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Drug side effects

gentamicin Side Effects

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

Data updated 2026-05-15

12,687
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 gentamicin come from 12,687 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 12,687 reports to the FDA Adverse Event Reporting System (FAERS) for gentamicin (Garamycin): 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

12,687

Reports Mentioning Death

2,366

18.6% of reports — not proof the medicine caused the death

Hospitalizations

6,198

48.9% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

ACUTE KIDNEY INJURY
999
PYREXIA
750
RENAL FAILURE
604
DIARRHOEA
460
SEPSIS
426
CONDITION AGGRAVATED
404
CHRONIC KIDNEY DISEASE
402
HYPOTENSION
399
DRUG INTERACTION
375
NAUSEA
373
RENAL FAILURE ACUTE
359
FOETAL EXPOSURE DURING PREGNANCY
358
PREMATURE BABY
345
DYSPNOEA
337
FATIGUE
334
PNEUMONIA
333
MATERNAL EXPOSURE DURING PREGNANCY
331

Who Reports Side Effects

Gender Distribution

Female 5,410 (48%)
Male 5,825 (51%)
Unknown 86

Age Distribution

0-17 1,346 (14%)
18-44 1,875 (20%)
45-64 2,812 (30%)
65-74 1,776 (19%)
75+ 1,554 (17%)

Reporting Trend by Year

1999 2025

Reactions in Death Reports

Top reactions reported in 2,366 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 282
SEPSIS 211
SEPTIC SHOCK 206
DIARRHOEA 205
RENAL FAILURE 186
ACUTE KIDNEY INJURY 165
PNEUMONIA 161
PYREXIA 161
NAUSEA 151
MULTIPLE ORGAN DYSFUNCTION SYNDROME 150
CONDITION AGGRAVATED 141
DISEASE PROGRESSION 137
FATIGUE 132
MULTI-ORGAN FAILURE 132
NEUTROPENIA 126
HYPOTENSION 119
DYSPNOEA 117
SEIZURE 110

Reactions in Hospitalization Reports

Top reactions in 6,198 reports where hospitalization was an outcome.

Reaction Reports
ACUTE KIDNEY INJURY 584
PYREXIA 528
DIARRHOEA 349
SEPSIS 297
RENAL FAILURE 294
NAUSEA 257
CONDITION AGGRAVATED 254
PNEUMONIA 248
VOMITING 248
HYPOTENSION 232
RENAL FAILURE ACUTE 227
DRUG INTERACTION 226
DYSPNOEA 223
ANAEMIA 220
NEUTROPENIA 219
FATIGUE 214
THROMBOCYTOPENIA 190
SEPTIC SHOCK 189

Compare gentamicin vs amikacin →

What the FAERS Data Reveals About gentamicin Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 12,687 voluntary reports linked to gentamicin and its brand equivalents (Garamycin), spanning 1999 through 2025. Of those, 2,366 (18.6%) listed death as an outcome and 6,198 (48.9%) 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, 48% were female and 51% male; age distribution skews toward 45-64, with 2,812 reports in that bracket. The single most reported reaction is acute kidney injury with 999 submissions, followed by pyrexia and renal failure.

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 gentamicin's 12,687.