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Drug side effects

clarithromycin Side Effects

The reactions most often reported to the FDA for clarithromycin (also sold as Biaxin), with demographics, serious outcomes, and reporting trends.

Data updated 2026-05-15

33,247
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 1999 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.

The most commonly reported side effects of clarithromycin come from 33,247 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 33,247 reports to the FDA Adverse Event Reporting System (FAERS) for clarithromycin (Biaxin): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.

Total Reports

33,247

Reports Mentioning Death

2,888

8.7% of reports — not proof the medicine caused the death

Hospitalizations

13,190

39.7% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG INTERACTION
2,906
NAUSEA
2,214
DYSPNOEA
1,959
DIARRHOEA
1,937
MALAISE
1,650
PYREXIA
1,631
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
DYSPNOEA 231
PYREXIA 219
SEPSIS 209
ACUTE KIDNEY INJURY 169
RESPIRATORY FAILURE 166
CARDIAC ARREST 163
MULTIPLE ORGAN DYSFUNCTION SYNDROME 151
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
PNEUMONIA 880
MALAISE 840
DIARRHOEA 781
VOMITING 764
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

Compare clarithromycin vs amikacin →

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 nausea and dyspnoea.

How to read these numbers

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.

Drugs With a Similar FAERS Report Volume

Other medications with a total FDA adverse-event report count closest to clarithromycin's 33,247.