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acyclovir Side Effects

Also known as: Zovirax

Analysis of 109,698 adverse event reports submitted to the FDA from 2003 to 2025.

Total Reports

109,698

Death-Related

13,944

12.7% of reports

Hospitalizations

40,651

37.1% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

FATIGUE
7,612
DIARRHOEA
7,064
OFF LABEL USE
5,797
PNEUMONIA
5,471
NAUSEA
5,328
PYREXIA
4,719
DEATH
4,676
DRUG INEFFECTIVE
4,464
RASH
4,121
DYSPNOEA
3,452
ASTHENIA
3,193
WHITE BLOOD CELL COUNT DECREASED
3,088
HEADACHE
3,080
NEUTROPENIA
3,074
PLATELET COUNT DECREASED
2,964
CONSTIPATION
2,832
VOMITING
2,798
PAIN
2,780
FEBRILE NEUTROPENIA
2,728
DIZZINESS
2,716

Who Reports Side Effects

Gender Distribution

Female 51,333 (50%)
Male 51,021 (50%)
Unknown 286

Age Distribution

0-17 3,654 (5%)
18-44 8,105 (11%)
45-64 23,378 (33%)
65-74 21,074 (30%)
75+ 15,057 (21%)

Reporting Trend by Year

2003 2025

Reactions in Death Reports

Top reactions reported in 13,944 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 4,656
PNEUMONIA 1,070
SEPSIS 977
OFF LABEL USE 916
DRUG INEFFECTIVE 843
PLASMA CELL MYELOMA 784
PYREXIA 728
RESPIRATORY FAILURE 677
SEPTIC SHOCK 657
MULTIPLE ORGAN DYSFUNCTION SYNDROME 536
DISEASE PROGRESSION 528
FEBRILE NEUTROPENIA 512
THROMBOCYTOPENIA 504
DIARRHOEA 465
RENAL FAILURE 447
NEUTROPENIA 431
ANAEMIA 423
INFECTION 420
PLATELET COUNT DECREASED 415
ACUTE KIDNEY INJURY 396

Reactions in Hospitalization Reports

Top reactions in 40,651 reports where hospitalization was an outcome.

Reaction Reports
PNEUMONIA 4,416
PYREXIA 3,261
DIARRHOEA 2,437
FEBRILE NEUTROPENIA 2,197
NAUSEA 2,046
FATIGUE 2,021
OFF LABEL USE 1,955
DYSPNOEA 1,846
ACUTE KIDNEY INJURY 1,618
ASTHENIA 1,564
SEPSIS 1,563
VOMITING 1,557
DRUG INEFFECTIVE 1,501
FALL 1,387
ANAEMIA 1,373
NEUTROPENIA 1,329
PLATELET COUNT DECREASED 1,316
THROMBOCYTOPENIA 1,235
HEADACHE 1,197
HYPOTENSION 1,160

Nearby — Related Medications

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What the FAERS Data Reveals About acyclovir Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 109,698 voluntary reports linked to acyclovir and its brand equivalents (Zovirax), spanning 2003 through 2025. Of those, 13,944 (12.7%) listed death as an outcome and 40,651 (37.1%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 50% were female and 50% male; age distribution skews toward 45-64, with 23,378 reports in that bracket. The single most reported reaction is fatigue with 7,612 submissions, followed by diarrhoea and off label use.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.