Reported Reactions

Drugs › Hepatitis B virus nucleoside analog reverse transcriptase inhibitor

Generic name

Adefovir dipivoxil: adverse event reports filed with FDA

1,156 reports list it as a suspect or interacting product, 2004–2026. Class: Hepatitis B virus nucleoside analog reverse transcriptase inhibitor.

1,156
reports as suspect product
0% of all reports · about 52 a year
3
reports, 12 months to June 2026
6 in the 12 months before
99.2%
marked serious by the reporter
88.4% across the class
5.5%
record death among outcomes, as reported
64 reports · not verified by FDA

1,156 adverse event reports received by FDA list adefovir dipivoxil, a generic name as a suspect or interacting product, from March 2004 to April 2026. A further 138 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 3 reports listed it, down 50% from 6 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 52 reports a year and 0% of the 20,646,523 reports in the database, and 1.6% of the reports for the hepatitis B virus nucleoside analog reverse transcriptase inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are drug resistance (20.2%), osteomalacia (19.2%) and hypophosphataemia (13.5%). A report can list several reactions, so shares add to more than 100%; 321 different terms appear across these reports. Drug resistance is recorded in 20.2% of these reports, a larger share than in the median hepatitis B virus nucleoside analog reverse transcriptase inhibitor drug (2.3%).

99.2% of the reports are marked serious by the reporter (88.4% across the class); 5.5% record death among the outcomes and 30.6% record hospitalisation, as reported. 50.1% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (40.5%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

0918Jul 2021: 3Aug 2021: 0Sep 2021: 8Oct 2021: 1Nov 2021: 18Dec 2021: 02022Jan 2022: 1Feb 2022: 1Mar 2022: 0Apr 2022: 5May 2022: 0Jun 2022: 4Jul 2022: 0Aug 2022: 3Sep 2022: 0Oct 2022: 6Nov 2022: 0Dec 2022: 12023Jan 2023: 0Feb 2023: 3Mar 2023: 0Apr 2023: 2May 2023: 1Jun 2023: 0Jul 2023: 0Aug 2023: 2Sep 2023: 1Oct 2023: 0Nov 2023: 0Dec 2023: 82024Jan 2024: 1Feb 2024: 1Mar 2024: 1Apr 2024: 0May 2024: 0Jun 2024: 1Jul 2024: 0Aug 2024: 0Sep 2024: 0Oct 2024: 1Nov 2024: 0Dec 2024: 02025Jan 2025: 0Feb 2025: 0Mar 2025: 0Apr 2025: 0May 2025: 1Jun 2025: 4Jul 2025: 0Aug 2025: 0Sep 2025: 0Oct 2025: 0Nov 2025: 0Dec 2025: 02026Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 3May 2026: 0Jun 2026: 0

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

0941872004: 1720042005: 82006: 102007: 1120072010: 52011: 42012: 3120122013: 392014: 672015: 13720152016: 1872017: 1512018: 16820182019: 1002020: 502021: 12020212022: 212023: 172024: 520242025: 52026: 3

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Adefovir dipivoxil reports recording the termmedian drug in hepatitis b virus nucleoside analog reverse transcriptase inhibitor

  1. Osteomalacia19.2%222
  2. Osteoporosisthinning of the bones13.1%152
  3. Bone painbone pain10.1%117
  4. Drug ineffectivethe medicine did not work as expected9.8%113
  5. Viral mutation identified9.4%109
  6. Fanconi syndrome acquired8%93
  7. Arthralgiajoint pain7.2%83
  8. Fanconi syndrome6.7%77
  9. Viral load increased6.4%74
  10. Gait disturbancedifficulty walking5%58
  11. Hypophosphataemic osteomalacia4.9%57
  12. Blood phosphorus decreased4.8%56
  13. Painpain, site not specified4.8%55
  14. Renal impairmentreduced kidney function4.6%53
  15. Treatment failurethe treatment did not work4.4%51
  16. Multiple-drug resistance4.3%50
  17. Hepatitis B reactivation3.6%42
  18. Back painback pain3.5%40
  19. Blood creatinine increasedraised creatinine, a kidney test3.4%39
  20. Genotype drug resistance test positive3.4%39
  21. Muscular weaknessmuscle weakness3.2%37
  22. Condition aggravatedthe condition being treated got worse3.1%36
  23. Hepatitis Bhepatitis B infection2.9%33
  24. Alanine aminotransferase increasedraised liver enzyme (ALT)2.7%31

Top 30 of 321 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 12 drugs in the hepatitis b virus nucleoside analog reverse transcriptase inhibitor class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death5.5%64
Life-threatening0.6%7
Hospitalisation (initial or prolonged)30.6%354
Disability1.6%18
Congenital anomaly0.5%6
Other serious91.9%1,062
Not serious0.8%9

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 72,523 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.1%1
2 to 110.1%1
12 to 170%0
18 to 4416.3%189
45 to 6440.5%468
65 to 748.2%95
75 and over1.5%17
Age not given33.3%385

Patient sex

Female19.8%229
Male54.2%627
Not given26%300

Who reported

Physician34.8%402
Pharmacist0.7%8
Other health professional50.1%579
Lawyer0%0
Consumer or non-health professional11.9%137
Not given2.6%30

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 4.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hepatitis b43637.7%
Chronic hepatitis b42336.6%
Chronic hepatitis c151.3%
Hepatic cirrhosis151.3%
Antiviral treatment70.6%
Antiviral prophylaxis50.4%

The indication field is filled in by the reporter and is often blank; shares are of all 1,156 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Adefovir dipivoxil reports
Lamivudine45038.9%
Entecavir28224.4%
Tenofovir disoproxil fumarate12510.8%
Viread917.9%
Zeffix403.5%
Tenofovir282.4%
Hepsera252.2%
Emtricitabine161.4%
Tacrolimus121%
Prednisone111%

Other products listed in reports where Adefovir dipivoxil is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureAdefovir dipivoxilHepatitis B virus nucleoside analog reverse transcriptase inhibitorAll reports
Reports as suspect product1,15672,52320,646,523
Share of that pool—1.6%0%
Reports, latest 12 months3—1,332,454
Marked serious99.2%88.4%57.4%
Death recorded among outcomes, per 1,000 reports558991
Hospitalisation recorded, per 1,000 reports306200213
Consumer-filed share11.9%21.1%45.8%
Top term, share of reportsDrug resistance 20.2%median 2.3%0.1%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the hepatitis b virus nucleoside analog reverse transcriptase inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Vireadbrand22,03319594.5%
Lamivudinegeneric17,96627197.6%
Tenofovir disoproxil fumarategeneric7,40015097.4%
Triumeqbrand4,8238145.7%
Combivirbrand4,3671192.2%
Baracludebrand3,3082577.8%
Epivirbrand3,2081493.1%
Dovatobrand3,05925333.4%
Entecavirgeneric2,79716387.1%
Lamivudine and zidovudinegeneric1,432884.2%
Tenofovir alafenamidegeneric97413997.3%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Adefovir dipivoxil reports

How many adverse event reports has FDA received for Adefovir dipivoxil?

1,156 reports list Adefovir dipivoxil as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 3 of them arrived in the latest 12 months. Another 138 list it only as a concomitant medication.

What reactions are recorded in Adefovir dipivoxil reports?

drug resistance (20.2%), osteomalacia (19.2%), hypophosphataemia (13.5%), osteoporosis (13.1%) and pathogen resistance (10.7%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Adefovir dipivoxil was responsible.

How serious are the reports?

99.2% are marked serious by the reporter. Among the outcomes recorded, 5.5% of reports include death and 30.6% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

other health professional (50.1%), physician (34.8%) and consumer or non-health professional (11.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Adefovir dipivoxil rising?

3 reports in the 12 months to June 2026, down 50% from 6 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Adefovir dipivoxil was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Adefovir dipivoxil?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Adefovir dipivoxil as a suspect or interacting product; reports listing it only as a concomitant medication (138) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.