Reported Reactions

Drugs › Aminoglycoside antibacterial

Brand name · Tobramycin

Tobi: adverse event reports filed with FDA

3,702 reports list it as a suspect or interacting product, 2004–2026. Class: Aminoglycoside antibacterial.

3,702
reports as suspect product
0% of all reports · about 166 a year
12
reports, 12 months to June 2026
34 in the 12 months before
82.7%
marked serious by the reporter
80.3% across the class
28.5%
record death among outcomes, as reported
1,054 reports · not verified by FDA

Between March 2004 and June 2026, 3,702 adverse event reports received by FDA list the brand name Tobi (tobramycin) as a suspect or interacting product. Reports that mention it only as a concomitant medication (1,884) are left out of every figure here.

In the 12 months to June 2026, 12 reports listed it, down 65% from 34 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 166 reports a year and 0% of the 20,646,523 reports in the database, and 9.8% 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.

The MedDRA terms listed most often are death (22.2%), cough (8.1%) and dyspnoea (8.1%). A report can list several reactions, so shares add to more than 100%; 482 different terms appear across these reports. Death is recorded in 22.2% of these reports, a larger share than in the median aminoglycoside antibacterial drug (1.6%).

82.7% of the reports are marked serious by the reporter (80.3% across the class); 28.5% record death among the outcomes and 37.9% record hospitalisation, as reported. 58.8% of the reports came from consumers, and the largest patient age group is 18 to 44 (15.8%). 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

059Jul 2021: 3Aug 2021: 6Sep 2021: 2Oct 2021: 1Nov 2021: 1Dec 2021: 12022Jan 2022: 4Feb 2022: 1Mar 2022: 2Apr 2022: 0May 2022: 3Jun 2022: 2Jul 2022: 4Aug 2022: 1Sep 2022: 5Oct 2022: 0Nov 2022: 4Dec 2022: 42023Jan 2023: 2Feb 2023: 5Mar 2023: 4Apr 2023: 2May 2023: 1Jun 2023: 1Jul 2023: 4Aug 2023: 2Sep 2023: 5Oct 2023: 3Nov 2023: 3Dec 2023: 32024Jan 2024: 0Feb 2024: 1Mar 2024: 2Apr 2024: 1May 2024: 0Jun 2024: 0Jul 2024: 2Aug 2024: 3Sep 2024: 5Oct 2024: 1Nov 2024: 1Dec 2024: 02025Jan 2025: 2Feb 2025: 0Mar 2025: 9Apr 2025: 1May 2025: 9Jun 2025: 1Jul 2025: 2Aug 2025: 1Sep 2025: 2Oct 2025: 0Nov 2025: 1Dec 2025: 12026Jan 2026: 0Feb 2026: 2Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 3

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

03166322004: 1320042005: 132006: 142007: 2120072008: 242009: 282010: 8620102011: 5032012: 4902013: 53320132014: 4612015: 6322016: 21420162017: 1882018: 1782019: 11320192020: 452021: 312022: 3020222023: 352024: 162025: 2920252026: 5

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Tobi reports recording the termmedian drug in aminoglycoside antibacterial

  1. Deaththe patient died; cause not stated by this term22.2%823
  2. Coughcough8.1%300
  3. Dyspnoeashortness of breath8.1%300
  4. Pneumonialung infection6.6%244
  5. Off label useused for a purpose or in a way not on the label6.5%241
  6. Malaisegeneral feeling of being unwell4.7%175
  7. Condition aggravatedthe condition being treated got worse4.6%169
  8. Product use issuea problem in how the product was used3.3%121
  9. Pyrexiafever3.1%115
  10. Haemoptysiscoughing up blood3.1%114
  11. Lung disordera lung problem, type not specified2.8%105
  12. Upper respiratory tract infectiona cold or similar infection2.8%103
  13. Pulmonary function test decreased2.6%97
  14. Dysphoniaa hoarse voice2.6%96
  15. Infectionan infection, type not specified2.6%96
  16. Fatiguetiredness2.1%79
  17. Chronic obstructive pulmonary diseaseCOPD, a long-term lung disease2%74
  18. Productive cougha cough with phlegm1.8%67
  19. Drug ineffectivethe medicine did not work as expected1.8%66
  20. Asthmaasthma1.6%61
  21. Respiratory failurethe lungs could not supply enough oxygen1.6%59
  22. Weight decreasedweight loss1.6%59
  23. Chest discomfortchest discomfort1.5%55
  24. Wheezingwheezing1.4%53

Top 30 of 482 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

Death28.5%1,054
Life-threatening1.3%48
Hospitalisation (initial or prolonged)37.9%1,403
Disability1%37
Congenital anomaly0.4%15
Other serious29%1,073
Not serious17.3%642

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 20.6%21
2 to 114.3%161
12 to 175.2%194
18 to 4415.8%586
45 to 647%260
65 to 745.9%219
75 and over7.6%280
Age not given53.5%1,981

Patient sex

Female53.5%1,980
Male42.6%1,578
Not given3.9%144

Who reported

Physician15.6%578
Pharmacist5.3%195
Other health professional9.8%361
Lawyer0%0
Consumer or non-health professional58.8%2,175
Not given10.6%393

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 80.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Cystic fibrosis1,13330.6%
Bronchiectasis38410.4%
Pseudomonas infection2256.1%
Chronic obstructive pulmonary disease1082.9%
Lung disorder350.9%
Pneumonia pseudomonal350.9%

The indication field is filled in by the reporter and is often blank; shares are of all 3,702 reports.

In context

MeasureTobiAminoglycoside antibacterialAll reports
Reports as suspect product3,70237,84020,646,523
Share of that pool—9.8%0%
Reports, latest 12 months12—1,332,454
Marked serious82.7%80.3%57.4%
Death recorded among outcomes, per 1,000 reports28517391
Hospitalisation recorded, per 1,000 reports379415213
Consumer-filed share58.8%31.9%45.8%
Top term, share of reportsDeath 22.2%median 1.6%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 aminoglycoside antibacterial class

DrugName typeReportsLatest 12 monthsMarked serious
Arikaycebrand6,47171468.7%
Gentamicingeneric5,59128594.7%
Amikacingeneric5,38053191.9%
Tobramycingeneric4,82738883.4%
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 Tobi reports

How many adverse event reports has FDA received for Tobi?

3,702 reports list Tobi as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 12 of them arrived in the latest 12 months. Another 1,884 list it only as a concomitant medication.

What reactions are recorded in Tobi reports?

death (22.2%), cough (8.1%), dyspnoea (8.1%), cystic fibrosis (6.8%) and pneumonia (6.6%). 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 Tobi was responsible.

How serious are the reports?

82.7% are marked serious by the reporter. Among the outcomes recorded, 28.5% of reports include death and 37.9% 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 (58.8%), physician (15.6%) and not given (10.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Tobi rising?

12 reports in the 12 months to June 2026, down 65% from 34 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 Tobi 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 Tobi?

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 Tobi as a suspect or interacting product; reports listing it only as a concomitant medication (1,884) 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.