Reported Reactions

Drugs › Protease inhibitor

Generic name

Atazanavir sulfate: adverse event reports filed with FDA

2,621 reports list it as a suspect or interacting product, 2004–2026. Class: Protease inhibitor.

2,621
reports as suspect product
0% of all reports · about 117 a year
22
reports, 12 months to June 2026
47 in the 12 months before
95.3%
marked serious by the reporter
88.5% across the class
11.1%
record death among outcomes, as reported
292 reports · not verified by FDA

Between January 2004 and April 2026, 2,621 adverse event reports received by FDA list atazanavir sulfate, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (348) are left out of every figure here.

In the 12 months to June 2026, 22 reports listed it, down 53% from 47 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 117 reports a year and 0% of the 20,646,523 reports in the database, and 11.7% of the reports for the protease inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are drug interaction (34.7%), depression (29.5%) and maternal exposure during pregnancy (15.9%). A report can list several reactions, so shares add to more than 100%; 462 different terms appear across these reports. Drug interaction is recorded in 34.7% of these reports, a larger share than in the median protease inhibitor drug (7.2%).

95.3% of the reports are marked serious by the reporter (88.5% across the class); 11.1% record death among the outcomes and 20.9% record hospitalisation, as reported. 60.2% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (30.4%). 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

02550Jul 2021: 30Aug 2021: 50Sep 2021: 26Oct 2021: 43Nov 2021: 4Dec 2021: 282022Jan 2022: 20Feb 2022: 6Mar 2022: 13Apr 2022: 22May 2022: 19Jun 2022: 18Jul 2022: 6Aug 2022: 18Sep 2022: 15Oct 2022: 6Nov 2022: 5Dec 2022: 112023Jan 2023: 14Feb 2023: 25Mar 2023: 8Apr 2023: 8May 2023: 4Jun 2023: 8Jul 2023: 7Aug 2023: 2Sep 2023: 2Oct 2023: 3Nov 2023: 3Dec 2023: 22024Jan 2024: 1Feb 2024: 1Mar 2024: 0Apr 2024: 5May 2024: 3Jun 2024: 1Jul 2024: 2Aug 2024: 0Sep 2024: 4Oct 2024: 11Nov 2024: 2Dec 2024: 12025Jan 2025: 3Feb 2025: 8Mar 2025: 10Apr 2025: 4May 2025: 1Jun 2025: 1Jul 2025: 3Aug 2025: 1Sep 2025: 0Oct 2025: 4Nov 2025: 2Dec 2025: 12026Jan 2026: 0Feb 2026: 5Mar 2026: 5Apr 2026: 1May 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

01973932004: 720042005: 122006: 172007: 11220072008: 1612009: 832010: 7420102011: 372012: 242013: 2620132014: 722015: 3932016: 13520162017: 1082018: 2042019: 22420192020: 2252021: 3792022: 15920222023: 862024: 312025: 3820252026: 11

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Atazanavir sulfate reports recording the termmedian drug in protease inhibitor

  1. Drug interactionan interaction between medicines34.7%910
  2. Depressionlow mood29.5%773
  3. Maternal exposure during pregnancythe mother took the medicine during pregnancy15.9%416
  4. Foetal exposure during pregnancythe unborn baby was exposed to the medicine12%315
  5. Abortion spontaneousmiscarriage6.6%173
  6. Premature babya baby born early4.7%122
  7. Anxietyanxiety4.2%111
  8. Psychiatric decompensation4.1%107
  9. Psychotic disordera loss of contact with reality4%104
  10. Suicidal ideationthoughts of suicide4%104
  11. Depression suicidal3.9%103
  12. Tearfulness3.9%103
  13. Paranoiaparanoia3.9%102
  14. Psychomotor skills impaired3.7%96
  15. Depressive symptom3.6%95
  16. Lipodystrophy acquiredchanges in body fat distribution2.9%75
  17. Intentional product use issuedeliberate use not as intended2.4%62
  18. Dysphagiadifficulty swallowing2.3%59
  19. Anaemialow red blood cells2.2%58
  20. Diplopiadouble vision2.2%57
  21. Mitochondrial toxicity2.1%54
  22. Acute kidney injurysudden loss of kidney function2%52

Top 30 of 462 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 6 drugs in the protease 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

Death11.1%292
Life-threatening2.3%60
Hospitalisation (initial or prolonged)20.9%549
Disability0.8%22
Congenital anomaly7.9%206
Other serious81.4%2,134
Not serious4.7%123

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 22,331 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 25.5%145
2 to 110.2%6
12 to 171.3%34
18 to 4428.9%758
45 to 6430.4%796
65 to 740.7%19
75 and over0.3%7
Age not given32.7%856

Patient sex

Female34%892
Male54.4%1,427
Not given11.5%302

Who reported

Physician12.6%331
Pharmacist1%27
Other health professional60.2%1,577
Lawyer0%0
Consumer or non-health professional21.3%558
Not given4.9%128

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 30.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hiv infection1,49657.1%
Antiretroviral therapy2308.8%
Drug exposure during pregnancy371.4%
Maternal exposure timing unspecified261%
Acquired immunodeficiency syndrome140.5%
Perinatal HIV infection80.3%

The indication field is filled in by the reporter and is often blank; shares are of all 2,621 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Atazanavir sulfate reports
Lamivudine1,05240.1%
Ritonavir88333.7%
Kaletra86232.9%
Clonazepam79930.5%
Zopiclone77929.7%
Valproic acid75828.9%
Sustiva71927.4%
Sertraline hydrochloride58322.2%
Norvir55721.3%
Quetiapine fumarate47418.1%

Other products listed in reports where Atazanavir sulfate 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

MeasureAtazanavir sulfateProtease inhibitorAll reports
Reports as suspect product2,62122,33120,646,523
Share of that pool—11.7%0%
Reports, latest 12 months22—1,332,454
Marked serious95.3%88.5%57.4%
Death recorded among outcomes, per 1,000 reports1118891
Hospitalisation recorded, per 1,000 reports209279213
Consumer-filed share21.3%19.5%45.8%
Top term, share of reportsDrug interaction 34.7%median 7.2%0.8%

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 protease inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Prezistabrand6,26412882%
Reyatazbrand5,181583.9%
Darunavirgeneric4,4608694.4%
Atazanavirgeneric2,7252894%
Viraceptbrand1,080592.7%

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 Atazanavir sulfate reports

How many adverse event reports has FDA received for Atazanavir sulfate?

2,621 reports list Atazanavir sulfate as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 22 of them arrived in the latest 12 months. Another 348 list it only as a concomitant medication.

What reactions are recorded in Atazanavir sulfate reports?

drug interaction (34.7%), depression (29.5%), maternal exposure during pregnancy (15.9%), foetal exposure during pregnancy (12%) and loss of personal independence in daily activities (8.5%). 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 Atazanavir sulfate was responsible.

How serious are the reports?

95.3% are marked serious by the reporter. Among the outcomes recorded, 11.1% of reports include death and 20.9% 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 (60.2%), consumer or non-health professional (21.3%) and physician (12.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Atazanavir sulfate rising?

22 reports in the 12 months to June 2026, down 53% from 47 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 Atazanavir sulfate 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 Atazanavir sulfate?

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 Atazanavir sulfate as a suspect or interacting product; reports listing it only as a concomitant medication (348) 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.