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erythromycin Side Effects

Also known as: E-Mycin, Ery-Tab

Analysis of 18,237 adverse event reports submitted to the FDA from 2003 to 2025.

Total Reports

18,237

Death-Related

1,606

8.8% of reports

Hospitalizations

4,825

26.5% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG HYPERSENSITIVITY
4,088
NAUSEA
1,271
VOMITING
1,121
DIARRHOEA
1,069
DRUG INEFFECTIVE
1,044
DYSPNOEA
1,023
FATIGUE
1,012
RASH
1,007
OFF LABEL USE
914
HEADACHE
866
PAIN
779
DIZZINESS
777
PYREXIA
689
MALAISE
686
HYPERSENSITIVITY
677
PNEUMONIA
654
ARTHRALGIA
643
CHRONIC KIDNEY DISEASE
629
PRURITUS
626
DRUG INTERACTION
621

Who Reports Side Effects

Gender Distribution

Female 11,428 (70%)
Male 4,853 (30%)
Unknown 73

Age Distribution

0-17 980 (9%)
18-44 2,906 (26%)
45-64 3,566 (32%)
65-74 2,104 (19%)
75+ 1,641 (15%)

Reporting Trend by Year

2003 2025

Reactions in Death Reports

Top reactions reported in 1,606 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 277
PNEUMONIA 242
DIARRHOEA 227
GENERAL PHYSICAL HEALTH DETERIORATION 226
CONFUSIONAL STATE 225
DYSPNOEA 218
BREAST CANCER STAGE III 194
VOMITING 194
DIZZINESS 191
BURSITIS 188
ANXIETY 186
ABDOMINAL PAIN UPPER 182
PYREXIA 182
ASTHENIA 181
INSOMNIA 181
DUODENAL ULCER PERFORATION 179
CONDITION AGGRAVATED 178
HYPERTENSION 177
C-REACTIVE PROTEIN ABNORMAL 176
MOBILITY DECREASED 173

Reactions in Hospitalization Reports

Top reactions in 4,825 reports where hospitalization was an outcome.

Reaction Reports
VOMITING 601
DIARRHOEA 578
NAUSEA 554
DYSPNOEA 548
PNEUMONIA 495
FATIGUE 492
DIZZINESS 477
PYREXIA 465
HEADACHE 440
PAIN 427
OFF LABEL USE 414
DRUG INEFFECTIVE 410
DRUG HYPERSENSITIVITY 397
MALAISE 394
ASTHENIA 385
ARTHRALGIA 384
WEIGHT DECREASED 363
ABDOMINAL PAIN 357
RASH 352
ANXIETY 351

Nearby — Related Medications

Compare erythromycin vs amikacin →

What the FAERS Data Reveals About erythromycin Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 18,237 voluntary reports linked to erythromycin and its brand equivalents (E-Mycin, Ery-Tab), spanning 2003 through 2025. Of those, 1,606 (8.8%) listed death as an outcome and 4,825 (26.5%) 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, 70% were female and 30% male; age distribution skews toward 45-64, with 3,566 reports in that bracket. The single most reported reaction is drug hypersensitivity with 4,088 submissions, followed by nausea and vomiting.

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.