Reported Reactions

Drugs › Tetracycline-class antibacterial

Brand name · Omadacycline

Nuzyra: adverse event reports filed with FDA

1,087 reports list it as a suspect or interacting product, 2019–2026. Class: Tetracycline-class antibacterial.

1,087
reports as suspect product
0% of all reports · about 150 a year
238
reports, 12 months to June 2026
225 in the 12 months before
52.3%
marked serious by the reporter
85.3% across the class
6.6%
record death among outcomes, as reported
72 reports · not verified by FDA

1,087 adverse event reports received by FDA list the brand name Nuzyra (omadacycline) as a suspect or interacting product, from April 2019 to June 2026. A further 115 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, 238 reports listed it, close to the 225 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 150 reports a year and 0% of the 20,646,523 reports in the database, and 19.1% of the reports for the tetracycline-class 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 (30.5%), nausea (19.7%) and vomiting (12.3%). A report can list several reactions, so shares add to more than 100%; 288 different terms appear across these reports. Off label use is recorded in 30.5% of these reports, a larger share than in the median tetracycline-class antibacterial drug (13.4%).

52.3% of the reports are marked serious by the reporter (85.3% across the class); 6.6% record death among the outcomes and 22.4% record hospitalisation, as reported. 45.7% of the reports came from consumers, and the largest patient age group is 45 to 64 (22.4%). 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

054107Jul 2021: 39Aug 2021: 4Sep 2021: 1Oct 2021: 8Nov 2021: 2Dec 2021: 12022Jan 2022: 3Feb 2022: 9Mar 2022: 13Apr 2022: 4May 2022: 3Jun 2022: 4Jul 2022: 3Aug 2022: 7Sep 2022: 5Oct 2022: 2Nov 2022: 64Dec 2022: 42023Jan 2023: 5Feb 2023: 8Mar 2023: 11Apr 2023: 6May 2023: 11Jun 2023: 4Jul 2023: 7Aug 2023: 15Sep 2023: 15Oct 2023: 7Nov 2023: 107Dec 2023: 162024Jan 2024: 12Feb 2024: 10Mar 2024: 13Apr 2024: 14May 2024: 12Jun 2024: 5Jul 2024: 17Aug 2024: 14Sep 2024: 4Oct 2024: 11Nov 2024: 87Dec 2024: 152025Jan 2025: 14Feb 2025: 15Mar 2025: 10Apr 2025: 11May 2025: 17Jun 2025: 10Jul 2025: 10Aug 2025: 15Sep 2025: 9Oct 2025: 17Nov 2025: 93Dec 2025: 122026Jan 2026: 17Feb 2026: 6Mar 2026: 11Apr 2026: 15May 2026: 17Jun 2026: 16

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

01172332019: 2620192020: 9020202021: 10920212022: 12120222023: 21220232024: 21420242025: 23320252026: 822026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Nuzyra reports recording the termmedian drug in tetracycline-class antibacterial

  1. Off label useused for a purpose or in a way not on the label30.5%331
  2. Nauseafeeling sick19.7%214
  3. Vomitingbeing sick12.3%134
  4. Diarrhoealoose or frequent stools8%87
  5. Incorrect dose administeredthe wrong dose was given6.1%66
  6. Rashskin rash5.6%61
  7. Deaththe patient died; cause not stated by this term5%54
  8. Drug ineffectivethe medicine did not work as expected4.5%49
  9. Dyspnoeashortness of breath4.2%46
  10. Hospitalisationadmission to hospital4.1%45
  11. Headachehead pain4%44
  12. Aspartate aminotransferase increasedraised liver enzyme (AST)3.9%42
  13. Pruritusitching3.9%42
  14. Drug dose titration not performed3.3%36
  15. Fatiguetiredness3.3%36
  16. Alanine aminotransferase increasedraised liver enzyme (ALT)3.1%34
  17. Hypersensitivityan allergic-type reaction3.1%34
  18. Abdominal discomfortstomach discomfort3%33
  19. Abdominal pain upperupper stomach pain3%33
  20. Condition aggravatedthe condition being treated got worse3%33
  21. Dizzinesslight-headedness or unsteadiness2.5%27
  22. Malaisegeneral feeling of being unwell2.2%24
  23. Unevaluable eventthe event could not be assessed2%22
  24. Weight decreasedweight loss1.9%21
  25. Coughcough1.8%20
  26. Blood pressure increaseda raised blood pressure reading1.7%19

Top 30 of 288 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 3 drugs in the tetracycline-class 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

Death6.6%72
Life-threatening1%11
Hospitalisation (initial or prolonged)22.4%243
Disability1.2%13
Congenital anomaly0%0
Other serious29.4%320
Not serious47.7%519

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 5,699 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%1
12 to 171.8%20
18 to 448.6%94
45 to 6422.4%243
65 to 7414.5%158
75 and over16.7%181
Age not given35.9%390

Patient sex

Female48.2%524
Male40.2%437
Not given11.6%126

Who reported

Physician15.2%165
Pharmacist3.5%38
Other health professional35.5%386
Lawyer0%0
Consumer or non-health professional45.7%497
Not given0.1%1

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 79% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Pneumonia17716.3%
Mycobacterial infection12111.1%
Skin infection777.1%
Mycobacterium abscessus infection645.9%
Cellulitis383.5%
Atypical mycobacterial infection242.2%

The indication field is filled in by the reporter and is often blank; shares are of all 1,087 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Nuzyra reports
Amikacin767%
Azithromycin666.1%
Clofazimine625.7%
Arikayce504.6%
Linezolid504.6%
Aspirin444%
Gabapentin363.3%
Imipenem302.8%
Atorvastatin292.7%
Levothyroxine282.6%

Other products listed in reports where Nuzyra 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

MeasureNuzyraTetracycline-class antibacterialAll reports
Reports as suspect product1,0875,69920,646,523
Share of that pool—19.1%0%
Reports, latest 12 months238—1,332,454
Marked serious52.3%85.3%57.4%
Death recorded among outcomes, per 1,000 reports6622791
Hospitalisation recorded, per 1,000 reports224355213
Consumer-filed share45.7%14.6%45.8%
Top term, share of reportsOff label use 30.5%median 13.4%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 tetracycline-class antibacterial class

DrugName typeReportsLatest 12 monthsMarked serious
Tigecyclinegeneric2,94926494.5%
Tygacilbrand1,6636690.6%

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 Nuzyra reports

How many adverse event reports has FDA received for Nuzyra?

1,087 reports list Nuzyra as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 238 of them arrived in the latest 12 months. Another 115 list it only as a concomitant medication.

What reactions are recorded in Nuzyra reports?

off label use (30.5%), nausea (19.7%), vomiting (12.3%), diarrhoea (8%) and incorrect product administration duration (6.9%). 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 Nuzyra was responsible.

How serious are the reports?

52.3% are marked serious by the reporter. Among the outcomes recorded, 6.6% of reports include death and 22.4% 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?

consumer or non-health professional (45.7%), other health professional (35.5%) and physician (15.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Nuzyra rising?

238 reports in the 12 months to June 2026, close to the 225 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 Nuzyra 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 Nuzyra?

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 Nuzyra as a suspect or interacting product; reports listing it only as a concomitant medication (115) 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.