question: BACKGROUND Occurrence of adverse drug reactions (ADRs) in COVID-19 patients has not been extensively studied. AIM The present study was conducted to analyze the pattern of suspected ADRs in COVID-19 Intensive Care Unit (ICU). METHODS In this cross-sectional study all the individual case study reports of patients admitted to the COVID ICU (August-October 2020) were analyzed for type of ADRs, system involved, suspected drug, onset time, time to revert and management. RESULTS Thirty six patients (out of 395 patients admitted) experienced 44 ADRs. Dermatological manifestations were the most frequent ADRs. Remdesivir was the most common drug associated with ADRs. The female gender, polypharmacy (>5 drugs) and presence of comorbidities were the independent risk factors for the occurrence of ADRs. CONCLUSION Use of many of these drugs in COVID-19 is experimental and literature does not guarantee the safety and efficacy. During these times of uncertainty, the results from present study reinforce the importance of monitoring patients.