Skip to main content

What the label lists and what reports show

Ceftolozane and tazobactam side effects

Ceftolozane and tazobactam's FDA label: “The most common adverse reactions in adult patients (≥5% in either the cIAI or cUTI indication) are nausea, diarrhea, headache, and pyrexia.” FAERS holds 965 reports naming it through July 30, 2026; the reaction reported most often, leaving out the conditions it is used for, product-use terms and outcomes, is pathogen resistance (54 reports).

  • No generic listed

Check it at the source: the ceftolozane and tazobactam FDA label on DailyMed (effective May 12, 2026, Merck Sharp & Dohme LLC); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

The most common adverse reactions in adult patients (≥5% in either the cIAI or cUTI indication) are nausea, diarrhea, headache, and pyrexia.

Table 7: Adverse Reactions Occurring in 1% or Greater of Adult Patients Receiving ZERBAXA in Phase 3 cIAI and cUTI Clinical Trials (Trial 1 and Trial 2)

ReactionZERBAXA The ZERBAXA for injection dose was 1.5 g intravenously every 8 hours, adjusted to…Meropenem (N=497) n (%)ZERBAXA (N=533) n (%)Levofloxacin (N=535) n (%)
Nausea38 (7.9)29 (5.8)15 (2.8)9 (1.7)
Headache12 (2.5)9 (1.8)31 (5.8)26 (4.9)
Diarrhea30 (6.2)25 (5)10 (1.9)23 (4.3)
Pyrexia27 (5.6)20 (4)9 (1.7)5 (0.9)
Constipation9 (1.9)6 (1.2)21 (3.9)17 (3.2)
Insomnia17 (3.5)11 (2.2)7 (1.3)14 (2.6)
Vomiting16 (3.3)20 (4)6 (1.1)6 (1.1)
Hypokalemia16 (3.3)10 (2)4 (0.8)2 (0.4)
ALT increased7 (1.5)5 (1)9 (1.7)5 (0.9)
AST increased5 (1)3 (0.6)9 (1.7)5 (0.9)
Anemia7 (1.5)5 (1)2 (0.4)5 (0.9)
Thrombocytosis9 (1.9)5 (1)2 (0.4)2 (0.4)
Abdominal pain6 (1.2)2 (0.4)4 (0.8)2 (0.4)
Anxiety9 (1.9)7 (1.4)1 (0.2)4 (0.7)
Dizziness4 (0.8)5 (1)6 (1.1)1 (0.2)
Hypotension8 (1.7)4 (0.8)2 (0.4)1 (0.2)
Atrial fibrillation6 (1.2)3 (0.6)1 (0.2)0
Rash8 (1.7)7 (1.4)5 (0.9)2 (0.4)

Rows and numbers as the label prints them, under its own column headings (the first rows of a longer table where it runs on). A reaction in a trial table is not necessarily caused by the medicine, and trials differ from everyday use.

From the label: adverse reactions, continued

The following serious reactions are described in greater detail in the Warnings and Precautions section: Hypersensitivity reactions [see Warnings and Precautions (5.2) ] Clostridioides difficile -associated diarrhea [see Warnings and Precautions (5.3) ] Adult cIAI, cUTI and HABP/VABP Patients: The most common adverse reactions in adult patients (≥5% in either the cIAI or cUTI indication) are nausea, diarrhea, headache, and pyrexia. ( 6.1 ) The most common adverse reactions (≥5% in the HABP/VABP indication) are increase in hepatic transaminases, renal impairment/renal failure, and diarrhea. ( 6.1 ) Pediatric cIAI, cUTI and HABP/VABP Patients: The most common adverse reactions in pediatric patients (≥7% in cIAI, cUTI, or HABP/VABP) are thrombocytosis, diarrhea, pyrexia, leukopenia, abdominal pain, vomiting, increased aspartate aminotransferase, increased alanine aminotransferase, and anemia. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Merck Sharp & Dohme LLC at 1-877-888-4231 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and also may not reflect rates observed in practice.

Source: FDA drug label, NDA206829 (Cubist Pharms Llc), as published by Merck Sharp & Dohme LLC, effective May 12, 2026 (SPL set 70ac1d90-eff3-4f0b-9f46-5846c571b32f), via openFDA; the full label on DailyMed

What do FAERS reports show?

965 reports list ceftolozane and tazobactam among the medicines taken, each a report of something that happened, not proof the medicine caused it; 228 are coded as a death and 265 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is. Of the 15 reactions below, 2 are named by the same term (in US spelling) in the label's adverse reactions, warnings or patient leaflet; a reaction the label does not name may still be there under another word, and a report does not show that the medicine caused it.

Reports received each year

The 25 most reported reactions

  • Off Label Use (a use or a product term, not a reaction)138
  • Product Use In Unapproved Indication (a use or a product term, not a reaction)128
  • No Adverse Event (a use or a product term, not a reaction)89
  • Death (an outcome recorded in the report)81
  • Product Use Issue (a use or a product term, not a reaction)67
  • Pathogen Resistance54
  • Drug Ineffective (a use or a product term, not a reaction)44
  • Drug Resistance30
  • Acute Kidney Injury29
  • Incorrect Dose Administered (a use or a product term, not a reaction)26
  • Pancytopenia26
  • Pneumonia (a use or a product term, not a reaction)26
  • Septic Shock25
  • Thrombocytopenia24
  • Encephalopathy23
  • Adverse Event21
  • Overdose (a use or a product term, not a reaction)21
  • Renal Failure (named in the label)21
  • Condition Aggravated (a use or a product term, not a reaction)20
  • Confusional State20
  • Sepsis19
  • Pseudomonas Infection18
  • Pyrexia (named in the label)18
  • Respiratory Failure18
  • Seizure18

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026; reactions as MedDRA preferred terms

What next?

Ceftolozane and tazobactam: the full record
label, generics, price, shortages, recalls
Side effects hub
the most reported medicines and reactions