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Drug side effects

omadacycline Side Effects

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

Data updated 2026-05-15

1,476
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 2017 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 omadacycline come from 1,476 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 1,476 reports to the FDA Adverse Event Reporting System (FAERS) for omadacycline (Nuzyra): 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

1,476

Reports Mentioning Death

101

6.8% of reports — not proof the medicine caused the death

Hospitalizations

329

22.3% of reports

Top Indication

Mycobacterium Abscessus Infection

Most Reported Adverse Reactions

NAUSEA
245
VOMITING
152
DIARRHOEA
107
INCORRECT PRODUCT ADMINISTRATION DURATION
76
RASH
70
INCORRECT DOSE ADMINISTERED
68
DEATH
66
DYSPNOEA
65
FATIGUE
56
HOSPITALISATION
55
HEADACHE
52
PRURITUS
52
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION
48
COUGH
44
ASPARTATE AMINOTRANSFERASE INCREASED
41
DIZZINESS
41
HEPATIC FUNCTION ABNORMAL
41

Who Reports Side Effects

Gender Distribution

Female 730 (55%)
Male 590 (45%)
Unknown 2

Age Distribution

0-17 40 (4%)
18-44 139 (15%)
45-64 330 (36%)
65-74 200 (22%)
75+ 199 (22%)

Reporting Trend by Year

17
19
20
21
22
23
24
25

Reactions in Death Reports

Top reactions reported in 101 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 65
PNEUMONIA 11
DYSPNOEA 7
THERAPY INTERRUPTED 7
COUGH 6
HOSPITALISATION 6
WEIGHT DECREASED 6
DRUG DOSE TITRATION NOT PERFORMED 5
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION 5
LUNG DISORDER 5
PRODUCTIVE COUGH 5
CONDITION AGGRAVATED 4
DYSPHONIA 4
INCORRECT PRODUCT ADMINISTRATION DURATION 4
RESPIRATORY FAILURE 4
ACUTE RESPIRATORY FAILURE 3
HALLUCINATION 3
INCORRECT DOSE ADMINISTERED 3

Reactions in Hospitalization Reports

Top reactions in 329 reports where hospitalization was an outcome.

Reaction Reports
HOSPITALISATION 55
NAUSEA 37
DYSPNOEA 31
INCORRECT PRODUCT ADMINISTRATION DURATION 26
COUGH 24
THERAPY INTERRUPTED 23
VOMITING 23
CONDITION AGGRAVATED 22
PNEUMONIA 22
FATIGUE 17
DIARRHOEA 16
ASPARTATE AMINOTRANSFERASE INCREASED 15
DEATH 15
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION 15
HEPATIC FUNCTION ABNORMAL 14
INCORRECT DOSE ADMINISTERED 14
MALAISE 14

Compare omadacycline vs amikacin →

What the FAERS Data Reveals About omadacycline Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 1,476 voluntary reports linked to omadacycline and its brand equivalents (Nuzyra), spanning 2017 through 2025. Of those, 101 (6.8%) listed death as an outcome and 329 (22.3%) involved hospitalization. The most common indication reported alongside adverse events was Mycobacterium Abscessus Infection.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 55% were female and 45% male; age distribution skews toward 45-64, with 330 reports in that bracket. The single most reported reaction is nausea with 245 submissions, followed by vomiting and diarrhoea.

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 omadacycline's 1,476.