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Bacitracin Zinc side effects: what 1,588 FDA adverse event reports show

Bacitracin Zinc, Neomycin, Polymyxin B · Sheffield Bacitracin Zinc · 51 reaction terms · 465 drug–reaction co-reports · data 2026-09-14
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Drug class

Not stated in label

Brand names

Sheffield Bacitracin Zinc

openFDA label

Who reports

1,588 reports · 53% serious · 104 with death outcome · 65% female

openFDA FAERS counts, all years, deduplication not applied

Used for

First aid to help prevent infection in minor: cuts scrapes burns

FDA label, Indications and Usage

Boxed warning

None in the current label

How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 37 strongest signals

Reporting / coding artifact 7No label text to screen 30
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only and flags pairs whose reports are unusually skewed by sex or come mostly from consumers rather than clinicians. 14 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Oral candidiasis (oral thrush)1212.2
6.9–21.4ROR 12.3 · χ² 112 / p 2e-26
10.5 EB05 5.7 · IC025 +2.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 9.3no trial data cached
Tooth abscess67.8
3.5–17.2ROR 7.8 · χ² 29 / p 4e-8
5.3 EB05 2.6 · IC025 +0.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 5.6no trial data cached
Respiratory tract congestion97.5
3.9–14.3ROR 7.5 · χ² 44 / p 1e-11
5.7 EB05 3.2 · IC025 +1.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 10.5no trial data cached
Pharyngitis77.4
3.5–15.5ROR 7.4 · χ² 33 / p 5e-9
5.3 EB05 2.7 · IC025 +1.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 7.5no trial data cached
Anosmia (loss of smell)87.3
3.6–14.5ROR 7.3 · χ² 37 / p 5e-10
5.4 EB05 2.9 · IC025 +1.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=3no trial data cached
Drug exposure during pregnancy197.3
4.7–11.4ROR 7.4 · χ² 97 / p 4e-23
6.3 EB05 4.2 · IC025 +1.9
3/3 methods agree
Reporting / coding artifactserious PRR 8.4no trial data cached
Drug administration error177.2
4.5–11.6ROR 7.3 · χ² 85 / p 2e-20
6.2 EB05 4.0 · IC025 +1.8
3/3 methods agree
Reporting / coding artifactserious PRR 13.6no trial data cached
Anorexia77.1
3.4–14.8ROR 7.1 · χ² 31 / p 2e-8
5.1 EB05 2.6 · IC025 +1.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 5.8no trial data cached
Pharmaceutical product complaint147.0
4.2–11.8ROR 7.1 · χ² 66 / p 2e-16
5.9 EB05 3.7 · IC025 +1.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 5.3no trial data cached
Incorrect drug administration duration156.9
4.2–11.5ROR 7.0 · χ² 71 / p 2e-17
5.9 EB05 3.7 · IC025 +1.7
3/3 methods agree
Reporting / coding artifactserious PRR 10.0no trial data cached
Unintended pregnancy56.3
2.6–15.1ROR 6.3 · χ² 17 / p 2e-5
4.3 EB05 2.0 · IC025 +0.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 6.3no trial data cached
Menstruation irregular126.0
3.4–10.5ROR 6.0 · χ² 45 / p 1e-11
5.0 EB05 3.0 · IC025 +1.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
–no trial data cached
Tachypnoea65.8
2.6–13.0ROR 5.9 · χ² 20 / p 5e-6
4.2 EB05 2.1 · IC025 +0.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 6.6no trial data cached
Intentional drug misuse95.6
2.9–10.8ROR 5.6 · χ² 30 / p 3e-8
4.5 EB05 2.5 · IC025 +1.0
3/3 methods agree
Reporting / coding artifactserious PRR 6.1no trial data cached
Acne325.5
3.9–7.8ROR 5.6 · χ² 115 / p 4e-27
5.2 EB05 3.8 · IC025 +1.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 0.9 · 97% consumerno trial data cached
Stevens-johnson syndrome (severe blistering skin reaction)95.3
2.8–10.2ROR 5.4 · χ² 28 / p 8e-8
4.3 EB05 2.4 · IC025 +1.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 5.9no trial data cached
Multi-organ failure75.3
2.5–11.0ROR 5.3 · χ² 20 / p 4e-6
4.1 EB05 2.2 · IC025 +0.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 5.8no trial data cached
Lung infection65.0
2.3–11.2ROR 5.0 · χ² 16 / p 4e-5
3.8 EB05 1.9 · IC025 +0.5No label text to screen
label has no adverse-reaction text
serious PRR 3.9no trial data cached
Thinking abnormal74.9
2.4–10.3ROR 5.0 · χ² 18 / p 1e-5
3.9 EB05 2.1 · IC025 +0.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 6.0no trial data cached
Drug toxicity54.8
2.0–11.5ROR 4.8 · χ² 11 / p 4e-4
3.5 EB05 1.7 · IC025 +0.3No label text to screen
label has no adverse-reaction text
serious PRR 5.4no trial data cached
Sneezing84.7
2.4–9.4ROR 4.7 · χ² 20 / p 4e-6
3.8 EB05 2.1 · IC025 +0.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 4.8no trial data cached
Crying134.7
2.7–8.1ROR 4.7 · χ² 34 / p 2e-9
4.1 EB05 2.6 · IC025 +1.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 6.7no trial data cached
Heart rate irregular84.6
2.3–9.3ROR 4.7 · χ² 19 / p 5e-6
3.8 EB05 2.1 · IC025 +0.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 2.5no trial data cached
Local swelling64.5
2.0–10.0ROR 4.5 · χ² 13 / p 2e-4
3.5 EB05 1.8 · IC025 +0.4No label text to screen
label has no adverse-reaction text
serious PRR 9.1no trial data cached
Pain of skin94.4
2.3–8.4ROR 4.4 · χ² 20 / p 3e-6
3.7 EB05 2.1 · IC025 +0.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
–no trial data cached
Skin irritation144.0
2.4–6.8ROR 4.1 · χ² 29 / p 4e-8
3.6 EB05 2.3 · IC025 +1.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
–no trial data cached
Rash generalised84.0
2.0–8.0ROR 4.0 · χ² 15 / p 5e-5
3.4 EB05 1.9 · IC025 +0.6No label text to screen
label has no adverse-reaction text
serious PRR 5.6no trial data cached
Psychomotor hyperactivity54.0
1.7–9.5ROR 4.0 · χ² 8 / p 0.002
3.1 EB05 1.5 · IC025 +0.1No label text to screen
label has no adverse-reaction text
serious PRR 4.3no trial data cached
Metrorrhagia53.8
1.6–9.2ROR 3.8 · χ² 8 / p 0.003
3.0 EB05 1.5 · IC025 +0.0No label text to screen
label has no adverse-reaction text
–no trial data cached
Product quality issue383.7
2.7–5.1ROR 3.8 · χ² 73 / p 5e-18
3.6 EB05 2.7 · IC025 +1.3
3/3 methods agree
Reporting / coding artifactserious PRR 8.5 · 92% consumerno trial data cached
Gastric disorder93.4
1.8–6.5ROR 3.4 · χ² 13 / p 2e-4
3.0 EB05 1.7 · IC025 +0.5No label text to screen
label has no adverse-reaction text
serious PRR 4.4no trial data cached
Abnormal behaviour103.3
1.8–6.1ROR 3.3 · χ² 14 / p 9e-5
3.0 EB05 1.8 · IC025 +0.5No label text to screen
label has no adverse-reaction text
serious PRR 4.5no trial data cached
Abasia63.2
1.4–7.0ROR 3.2 · χ² 7 / p 0.004
2.7 EB05 1.4 · IC025 +0.0No label text to screen
label has no adverse-reaction text
serious PRR 2.8no trial data cached
Abnormal dreams62.9
1.3–6.3ROR 2.9 · χ² 5 / p 0.010
2.5 EB05 1.3 · IC025 -0.1
PRR-only: not supported by EBGM or IC
No label text to screen
label has no adverse-reaction text
serious PRR 3.7no trial data cached
Wrong technique in drug usage process72.5
1.2–5.3ROR 2.5 · χ² 5 / p 0.013
2.3 EB05 1.2 · IC025 -0.1
PRR-only: not supported by EBGM or IC
Reporting / coding artifactserious PRR 2.6no trial data cached
Skin burning sensation132.4
1.4–4.1ROR 2.4 · χ² 9 / p 0.001
2.3 EB05 1.4 · IC025 +0.3No label text to screen
label has no adverse-reaction text
serious PRR 3.1no trial data cached
Inappropriate schedule of drug administration122.2
1.2–3.9ROR 2.2 · χ² 7 / p 0.005
2.1 EB05 1.3 · IC025 +0.1Reporting / coding artifactserious PRR 1.4no trial data cached

Trial evidence (ClinicalTrials.gov)

Trial cross-check not yet run for this drug (ClinicalTrials.gov pull covers the 800 most-reported drugs first).

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Product quality issue383.7
2.7–5.1ROR 3.8 · χ² 73 / p 5e-18
3.6 EB05 2.7 · IC025 +1.3
3/3 methods agree
Reporting / coding artifactserious PRR 8.5 · 92% consumerno trial data cached
Acne325.5
3.9–7.8ROR 5.6 · χ² 115 / p 4e-27
5.2 EB05 3.8 · IC025 +1.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 0.9 · 97% consumerno trial data cached
Drug dose omission241.9
1.3–2.8ROR 1.9 · χ² 9 / p 0.001
1.9 EB05 1.3 · IC025 +0.2Reporting / coding artifactserious PRR 3.7no trial data cached
Drug exposure during pregnancy197.3
4.7–11.4ROR 7.4 · χ² 97 / p 4e-23
6.3 EB05 4.2 · IC025 +1.9
3/3 methods agree
Reporting / coding artifactserious PRR 8.4no trial data cached
Drug administration error177.2
4.5–11.6ROR 7.3 · χ² 85 / p 2e-20
6.2 EB05 4.0 · IC025 +1.8
3/3 methods agree
Reporting / coding artifactserious PRR 13.6no trial data cached
Incorrect drug administration duration156.9
4.2–11.5ROR 7.0 · χ² 71 / p 2e-17
5.9 EB05 3.7 · IC025 +1.7
3/3 methods agree
Reporting / coding artifactserious PRR 10.0no trial data cached
Skin irritation144.0
2.4–6.8ROR 4.1 · χ² 29 / p 4e-8
3.6 EB05 2.3 · IC025 +1.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
–no trial data cached
Pharmaceutical product complaint147.0
4.2–11.8ROR 7.1 · χ² 66 / p 2e-16
5.9 EB05 3.7 · IC025 +1.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 5.3no trial data cached
Skin burning sensation132.4
1.4–4.1ROR 2.4 · χ² 9 / p 0.001
2.3 EB05 1.4 · IC025 +0.3No label text to screen
label has no adverse-reaction text
serious PRR 3.1no trial data cached
Crying134.7
2.7–8.1ROR 4.7 · χ² 34 / p 2e-9
4.1 EB05 2.6 · IC025 +1.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 6.7no trial data cached
Inappropriate schedule of drug administration122.2
1.2–3.9ROR 2.2 · χ² 7 / p 0.005
2.1 EB05 1.3 · IC025 +0.1Reporting / coding artifactserious PRR 1.4no trial data cached
Menstruation irregular126.0
3.4–10.5ROR 6.0 · χ² 45 / p 1e-11
5.0 EB05 3.0 · IC025 +1.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
–no trial data cached
Oral candidiasis (oral thrush)1212.2
6.9–21.4ROR 12.3 · χ² 112 / p 2e-26
10.5 EB05 5.7 · IC025 +2.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 9.3no trial data cached
Abnormal behaviour103.3
1.8–6.1ROR 3.3 · χ² 14 / p 9e-5
3.0 EB05 1.8 · IC025 +0.5No label text to screen
label has no adverse-reaction text
serious PRR 4.5no trial data cached
Gastric disorder93.4
1.8–6.5ROR 3.4 · χ² 13 / p 2e-4
3.0 EB05 1.7 · IC025 +0.5No label text to screen
label has no adverse-reaction text
serious PRR 4.4no trial data cached

Unlabeled candidate signals

Every screened signal with n ≥ 20 was either labeled, an indication term, or an artifact pattern — no unlabeled candidate stood out in the top signals.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Bacitracin Zinc?

In FDA FAERS, the most frequently co-reported reaction terms for Bacitracin Zinc are acne, skin irritation, pharmaceutical product complaint, skin burning sensation, crying, menstruation irregular. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Bacitracin Zinc have an FDA boxed warning?

No. The FDA label retrieved for Bacitracin Zinc has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Bacitracin Zinc causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-08. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.