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eravacycline

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Brand names: Xerava

Tetracycline Antibiotic Rx

Xerava is an antibiotic medicine. It is used to treat complicated infections in the stomach area.

What it does

Xerava treats complicated infections inside your belly (intra-abdominal).

Common side effects

Reactions where the IV goes into your body, Feeling sick to your stomach (nausea), Throwing up

Key warnings

Xerava can cause serious allergic reactions.

How It Works

Xerava is a tetracycline antibiotic. It stops bacteria from growing. This helps your body fight off the infection.

How to Take It

Xerava is given into your vein through an IV. You will get 1 mg of Xerava for each kg you weigh. This is given every 12 hours for 4 to 14 days. Each IV dose takes about 60 minutes.

Pregnancy & Breastfeeding

Xerava can harm an unborn baby. It can cause tooth discoloration and slow bone growth. Breastfeeding is not recommended while using Xerava.

Missed Dose

If you miss a dose, talk to your doctor or nurse right away. They will tell you when to get your next dose.

Storage

Keep Xerava in the fridge between 36°F and 46°F before mixing.

Side Effects (from patient reports)

Based on 187 FDA adverse event reports.

Off Label Use
62
Drug Ineffective
24
Blood Fibrinogen Decreased
16
Nausea
15
Thrombocytopenia
14
Multiple Organ Dysfunction Syndrome
13
Product Use In Unapproved Indication
13
Lactic Acidosis
11
Hypertransaminasaemia
10
Diarrhoea
9

FDA Adverse Event Report Analysis

Detailed analysis of 205 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2019–2025.

Total Reports

205

Death-Related Reports

33

Hospitalization Reports

57

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 51 (35%)
Male 95 (65%)

Age Distribution

0–17 6
18–44 36
45–64 45
65–74 26
75+ 11

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 OFF LABEL USE 62
2 DRUG INEFFECTIVE 24
3 BLOOD FIBRINOGEN DECREASED 16
4 NAUSEA 15
5 THROMBOCYTOPENIA 14
6 MULTIPLE ORGAN DYSFUNCTION SYNDROME 13
7 PRODUCT USE IN UNAPPROVED INDICATION 13
8 LACTIC ACIDOSIS 11
9 HYPERTRANSAMINASAEMIA 10
10 DIARRHOEA 9
11 PANCREATITIS 8
12 ACUTE RESPIRATORY DISTRESS SYNDROME 6
13 CONDITION AGGRAVATED 6
14 DRUG INTOLERANCE 6
15 ENTEROCOCCAL INFECTION 6

Reactions in Death Reports

MULTIPLE ORGAN DYSFUNCTION SYNDROME 13
DRUG INEFFECTIVE 10
OFF LABEL USE 9
ACUTE RESPIRATORY DISTRESS SYNDROME 6
THROMBOCYTOPENIA 5
BLOOD FIBRINOGEN DECREASED 4
HYPERTRANSAMINASAEMIA 4
LACTIC ACIDOSIS 4
SHOCK 4
BLASTOMYCOSIS 3

Reactions in Hospitalization Reports

OFF LABEL USE 19
DRUG INEFFECTIVE 11
BLOOD FIBRINOGEN DECREASED 9
HYPERTRANSAMINASAEMIA 8
LACTIC ACIDOSIS 8
THROMBOCYTOPENIA 8
ACUTE RESPIRATORY DISTRESS SYNDROME 6
MULTIPLE ORGAN DYSFUNCTION SYNDROME 6
BLASTOMYCOSIS 3
BLOOD BILIRUBIN INCREASED 3

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Xerava can cause serious allergic reactions. If you are allergic to tetracycline antibiotics, you should not take Xerava. Using Xerava while teeth are developing can cause tooth discoloration. It can also slow bone growth in babies and children under 8.

Common Questions

What if I'm allergic to tetracyclines?
You should not take Xerava if you are allergic to tetracycline antibiotics.
Can Xerava affect my teeth?
Yes, it can cause permanent tooth discoloration if used during tooth development (pregnancy, infancy, childhood up to 8 years).
Can Xerava affect bone growth?
Yes, it can temporarily slow bone growth if used during pregnancy or in children under 8.
What should I do if I get diarrhea while taking Xerava?
Tell your doctor right away if you get diarrhea.
Can I breastfeed while taking Xerava?
No, breastfeeding is not recommended during treatment with Xerava.
What if I am taking a blood thinner?
Your doctor may need to change the dose of your blood thinner medicine.
What if I am taking medicine that affects liver enzymes?
Your doctor may need to change the dose of Xerava.
How long will I need to take Xerava?
You will usually take Xerava for 4 to 14 days.
How is Xerava given?
Xerava is given through an IV into your vein.
What does Xerava look like?
Xerava is a yellow to orange powder before it is mixed with liquid.
What are the common side effects of eravacycline?
The most commonly reported side effects of eravacycline include Reactions where the IV goes into your body, Feeling sick to your stomach (nausea), Throwing up. Based on 187 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
What drug class is eravacycline?
eravacycline belongs to the Tetracycline Antibiotic drug class. It requires a prescription (Rx). Xerava treats complicated infections inside your belly (intra-abdominal).
Is eravacycline safe during pregnancy?
Xerava can harm an unborn baby. It can cause tooth discoloration and slow bone growth. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for eravacycline

The FDA label for eravacycline (sold under brand names such as Xerava) classifies it as a prescription-only medication in the Tetracycline Antibiotic class. Xerava treats complicated infections inside your belly (intra-abdominal). Official labeling lists 3 commonly reported side effects, including Reactions where the IV goes into your body, Feeling sick to your stomach (nausea), Throwing up.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 187 voluntary reports. Interaction data is drawn directly from FDA-approved prescribing information. Acquisition-cost data is surveyed weekly by CMS and updated as manufacturers report changes.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: September 22, 2025

All federal data sources used on this page