shares add to more than 100%; 621 different terms appear across these reports. Drug ineffective is recorded in 40.6% of these reports, a larger share than in the median tetracycline-class drug drug (13%).

94.6% of the reports are marked serious by the reporter (80.6% across the class); 44.9% record death among the outcomes and 54.5% record hospitalisation, as reported. 62.8% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (40.3%). 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

050100Jul 2021: 9Aug 2021: 6Sep 2021: 6Oct 2021: 8Nov 2021: 8Dec 2021: 212022Jan 2022: 17Feb 2022: 6Mar 2022: 8Apr 2022: 15May 2022: 28Jun 2022: 20Jul 2022: 13Aug 2022: 15Sep 2022: 16Oct 2022: 33Nov 2022: 23Dec 2022: 122023Jan 2023: 16Feb 2023: 12Mar 2023: 26Apr 2023: 15May 2023: 20Jun 2023: 15Jul 2023: 19Aug 2023: 24Sep 2023: 28Oct 2023: 11Nov 2023: 16Dec 2023: 212024Jan 2024: 19Feb 2024: 39Mar 2024: 42Apr 2024: 28May 2024: 55Jun 2024: 42Jul 2024: 48Aug 2024: 38Sep 2024: 53Oct 2024: 50Nov 2024: 39Dec 2024: 362025Jan 2025: 38Feb 2025: 56Mar 2025: 49Apr 2025: 19May 2025: 8Jun 2025: 45Jul 2025: 100Aug 2025: 47Sep 2025: 39Oct 2025: 26Nov 2025: 47Dec 2025: 452026Jan 2026: 21Feb 2026: 11Mar 2026: 14Apr 2026: 21May 2026: 17Jun 2026: 31

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

02605192004: 1320042005: 112006: 142007: 7520072008: 412009: 202010: 1020102011: 162012: 442013: 1620132014: 292015: 472016: 6720162017: 932018: 1492019: 16720192020: 2242021: 1002022: 20620222023: 2232024: 4892025: 51920252026: 115

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Minocycline hydrochloride reports recording the termmedian drug in tetracycline-class drug

  1. Drug ineffectivethe medicine did not work as expected40.6%1,092
  2. Off label useused for a purpose or in a way not on the label37%994
  3. Drug intolerancethe medicine was not tolerated32.1%863
  4. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease30%807
  5. Painpain, site not specified27.6%741
  6. Joint swellinga swollen joint23.7%638
  7. Arthralgiajoint pain23.5%632
  8. Drug hypersensitivityan allergic-type reaction to a medicine23.4%629
  9. Rashskin rash22.6%607
  10. Nauseafeeling sick22%591
  11. Systemic lupus erythematosuslupus, an autoimmune disease21.6%581
  12. General physical health deteriorationgeneral decline in health21.3%573
  13. Wound21.1%568
  14. Pericarditisinflammation of the sac around the heart20.9%561
  15. Product use in unapproved indicationused for a purpose not on the label20.7%556
  16. Condition aggravatedthe condition being treated got worse20.6%553
  17. Pemphigus20.4%549
  18. Abdominal discomfortstomach discomfort20.2%543
  19. Infusion related reactiona reaction during or soon after an infusion20.2%542
  20. Synovitis20.1%541
  21. Fatiguetiredness19.9%534
  22. Intentional product use issuedeliberate use not as intended19.8%533
  23. Maternal exposure during pregnancythe mother took the medicine during pregnancy19.8%531
  24. Pneumonialung infection19%511
  25. Treatment failurethe treatment did not work18.8%506
  26. Hepatic enzyme increasedraised liver enzymes18.6%500
  27. Headachehead pain18.4%495

Top 30 of 621 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 6 drugs in the tetracycline-class drug 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

Death44.9%1,207
Life-threatening42.3%1,136
Hospitalisation (initial or prolonged)54.5%1,464
Disability38.6%1,038
Congenital anomaly30.6%822
Other serious81.3%2,185
Not serious5.4%146

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 36,316 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%0
2 to 110.1%3
12 to 173.1%83
18 to 4440.3%1,084
45 to 6417%456
65 to 746.4%171
75 and over4.1%109
Age not given29.1%782

Patient sex

Female66.4%1,784
Male14.5%391
Not given19.1%513

Who reported

Physician22.2%597
Pharmacist2.1%56
Other health professional62.8%1,688
Lawyer0.1%2
Consumer or non-health professional11%297
Not given1.8%48

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 18.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Rheumatoid arthritis59021.9%
Acne2087.7%
Foetal exposure during pregnancy652.4%
Hidradenitis180.7%
Rosacea180.7%
Vasculitis90.3%

The indication field is filled in by the reporter and is often blank; shares are of all 2,688 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Minocycline hydrochloride reports
Sulfasalazine1,61660.1%
Methotrexate1,60559.7%
Arava1,48455.2%
Enbrel1,44353.7%
Humira1,44253.6%
Rituximab1,41352.6%
Orencia1,40252.2%
Leflunomide1,39651.9%
Xeljanz1,37751.2%
Prednisone1,37451.1%

Other products listed in reports where Minocycline 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

MeasureMinocycline hydrochlorideTetracycline-class drugAll reports
Reports as suspect product2,68836,31620,646,523
Share of that pool—7.4%0%
Reports, latest 12 months419—1,332,454
Marked serious94.6%80.6%57.4%
Death recorded among outcomes, per 1,000 reports44916491
Hospitalisation recorded, per 1,000 reports545343213
Consumer-filed share11%19.7%45.8%
Top term, share of reportsDrug ineffective 40.6%median 13%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 tetracycline-class drug class

DrugName typeReportsLatest 12 monthsMarked serious
Doxycyclinegeneric19,6522,10385.6%
Doxycycline hyclategeneric6,80762060.8%
Minocyclinegeneric5,80143485.5%
Doxycycline monohydrategeneric725085.9%
Arestinbrand6432126.1%

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 Minocycline hydrochloride reports

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

2,688 reports list Minocycline hydrochloride as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 419 of them arrived in the latest 12 months. Another 1,630 list it only as a concomitant medication.

What reactions are recorded in Minocycline hydrochloride reports?

drug ineffective (40.6%), off label use (37%), drug intolerance (32.1%), rheumatoid arthritis (30%) and pain (27.6%). 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 Minocycline hydrochloride was responsible.

How serious are the reports?

94.6% are marked serious by the reporter. Among the outcomes recorded, 44.9% of reports include death and 54.5% 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 (62.8%), physician (22.2%) and consumer or non-health professional (11%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Minocycline hydrochloride rising?

419 reports in the 12 months to June 2026, down 13% from 479 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 Minocycline 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 Minocycline 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 Minocycline hydrochloride as a suspect or interacting product; reports listing it only as a concomitant medication (1,630) 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.