Reported Reactions

Drugs › Antimycobacterial

Generic name

Pyrazinamide: adverse event reports filed with FDA

6,334 reports list it as a suspect or interacting product, 2004–2026. Class: Antimycobacterial.

6,334
reports as suspect product
0% of all reports · about 282 a year
404
reports, 12 months to June 2026
458 in the 12 months before
97.7%
marked serious by the reporter
92.6% across the class
19.4%
record death among outcomes, as reported
1,227 reports · not verified by FDA

6,334 adverse event reports received by FDA list pyrazinamide, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 3,033 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, 404 reports listed it, down 12% from 458 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 282 reports a year and 0% of the 20,646,523 reports in the database, and 28.1% of the reports for the antimycobacterial class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are drug-induced liver injury (9.7%), drug reaction with eosinophilia and systemic symptoms (8.5%) and paradoxical drug reaction (7.4%). A report can list several reactions, so shares add to more than 100%; 1,023 different terms appear across these reports. Drug-induced liver injury is recorded in 9.7% of these reports, a larger share than in the median antimycobacterial drug (2.5%).

97.7% of the reports are marked serious by the reporter (92.6% across the class); 19.4% record death among the outcomes and 42.6% record hospitalisation, as reported. 57.7% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (38.2%). 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

03875Jul 2021: 26Aug 2021: 10Sep 2021: 31Oct 2021: 35Nov 2021: 71Dec 2021: 282022Jan 2022: 25Feb 2022: 15Mar 2022: 36Apr 2022: 14May 2022: 24Jun 2022: 35Jul 2022: 7Aug 2022: 34Sep 2022: 30Oct 2022: 53Nov 2022: 53Dec 2022: 472023Jan 2023: 25Feb 2023: 28Mar 2023: 8Apr 2023: 29May 2023: 33Jun 2023: 31Jul 2023: 33Aug 2023: 36Sep 2023: 21Oct 2023: 31Nov 2023: 36Dec 2023: 352024Jan 2024: 27Feb 2024: 20Mar 2024: 35Apr 2024: 30May 2024: 42Jun 2024: 32Jul 2024: 27Aug 2024: 51Sep 2024: 21Oct 2024: 43Nov 2024: 38Dec 2024: 752025Jan 2025: 37Feb 2025: 48Mar 2025: 14Apr 2025: 29May 2025: 41Jun 2025: 34Jul 2025: 31Aug 2025: 24Sep 2025: 45Oct 2025: 19Nov 2025: 50Dec 2025: 512026Jan 2026: 49Feb 2026: 25Mar 2026: 43Apr 2026: 29May 2026: 15Jun 2026: 23

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

04268522004: 3120042005: 422006: 602007: 6320072008: 512009: 622010: 7320102011: 1082012: 1282013: 20020132014: 1992015: 3292016: 34020162017: 5262018: 8522019: 69620192020: 4292021: 3782022: 37320222023: 3462024: 4412025: 42320252026: 184

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Pyrazinamide reports recording the termmedian drug in antimycobacterial

  1. Drug reaction with eosinophilia and systemic symptomsDRESS, a severe reaction with rash, fever and organ involvement8.5%541
  2. Paradoxical drug reaction7.4%471
  3. Pyrexiafever6.2%390
  4. Vomitingbeing sick5.4%341
  5. Drug ineffectivethe medicine did not work as expected5.4%339
  6. Hepatotoxicityliver injury5.2%330
  7. Off label useused for a purpose or in a way not on the label4.8%306
  8. Nauseafeeling sick4.4%277
  9. Anaemialow red blood cells4.2%266
  10. Tuberculosistuberculosis4.2%263
  11. Drug interactionan interaction between medicines4%251
  12. Condition aggravatedthe condition being treated got worse3.8%238
  13. Jaundiceyellowing of the skin or eyes3.5%220
  14. Neuropathy peripheralnerve damage in hands or feet3.2%200
  15. Alanine aminotransferase increasedraised liver enzyme (ALT)2.8%179
  16. Electrocardiogram QT prolongeda QT prolongation on the ECG2.8%177
  17. Immune reconstitution inflammatory syndrome2.8%176
  18. Rashskin rash2.6%164
  19. Aspartate aminotransferase increasedraised liver enzyme (AST)2.3%148
  20. Diarrhoealoose or frequent stools2.3%145
  21. Dyspnoeashortness of breath2.3%144
  22. Arthralgiajoint pain2.2%140
  23. Disseminated tuberculosis2.2%137
  24. Pulmonary tuberculosis2.1%134
  25. Product use in unapproved indicationused for a purpose not on the label2%129
  26. Acute kidney injurysudden loss of kidney function1.9%123

Top 30 of 1,023 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 antimycobacterial 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

Death19.4%1,227
Life-threatening7.6%481
Hospitalisation (initial or prolonged)42.6%2,699
Disability1.8%114
Congenital anomaly0.6%37
Other serious70.1%4,441
Not serious2.3%147

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 22,556 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 21.8%111
2 to 113.3%210
12 to 174.2%269
18 to 4438.2%2,420
45 to 6418.3%1,157
65 to 748.1%515
75 and over5.6%356
Age not given20.5%1,296

Patient sex

Female37.7%2,390
Male46%2,912
Not given16.3%1,032

Who reported

Physician32.5%2,059
Pharmacist2%128
Other health professional57.7%3,657
Lawyer0%0
Consumer or non-health professional4.8%307
Not given2.9%183

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 14.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Tuberculosis2,88645.6%
Pulmonary tuberculosis1,29520.4%
Disseminated tuberculosis3886.1%
Meningitis tuberculous2253.6%
Lymph node tuberculosis1061.7%
Tuberculosis of central nervous system631%

The indication field is filled in by the reporter and is often blank; shares are of all 6,334 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Pyrazinamide reports
Isoniazid4,68574%
Ethambutol3,73559%
Rifampin2,34637%
Rifampicin2,01431.8%
Levofloxacin1,29020.4%
Linezolid1,27920.2%
Clofazimine1,00915.9%
Moxifloxacin78012.3%
Bedaquiline69711%
Cycloserine65610.4%

Other products listed in reports where Pyrazinamide 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

MeasurePyrazinamideAntimycobacterialAll reports
Reports as suspect product6,33422,55620,646,523
Share of that pool—28.1%0%
Reports, latest 12 months404—1,332,454
Marked serious97.7%92.6%57.4%
Death recorded among outcomes, per 1,000 reports19417991
Hospitalisation recorded, per 1,000 reports426391213
Consumer-filed share4.8%7.2%45.8%
Top term, share of reportsDrug-induced liver injury 9.7%median 2.5%0.1%

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 antimycobacterial class

DrugName typeReportsLatest 12 monthsMarked serious
Isoniazidgeneric9,02446293.6%
Clofaziminegeneric4,07633090.8%
Ethambutol hydrochloridegeneric1,70522075.1%
Lamprenebrand7759084.4%
Pretomanidgeneric64217998.1%

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 Pyrazinamide reports

How many adverse event reports has FDA received for Pyrazinamide?

6,334 reports list Pyrazinamide as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 404 of them arrived in the latest 12 months. Another 3,033 list it only as a concomitant medication.

What reactions are recorded in Pyrazinamide reports?

drug-induced liver injury (9.7%), drug reaction with eosinophilia and systemic symptoms (8.5%), paradoxical drug reaction (7.4%), pyrexia (6.2%) and vomiting (5.4%). 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 Pyrazinamide was responsible.

How serious are the reports?

97.7% are marked serious by the reporter. Among the outcomes recorded, 19.4% of reports include death and 42.6% 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 (57.7%), physician (32.5%) and consumer or non-health professional (4.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Pyrazinamide rising?

404 reports in the 12 months to June 2026, down 12% from 458 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 Pyrazinamide 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 Pyrazinamide?

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 Pyrazinamide as a suspect or interacting product; reports listing it only as a concomitant medication (3,033) 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.