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What the label lists and what reports show

Eravacycline side effects

Eravacycline's FDA label: “Most common adverse reactions (incidence ≥ 3%) are infusion site reactions, nausea, and vomiting.” FAERS holds 243 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 blood fibrinogen decreased (17 reports).

  • No generic listed

Check it at the source: the eravacycline FDA label on DailyMed (effective March 31, 2025, Tetraphase Pharmaceuticals, Inc.); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

Most common adverse reactions (incidence ≥ 3%) are infusion site reactions, nausea, and vomiting.

Table 1: Selected Adverse Reactions Reported in ≥ 1% of Patients Receiving XERAVA in the Phase 3 cIAI Trials (Trial 1 and Trial 2)

Adverse ReactionsXERAVA XERAVA dose equals 1 mg/kg every 12 hours IV. N=520 n (%)Comparators Comparators include ertapenem 1 g every 24 hours IV and meropenem 1 g every 8…
Infusion site reactions Infusion site reactions include: catheter/vessel puncture site…40 (7.7)10 (1.9)
Nausea34 (6.5)3 (0.6)
Vomiting19 (3.7)13 (2.5)
Diarrhea12 (2.3)8 (1.5)
Hypotension7 (1.3)2 (0.4)
Wound dehiscence7 (1.3)1 (0.2)

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 clinically significant adverse reactions are described in greater detail in the Warnings and Precautions section: Hypersensitivity Reactions [Warning and Precautions ( 5.1 )] Tooth Discoloration [ Warning and Precautions ( 5.2 )] Inhibition of Bone Growth [Warning and Precautions ( 5.3 )] Clostridioides difficile -Associated Diarrhea [Warning and Precautions ( 5.4 )] Tetracycline Class Adverse Reactions [Warning and Precautions ( 5.5 )] Most common adverse reactions (incidence ≥ 3%) are infusion site reactions, nausea, and vomiting. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Tetraphase Pharmaceuticals, Inc., at 1-800-651-3861 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 may not reflect the rates observed in practice. XERAVA was evaluated in 3 active-controlled clinical trials (Trial 1, Trial 2, and Trial 3) in adults with cIAI. These trials included two Phase 3 trials (Trial 1 and Trial 2) and one Phase 2 trial (Trial 3, NCT01265784). The Phase 3 trials included 520 patients treated with XERAVA and 517 patients treated with comparator antibacterial drugs (ertapenem or meropenem). …

Source: FDA drug label, Tetraphase Pharmaceuticals, Inc., effective March 31, 2025 (SPL set a4b188d4-f467-470c-ad7b-25ffbdd8862a), via openFDA; the full label on DailyMed

What do FAERS reports show?

243 reports list eravacycline among the medicines taken, each a report of something that happened, not proof the medicine caused it; 43 are coded as a death and 68 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, 3 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.

The 25 most reported reactions

  • Off Label Use (a use or a product term, not a reaction)73
  • Drug Ineffective (a use or a product term, not a reaction)30
  • Blood Fibrinogen Decreased17
  • Nausea (named in the label)16
  • Thrombocytopenia15
  • Multiple Organ Dysfunction Syndrome14
  • Product Use In Unapproved Indication (a use or a product term, not a reaction)14
  • Diarrhoea (named in the label)12
  • Lactic Acidosis11
  • Hypertransaminasaemia10
  • Drug Intolerance9
  • Pancreatitis (named in the label)8
  • Blood Bilirubin Increased7
  • Condition Aggravated (a use or a product term, not a reaction)7
  • Enterococcal Infection7
  • Platelet Count Decreased7
  • Sepsis7
  • Acute Respiratory Distress Syndrome6
  • Coagulopathy6
  • Prothrombin Time Prolonged6
  • Septic Shock6
  • Drug Ineffective For Unapproved Indication (a use or a product term, not a reaction)5
  • Drug Resistance5
  • Drug-Induced Liver Injury5
  • Gastrointestinal Haemorrhage5

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

What next?

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