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clarithromycin Side Effects

Also known as: Biaxin

Analysis of 33,247 adverse event reports submitted to the FDA from 1999 to 2025.

Total Reports

33,247

Death-Related

2,888

8.7% of reports

Hospitalizations

13,190

39.7% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG INTERACTION
2,906
DRUG INEFFECTIVE
2,476
NAUSEA
2,214
DYSPNOEA
1,959
DIARRHOEA
1,937
MALAISE
1,650
PYREXIA
1,631
OFF LABEL USE
1,533
HEADACHE
1,518
VOMITING
1,476
RASH
1,250
PNEUMONIA
1,228
DIZZINESS
1,168
FATIGUE
1,146
ABDOMINAL PAIN
1,015
ACUTE KIDNEY INJURY
994
PAIN
985
COUGH
940
ANXIETY
915
PRURITUS
877

Who Reports Side Effects

Gender Distribution

Female 17,981 (60%)
Male 11,943 (40%)
Unknown 112

Age Distribution

0-17 2,059 (8%)
18-44 5,712 (23%)
45-64 7,602 (30%)
65-74 5,055 (20%)
75+ 4,742 (19%)

Reporting Trend by Year

1999 2025

Reactions in Death Reports

Top reactions reported in 2,888 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DRUG INTERACTION 304
PNEUMONIA 303
DEATH 298
DRUG INEFFECTIVE 274
DYSPNOEA 231
PYREXIA 219
SEPSIS 209
ACUTE KIDNEY INJURY 169
RESPIRATORY FAILURE 166
CARDIAC ARREST 163
MULTIPLE ORGAN DYSFUNCTION SYNDROME 151
OFF LABEL USE 149
DIARRHOEA 147
RENAL FAILURE 146
MALAISE 134
VOMITING 133
COUGH 120
NAUSEA 119
THROMBOCYTOPENIA 116
TOXICITY TO VARIOUS AGENTS 111

Reactions in Hospitalization Reports

Top reactions in 13,190 reports where hospitalization was an outcome.

Reaction Reports
DRUG INTERACTION 1,740
PYREXIA 1,150
DYSPNOEA 995
NAUSEA 982
DRUG INEFFECTIVE 978
PNEUMONIA 880
MALAISE 840
DIARRHOEA 781
VOMITING 764
OFF LABEL USE 716
ACUTE KIDNEY INJURY 670
HEADACHE 602
PAIN 580
ABDOMINAL PAIN 552
ANAEMIA 526
COUGH 512
RASH 495
WEIGHT DECREASED 488
CONFUSIONAL STATE 475
ERYTHEMA 447

Nearby — Related Medications

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What the FAERS Data Reveals About clarithromycin Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 33,247 voluntary reports linked to clarithromycin and its brand equivalents (Biaxin), spanning 1999 through 2025. Of those, 2,888 (8.7%) listed death as an outcome and 13,190 (39.7%) 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, 60% were female and 40% male; age distribution skews toward 45-64, with 7,602 reports in that bracket. The single most reported reaction is drug interaction with 2,906 submissions, followed by drug ineffective and nausea.

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.