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What the label lists and what reports show

Cefuroxime side effects

Cefuroxime's FDA label: “The most common adverse reactions (≥3%) for cefuroxime axetil tablets are diarrhea, nausea/vomiting, Jarisch-Herxheimer reaction, and vaginitis (early Lyme disease).” FAERS holds 15,670 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 dyspnoea (1,030 reports).

  • Generic listed

Check it at the source: the cefuroxime FDA label on DailyMed (effective April 29, 2024, Aurobindo Pharma Limited); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

The most common adverse reactions (≥3%) for cefuroxime axetil tablets are diarrhea, nausea/vomiting, Jarisch-Herxheimer reaction, and vaginitis (early Lyme disease).

Table 5. Adverse Reactions (≥1%) after Multiple-Dose Regimens with Cefuroxime Axetil Tablets

Adverse ReactionCefuroxime Axetil (n = 912)
Eosinophilia1%
Diarrhea4%
Nausea/Vomiting3%
Transient elevation in AST2%
Transient elevation in ALT2%
Transient elevation in LDH1%

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 and otherwise important adverse reaction is described in greater detail in the Warnings and Precautions section of the label: Anaphylactic Reactions [see Warnings and Precautions (5.1)]. The most common adverse reactions (≥3%) for cefuroxime axetil tablets are diarrhea, nausea/vomiting, Jarisch-Herxheimer reaction, and vaginitis (early Lyme disease). ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Aurobindo Pharma USA, Inc. at 1-866-850-2876 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 with rates in the clinical trials of another drug and may not reflect the rates observed in practice. Tablets Multiple-Dose Dosing Regimens with 7 to 10 Days’ Duration: In multiple-dose clinical trials, 912 subjects were treated with cefuroxime axetil (125 to 500 mg twice daily). It is noted that 125 mg twice daily is not an approved dosage. Twenty (2.2%) subjects discontinued medication due to adverse reactions. Seventeen (85%) of the 20 subjects who discontinued therapy did so because of gastrointestinal disturbances, including diarrhea, nausea, vomiting, and abdominal pain. …

Source: FDA drug label, Aurobindo Pharma Limited, effective April 29, 2024 (SPL set faef39e9-d793-4191-a728-310f6fab759d), via openFDA; the full label on DailyMed

What do FAERS reports show?

15,670 reports list cefuroxime among the medicines taken, each a report of something that happened, not proof the medicine caused it; 1,686 are coded as a death and 6,881 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 20 reactions below, 10 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

  • Dyspnoea1,030
  • Drug Ineffective (a use or a product term, not a reaction)969
  • Diarrhoea (named in the label)943
  • Off Label Use (a use or a product term, not a reaction)904
  • Pneumonia (a use or a product term, not a reaction)843
  • Pyrexia794
  • Fatigue782
  • Headache (named in the label)707
  • Anxiety706
  • Acute Kidney Injury689
  • Vomiting (named in the label)687
  • Chronic Kidney Disease678
  • Nausea (named in the label)678
  • Rash (named in the label)677
  • Renal Failure672
  • Dizziness (named in the label)583
  • Condition Aggravated (a use or a product term, not a reaction)573
  • Malaise565
  • Hypersensitivity (named in the label)563
  • Pain557
  • Abdominal Pain (named in the label)518
  • Pruritus (named in the label)503
  • Drug Interaction (a use or a product term, not a reaction)478
  • Drug Hypersensitivity470
  • Anaphylactic Reaction (named in the label)464

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

What next?

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