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Pyrazinamide Side Effects

The most commonly reported side effects of pyrazinamide include drug reaction with eosinophilia and systemic symptoms, drug-induced liver injury, and drug interaction, based on 10,000 FDA adverse event reports from 2004 to 2025. 4.6% of reports found the drug to be ineffective.

Pyrazinamide side effects

Percentages show how often each reaction appears relative to total reports for pyrazinamide.

1
Drug Reaction With Eosinophilia And Systemic Symptoms7.3%732
2
Drug-induced Liver Injury6.5%650
3
Drug Interaction5.4%543
4
Pyrexia5.1%510
5
Off Label Use5.1%509
6
Paradoxical Drug Reaction4.8%480
7
Drug Ineffective4.6%458
8
Vomiting4.3%426
9
Nausea3.7%366
10
Drug Resistance3.5%347
11
Tuberculosis3.4%341
12
Hepatotoxicity3.3%331
13
Condition Aggravated3.1%309
14
Anaemia3.1%309
15
Immune Reconstitution Inflammatory Syndrome2.7%271

These are voluntary reports and do not establish that pyrazinamide caused these reactions.

Report severity

96.8%Serious9,681 reports
44.9%Hospitalizations4,494 reports
17.0%Fatal1,696 reports

Seriousness is determined by the reporter, not by OpenClaim.

Pyrazinamide drug interactions

Other drugs that appear in adverse event reports alongside pyrazinamide. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Isoniazid53.6%5,356
2
Ethambutol-hydrochloride43.2%4,320
3
Rifampin29.7%2,968
4
Linezolid13.7%1,370
5
Levofloxacin12.6%1,256
6
Bedaquiline-fumarate10.5%1,049
7
Clofazimine10.1%1,008
8
Moxifloxacin-hydrochloride9.9%988
9
Cycloserine6.6%663
10
Lamivudine5.5%550
11
Tenofovir4.9%485
12
Efavirenz4.7%471
13
Aminosalicylic4.7%471
14
Ethionamide4.6%463
15
Amikacin-sulfate3.7%369

Taken alongside

1
Ethambutol-hydrochloride26.2%2,618
2
Isoniazid25.2%2,520
3
Rifampin11.6%1,163
4
Pyridoxine8.8%879
5
Levofloxacin4.4%443
6
Moxifloxacin-hydrochloride3.9%394
7
Prednisone3.2%320
8
Amikacin-sulfate3.0%303
9
Amoxicillin2.9%295
10
Linezolid2.8%281
11
Sulfamethoxazole2.7%274
12
Tenofovir2.6%258
13
Lamivudine2.6%256
14
Streptomycin-sulfate2.5%254
15
Prednisolone2.5%248

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports pyrazinamide side effects

38.5% of pyrazinamide adverse event reports involve female patients and 47.6% involve male patients. The largest age group is adult at 71%. These figures reflect who reports side effects, not underlying risk.

Sex

Female38.5%
Male47.6%
Unknown13.9%

Age group

< 22.4%
2–114.5%
12–174.6%
18–6471.0%
65+17.5%

What is pyrazinamide used for

Conditions and purposes for which patients were taking pyrazinamide when the adverse event was reported.

Acid Fast Bacilli InfectionAdrenal Gland TuberculosisAlcoholismAllergy To AnimalAngioedemaAnti-infective TherapyAntibiotic ProphylaxisAntibiotic TherapyAntifungal ProphylaxisAntifungal TreatmentArachnoiditisArterial InjuryArthritisAscitesAspergillosis

Showing 15 of 307 indications

Pyrazinamide brand names and reporting trend

Pyrazinamide is sold under the brand name Rifater.

Brand names

Rifater10,612

Quarterly reports (20042025)

20052010201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking pyrazinamide with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.