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Drug side effects

levofloxacin Side Effects

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

Data updated 2026-05-15

58,038
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 2003 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 levofloxacin come from 58,038 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 58,038 reports to the FDA Adverse Event Reporting System (FAERS) for levofloxacin (Levaquin): 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

58,038

Reports Mentioning Death

7,897

13.6% of reports — not proof the medicine caused the death

Hospitalizations

27,056

46.6% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DYSPNOEA
2,950
PNEUMONIA
2,863
NAUSEA
2,790
PYREXIA
2,723
FATIGUE
2,659
ACUTE KIDNEY INJURY
2,594
DIARRHOEA
2,463
PAIN
2,424
CHRONIC KIDNEY DISEASE
2,286
ARTHRALGIA
2,220
PAIN IN EXTREMITY
1,901
VOMITING
1,878
RENAL FAILURE
1,763
DEATH
1,761
DRUG HYPERSENSITIVITY
1,746
ASTHENIA
1,702
RASH
1,638
CONDITION AGGRAVATED
1,543

Who Reports Side Effects

Gender Distribution

Female 26,294 (51%)
Male 24,961 (48%)
Unknown 227

Age Distribution

0-17 1,492 (3%)
18-44 7,369 (17%)
45-64 13,983 (33%)
65-74 10,076 (24%)
75+ 9,771 (23%)

Reporting Trend by Year

2003 2025

Reactions in Death Reports

Top reactions reported in 7,897 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 1,757
PNEUMONIA 720
ACUTE KIDNEY INJURY 508
SEPSIS 449
RESPIRATORY FAILURE 441
PYREXIA 422
DIARRHOEA 407
DYSPNOEA 405
SEPTIC SHOCK 403
RENAL FAILURE 386
MULTIPLE ORGAN DYSFUNCTION SYNDROME 365
CONDITION AGGRAVATED 357
CHRONIC KIDNEY DISEASE 334
NAUSEA 315
THROMBOCYTOPENIA 310
FATIGUE 301
ANAEMIA 297
FEBRILE NEUTROPENIA 289

Reactions in Hospitalization Reports

Top reactions in 27,056 reports where hospitalization was an outcome.

Reaction Reports
PNEUMONIA 2,155
PYREXIA 1,851
DYSPNOEA 1,801
NAUSEA 1,394
DIARRHOEA 1,387
ACUTE KIDNEY INJURY 1,314
FATIGUE 1,199
HYPOTENSION 1,126
PAIN 1,123
VOMITING 1,121
FEBRILE NEUTROPENIA 1,054
FALL 1,045
CONDITION AGGRAVATED 995
ANAEMIA 972
DRUG INTERACTION 940
ASTHENIA 897
CONSTIPATION 880
COUGH 760

Compare levofloxacin vs amikacin →

What the FAERS Data Reveals About levofloxacin Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 58,038 voluntary reports linked to levofloxacin and its brand equivalents (Levaquin), spanning 2003 through 2025. Of those, 7,897 (13.6%) listed death as an outcome and 27,056 (46.6%) 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, 51% were female and 48% male; age distribution skews toward 45-64, with 13,983 reports in that bracket. The single most reported reaction is dyspnoea with 2,950 submissions, followed by pneumonia and nausea.

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.