Reported Reactions

Drugs › Human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor

Brand name · Bictegravir sodium, emtricitabine, and tenofovir alafenamide fumarate

Biktarvy: adverse event reports filed with FDA

6,739 reports list it as a suspect or interacting product, 2010–2026. Class: Human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor.

6,739
reports as suspect product
0% of all reports · about 426 a year
677
reports, 12 months to June 2026
791 in the 12 months before
54.7%
marked serious by the reporter
84.3% across the class
8.2%
record death among outcomes, as reported
551 reports · not verified by FDA

Between September 2010 and June 2026, 6,739 adverse event reports received by FDA list the brand name Biktarvy (bictegravir sodium, emtricitabine, and tenofovir alafenamide fumarate) as a suspect or interacting product. Reports that mention it only as a concomitant medication (11,284) are left out of every figure here.

In the 12 months to June 2026, 677 reports listed it, down 14% from 791 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 426 reports a year and 0% of the 20,646,523 reports in the database, and 8.3% of the reports for the human immunodeficiency 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 reactions recorded most often are weight increased (6.3%), death (5.5%) and product storage error (3%). A report can list several reactions, so shares add to more than 100%; 842 different terms appear across these reports. Weight increased is recorded in 6.3% of these reports, a larger share than in the median human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor drug (0.4%).

54.7% of the reports are marked serious by the reporter (84.3% across the class); 8.2% record death among the outcomes and 17.9% record hospitalisation, as reported. 29.2% of the reports came from physicians, and the largest patient age group is 18 to 44 (24.5%). 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

061121Jul 2021: 73Aug 2021: 74Sep 2021: 59Oct 2021: 79Nov 2021: 53Dec 2021: 592022Jan 2022: 49Feb 2022: 67Mar 2022: 80Apr 2022: 74May 2022: 66Jun 2022: 86Jul 2022: 93Aug 2022: 76Sep 2022: 121Oct 2022: 90Nov 2022: 81Dec 2022: 912023Jan 2023: 77Feb 2023: 80Mar 2023: 84Apr 2023: 71May 2023: 73Jun 2023: 74Jul 2023: 64Aug 2023: 71Sep 2023: 77Oct 2023: 69Nov 2023: 81Dec 2023: 692024Jan 2024: 66Feb 2024: 79Mar 2024: 73Apr 2024: 105May 2024: 95Jun 2024: 104Jul 2024: 74Aug 2024: 77Sep 2024: 51Oct 2024: 63Nov 2024: 69Dec 2024: 702025Jan 2025: 62Feb 2025: 68Mar 2025: 79Apr 2025: 71May 2025: 57Jun 2025: 50Jul 2025: 63Aug 2025: 63Sep 2025: 57Oct 2025: 60Nov 2025: 43Dec 2025: 762026Jan 2026: 37Feb 2026: 50Mar 2026: 44Apr 2026: 47May 2026: 71Jun 2026: 66

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

04879742010: 120102018: 30620182019: 97120192020: 80420202021: 80320212022: 97420222023: 89020232024: 92620242025: 74920252026: 3152026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Biktarvy reports recording the termmedian drug in human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor

  1. Weight increasedweight gain6.3%427
  2. Deaththe patient died; cause not stated by this term5.5%368
  3. Product storage errorthe product was stored wrongly3%205
  4. Nauseafeeling sick2.9%198
  5. Drug ineffectivethe medicine did not work as expected2.9%194
  6. Headachehead pain2.8%189
  7. Fatiguetiredness2.7%183
  8. Rashskin rash2.6%177
  9. Diarrhoealoose or frequent stools2.6%174
  10. Viral load increased2.5%167
  11. Maternal exposure during pregnancythe mother took the medicine during pregnancy2.4%163
  12. Product dose omission issuea dose was missed2.3%155
  13. Off label useused for a purpose or in a way not on the label2.2%151
  14. Vomitingbeing sick2.1%144
  15. Insomniadifficulty sleeping1.9%128
  16. Immune reconstitution inflammatory syndrome1.7%117
  17. Treatment noncompliancethe treatment was not taken as directed1.5%101
  18. Dizzinesslight-headedness or unsteadiness1.5%100
  19. Arthralgiajoint pain1.4%92
  20. Drug interactionan interaction between medicines1.4%92
  21. Pyrexiafever1.3%90
  22. Dysphagiadifficulty swallowing1.3%89
  23. Anxietyanxiety1.2%84
  24. Depressionlow mood1.2%83
  25. Dyspnoeashortness of breath1.2%81
  26. Hospitalisationadmission to hospital1.2%81
  27. Blood HIV RNA increased1.2%80
  28. Product use issuea problem in how the product was used1.2%80

Top 30 of 842 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 13 drugs in the human immunodeficiency 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

Death8.2%551
Life-threatening1.8%120
Hospitalisation (initial or prolonged)17.9%1,204
Disability3.2%216
Congenital anomaly0.8%54
Other serious39.7%2,678
Not serious45.3%3,051

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 80,988 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 20.3%18
2 to 110.3%17
12 to 170.4%25
18 to 4424.5%1,649
45 to 6424%1,618
65 to 746.1%414
75 and over1.9%131
Age not given42.5%2,867

Patient sex

Female22.4%1,512
Male64.6%4,351
Not given13%876

Who reported

Physician29.2%1,968
Pharmacist20.7%1,394
Other health professional23.5%1,583
Lawyer0.3%20
Consumer or non-health professional24.2%1,632
Not given2.1%142

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 69% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hiv infection3,50952.1%
Prophylaxis against HIV infection1131.7%
Acquired immunodeficiency syndrome620.9%
Hiv test positive490.7%
Antiretroviral therapy170.3%
Asymptomatic HIV infection140.2%

The indication field is filled in by the reporter and is often blank; shares are of all 6,739 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Biktarvy reports
Truvada1662.5%
Tivicay1332%
Atorvastatin1261.9%
Genvoya1141.7%
Descovy931.4%
Gabapentin861.3%
Fluconazole801.2%
Bactrim771.1%
Triumeq671%
Amlodipine661%

Other products listed in reports where Biktarvy 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

MeasureBiktarvyHuman immunodeficiency virus nucleoside analog reverse transcriptase inhibitorAll reports
Reports as suspect product6,73980,98820,646,523
Share of that pool—8.3%0%
Reports, latest 12 months677—1,332,454
Marked serious54.7%84.3%57.4%
Death recorded among outcomes, per 1,000 reports826691
Hospitalisation recorded, per 1,000 reports179167213
Consumer-filed share24.2%18.9%45.8%
Top term, share of reportsWeight increased 6.3%median 0.4%1.1%

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 human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Truvadabrand38,63884485.7%
Zidovudinegeneric8,51012195%
Complerabrand6,5359586.9%
Emtricitabinegeneric3,8707397.7%
Abacavirgeneric3,86710895.3%
Emtricitabine and tenofovir disoproxil fumarategeneric3,518598%
Descovybrand3,12331846.3%
Retrovirbrand2,0261193.7%
Ziagenbrand1,554790.3%
Odefseybrand1,0353351.9%
Abacavir sulfategeneric8406698%
Emtrivabrand733994.3%

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 Biktarvy reports

How many adverse event reports has FDA received for Biktarvy?

6,739 reports list Biktarvy as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 677 of them arrived in the latest 12 months. Another 11,284 list it only as a concomitant medication.

What reactions are recorded in Biktarvy reports?

weight increased (6.3%), death (5.5%), product storage error (3%), nausea (2.9%) and drug ineffective (2.9%). 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 Biktarvy was responsible.

How serious are the reports?

54.7% are marked serious by the reporter. Among the outcomes recorded, 8.2% of reports include death and 17.9% 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?

physician (29.2%), consumer or non-health professional (24.2%) and other health professional (23.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Biktarvy rising?

677 reports in the 12 months to June 2026, down 14% from 791 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 Biktarvy 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 Biktarvy?

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 Biktarvy as a suspect or interacting product; reports listing it only as a concomitant medication (11,284) 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.