Reported Reactions

Drugs › Protease inhibitor

Generic name

Atazanavir: adverse event reports filed with FDA

2,725 reports list it as a suspect or interacting product, 2004–2026. Class: Protease inhibitor. Also reported as Atazanavir /01555902/.

2,725
reports as suspect product
0% of all reports · about 121 a year
28
reports, 12 months to June 2026
63 in the 12 months before
94%
marked serious by the reporter
88.5% across the class
9.1%
record death among outcomes, as reported
249 reports · not verified by FDA

2,725 adverse event reports received by FDA list atazanavir, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 1,309 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, 28 reports listed it, down 56% from 63 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 121 reports a year and 0% of the 20,646,523 reports in the database, and 12.2% 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.

Reporters most often recorded drug interaction (17.7%), foetal exposure during pregnancy (10.3%) and depression (8.8%). A report can list several reactions, so shares add to more than 100%; 632 different terms appear across these reports. Drug interaction is recorded in 17.7% of these reports, a larger share than in the median protease inhibitor drug (7.2%).

94% of the reports are marked serious by the reporter (88.5% across the class); 9.1% record death among the outcomes and 26.2% record hospitalisation, as reported. 58.6% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (27.2%). 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

01734Jul 2021: 34Aug 2021: 27Sep 2021: 16Oct 2021: 15Nov 2021: 11Dec 2021: 122022Jan 2022: 8Feb 2022: 11Mar 2022: 27Apr 2022: 21May 2022: 14Jun 2022: 21Jul 2022: 12Aug 2022: 15Sep 2022: 14Oct 2022: 17Nov 2022: 11Dec 2022: 202023Jan 2023: 10Feb 2023: 24Mar 2023: 7Apr 2023: 1May 2023: 6Jun 2023: 15Jul 2023: 7Aug 2023: 3Sep 2023: 7Oct 2023: 9Nov 2023: 8Dec 2023: 52024Jan 2024: 7Feb 2024: 6Mar 2024: 1Apr 2024: 3May 2024: 4Jun 2024: 2Jul 2024: 0Aug 2024: 8Sep 2024: 7Oct 2024: 10Nov 2024: 1Dec 2024: 12025Jan 2025: 13Feb 2025: 4Mar 2025: 5Apr 2025: 4May 2025: 6Jun 2025: 4Jul 2025: 0Aug 2025: 0Sep 2025: 9Oct 2025: 0Nov 2025: 3Dec 2025: 22026Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 7May 2026: 5Jun 2026: 2

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

01272532004: 7720042005: 1002006: 992007: 2820072008: 532009: 602010: 9820102011: 1312012: 1242013: 10720132014: 1072015: 1762016: 18920162017: 2172018: 1482019: 16220192020: 1892021: 2532022: 19120222023: 1022024: 502025: 5020252026: 14

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Atazanavir reports recording the termmedian drug in protease inhibitor

  1. Drug interactionan interaction between medicines17.7%483
  2. Foetal exposure during pregnancythe unborn baby was exposed to the medicine10.3%281
  3. Depressionlow mood8.8%241
  4. Exposure during pregnancythe medicine was taken during pregnancy5%137
  5. Maternal exposure during pregnancythe mother took the medicine during pregnancy3.9%106
  6. Premature babya baby born early3%83
  7. Nauseafeeling sick2.9%80
  8. Treatment noncompliancethe treatment was not taken as directed2.6%72
  9. Diarrhoealoose or frequent stools2.2%60
  10. Off label useused for a purpose or in a way not on the label2.2%59
  11. Headachehead pain2.1%56
  12. Suicidal ideationthoughts of suicide2.1%56
  13. Jaundiceyellowing of the skin or eyes2%54
  14. Viral mutation identified2%54
  15. Anxietyanxiety1.9%53
  16. Vomitingbeing sick1.9%53
  17. Product use in unapproved indicationused for a purpose not on the label1.9%52
  18. Psychotic disordera loss of contact with reality1.9%51
  19. Drug ineffectivethe medicine did not work as expected1.8%49
  20. Nephrolithiasiskidney stones1.8%49
  21. Immune reconstitution inflammatory syndrome1.8%48
  22. Toxicity to various agentspoisoning or toxic effect of one or more substances1.8%48
  23. Alanine aminotransferase increasedraised liver enzyme (ALT)1.7%47

Top 30 of 632 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

Death9.1%249
Life-threatening4.1%112
Hospitalisation (initial or prolonged)26.2%715
Disability1.1%30
Congenital anomaly6.3%171
Other serious74.1%2,019
Not serious6%163

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 21.9%51
2 to 110.6%16
12 to 170.8%21
18 to 4424.8%675
45 to 6427.2%741
65 to 742%55
75 and over0.7%18
Age not given42.1%1,148

Patient sex

Female24.6%670
Male47.2%1,286
Not given28.2%769

Who reported

Physician21.9%598
Pharmacist3%81
Other health professional58.6%1,596
Lawyer0%0
Consumer or non-health professional11.8%322
Not given4.7%128

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 28.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hiv infection1,71362.9%
Antiretroviral therapy1666.1%
Maternal exposure timing unspecified481.8%
Prophylaxis against HIV infection271%
Covid-19240.9%
Acquired immunodeficiency syndrome200.7%

The indication field is filled in by the reporter and is often blank; shares are of all 2,725 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Atazanavir reports
Ritonavir1,73163.5%
Lamivudine96635.4%
Emtricitabine40815%
Tenofovir38614.2%
Abacavir38214%
Zidovudine38114%
Efavirenz30211.1%
Raltegravir30111%
Kaletra29410.8%
Tenofovir disoproxil fumarate29010.6%

Other products listed in reports where Atazanavir 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

MeasureAtazanavirProtease inhibitorAll reports
Reports as suspect product2,72522,33120,646,523
Share of that pool—12.2%0%
Reports, latest 12 months28—1,332,454
Marked serious94%88.5%57.4%
Death recorded among outcomes, per 1,000 reports918891
Hospitalisation recorded, per 1,000 reports262279213
Consumer-filed share11.8%19.5%45.8%
Top term, share of reportsDrug interaction 17.7%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%
Atazanavir sulfategeneric2,6212295.3%
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 reports

How many adverse event reports has FDA received for Atazanavir?

2,725 reports list Atazanavir as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 28 of them arrived in the latest 12 months. Another 1,309 list it only as a concomitant medication.

What reactions are recorded in Atazanavir reports?

drug interaction (17.7%), foetal exposure during pregnancy (10.3%), depression (8.8%), virologic failure (5.8%) and exposure during pregnancy (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 was responsible.

How serious are the reports?

94% are marked serious by the reporter. Among the outcomes recorded, 9.1% of reports include death and 26.2% 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 (58.6%), physician (21.9%) and consumer or non-health professional (11.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Atazanavir rising?

28 reports in the 12 months to June 2026, down 56% from 63 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 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?

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 as a suspect or interacting product; reports listing it only as a concomitant medication (1,309) 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.