Oritavancin Diphosphate side effects: what 297 FDA adverse event reports show

Oritavancin Diphosphate · Kimyrsa · 6 reaction terms · 226 drug–reaction co-reports · data 2026-09-14

Drug class

Lipoglycopeptide antibacterial drug

FDA label, Indications wording

Brand names

Kimyrsa

openFDA label

Who reports

297 reports · 33% serious · 5 with death outcome · 46% female

openFDA FAERS counts, all years, deduplication not applied

Used for

KIMYRSA is a lipoglycopeptide antibacterial drug indicated for the treatment of adult patients with acute bacterial skin and skin structure infections caused or suspected to be caused by susceptible isolates of designated Gram-positive microorganisms. .

FDA label, Indications and Usage

What it is

KIMYRSA (oritavancin) for injection contains oritavancin diphosphate, a semisynthetic lipoglycopeptide antibacterial drug for intravenous infusion.

FDA label, Description section

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 6 strongest signals

Labeled adverse reaction 3Reporting / coding artifact 1Not in label — unassessed 2

What the badges mean

Labeled adverse reaction The exact term appears in the label's warnings or adverse-reactions sections: a known, expected effect. The FAERS signal confirms the label rather than discovering anything.
Reporting / coding artifact An administrative, monitoring or exposure term (product issue, off-label use, 'test normal', overdose...). Not a biological reaction; a high PRR here reflects how reports are coded.
Not in label — unassessed Not found in the label text, not an artifact pattern. This is a genuine candidate for a formal causality assessment (Bradford Hill / WHO-UMC); it has NOT had one here.

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. 0 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show: hide coding/lab/outcome terms hide indication terms unlabeled only hide PRR-only

Reaction	Reports	PRR 95% CI · ROR · χ²/p	EBGM EB05 · IC025	Label screen	Serious-only & strata	Trial cross-check
Infusion related reaction (reaction during infusion)	67	71.7 58.1–88.5ROR 92.3 · χ² 4,609 / p <1e-300	70.2 EB05 57.2 · IC025 +5.1 3/3 methods agree	Labeled adverse reaction exact term	serious PRR 58.8 · 99% clinician	no trial data cached
Chills	92	55.4 46.7–65.6ROR 79.8 · χ² 4,880 / p <1e-300	54.7 EB05 46.0 · IC025 +5.1 3/3 methods agree	Labeled adverse reaction exact term	serious PRR 38.0 · 96% clinician	no trial data cached
Feeling cold	17	43.1 27.1–68.3ROR 45.6 · χ² 657 / p 3e-145	41.2 EB05 27.2 · IC025 +3.5 3/3 methods agree	Not in label — unassessed	serious PRR 29.7	no trial data cached
Incorrect product administration duration	7	24.4 11.7–50.7ROR 24.9 · χ² 134 / p 2e-31	22.2 EB05 10.1 · IC025 +1.9 3/3 methods agree	Reporting / coding artifact	–	no trial data cached
Flushing	35	24.2 17.7–33.0ROR 27.3 · χ² 759 / p 2e-167	23.9 EB05 18.0 · IC025 +3.6 3/3 methods agree	Labeled adverse reaction exact term	serious PRR 19.2 · 97% clinician	no trial data cached
Skin irritation	8	12.3 6.2–24.4ROR 12.6 · χ² 72 / p 9e-18	9.7 EB05 4.5 · IC025 +1.7 3/3 methods agree	Not in label — unassessed	serious n=1	no 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.

Reaction	Reports	PRR 95% CI · ROR · χ²/p	EBGM EB05 · IC025	Label screen	Serious-only & strata	Trial cross-check
Chills	92	55.4 46.7–65.6ROR 79.8 · χ² 4,880 / p <1e-300	54.7 EB05 46.0 · IC025 +5.1 3/3 methods agree	Labeled adverse reaction exact term	serious PRR 38.0 · 96% clinician	no trial data cached
Infusion related reaction (reaction during infusion)	67	71.7 58.1–88.5ROR 92.3 · χ² 4,609 / p <1e-300	70.2 EB05 57.2 · IC025 +5.1 3/3 methods agree	Labeled adverse reaction exact term	serious PRR 58.8 · 99% clinician	no trial data cached
Flushing	35	24.2 17.7–33.0ROR 27.3 · χ² 759 / p 2e-167	23.9 EB05 18.0 · IC025 +3.6 3/3 methods agree	Labeled adverse reaction exact term	serious PRR 19.2 · 97% clinician	no trial data cached
Feeling cold	17	43.1 27.1–68.3ROR 45.6 · χ² 657 / p 3e-145	41.2 EB05 27.2 · IC025 +3.5 3/3 methods agree	Not in label — unassessed	serious PRR 29.7	no trial data cached
Skin irritation	8	12.3 6.2–24.4ROR 12.6 · χ² 72 / p 9e-18	9.7 EB05 4.5 · IC025 +1.7 3/3 methods agree	Not in label — unassessed	serious n=1	no trial data cached
Incorrect product administration duration	7	24.4 11.7–50.7ROR 24.9 · χ² 134 / p 2e-31	22.2 EB05 10.1 · IC025 +1.9 3/3 methods agree	Reporting / coding artifact	–	no 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 Oritavancin Diphosphate?

In FDA FAERS, the most frequently co-reported reaction terms for Oritavancin Diphosphate are chills, infusion related reaction, flushing, feeling cold, skin irritation. 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 Oritavancin Diphosphate have an FDA boxed warning?

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

Do FAERS signals prove that Oritavancin Diphosphate 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

FDA label via openFDA (set ID 5e755c40-6e73-4572-b474-4d8a131693d1, effective 20251218; matched on openfda.generic_name.exact:"ORITAVANCIN DIPHOSPHATE")
Bayesian shrinkage measures computed offline over all 1,317,300 cached pairs: BCPNN information component (IC, with Norén closed-form IC025) and MGPS empirical-Bayes geometric mean (EBGM, EB05) with a two-component gamma prior fitted by maximum marginal likelihood (α₁=0.57, β₁=0.02, α₂=1.42, β₂=0.70, w=0.17); unstratified
FAERS pair statistics from the OpenPV build of 2026-09-14 (openFDA count= aggregation, field patient.drug.openfda.generic_name.exact, 6 reaction terms, min 3 co-reports); PRR/ROR with 95% CI, chi-square with Yates correction
Serious-only and stratified counts (serious:1, patient.patientsex, primarysource.qualification) from openFDA count queries; serious-only PRR uses the drug serious report total and the term global serious total (N_serious=11,882,979); strata shown only when n ≥ 20
Seriousness and sex counts from openFDA count=serious, patient.patientsex, seriousnessdeath

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.