Reported Reactions

Drugs › Human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor

Brand name · Emtricitabine, rilpivirine hydrochloride and tenofovir disoproxil fumarate

Complera: adverse event reports filed with FDA

6,535 reports list it as a suspect or interacting product, 2011–2026. Class: Human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor.

6,535
reports as suspect product
0% of all reports · about 448 a year
95
reports, 12 months to June 2026
268 in the 12 months before
86.9%
marked serious by the reporter
84.3% across the class
1.3%
record death among outcomes, as reported
82 reports · not verified by FDA

6,535 adverse event reports received by FDA list the brand name Complera (emtricitabine, rilpivirine hydrochloride and tenofovir disoproxil fumarate) as a suspect or interacting product, from December 2011 to May 2026. A further 188 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, 95 reports listed it, down 65% from 268 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 448 reports a year and 0% of the 20,646,523 reports in the database, and 8.1% 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 bone density decreased (54.3%), renal injury (45.3%) and skeletal injury (42.4%). A report can list several reactions, so shares add to more than 100%; 377 different terms appear across these reports. Bone density decreased is recorded in 54.3% of these reports, with no counterpart in the median human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor drug (0%).

86.9% of the reports are marked serious by the reporter (84.3% across the class); 1.3% record death among the outcomes and 5.7% record hospitalisation, as reported. 72% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (35.7%). 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

054107Jul 2021: 66Aug 2021: 42Sep 2021: 59Oct 2021: 55Nov 2021: 51Dec 2021: 1042022Jan 2022: 107Feb 2022: 66Mar 2022: 41Apr 2022: 64May 2022: 73Jun 2022: 8Jul 2022: 23Aug 2022: 21Sep 2022: 27Oct 2022: 10Nov 2022: 66Dec 2022: 472023Jan 2023: 33Feb 2023: 55Mar 2023: 24Apr 2023: 10May 2023: 22Jun 2023: 14Jul 2023: 11Aug 2023: 6Sep 2023: 37Oct 2023: 0Nov 2023: 11Dec 2023: 62024Jan 2024: 3Feb 2024: 1Mar 2024: 1Apr 2024: 7May 2024: 20Jun 2024: 18Jul 2024: 17Aug 2024: 19Sep 2024: 84Oct 2024: 9Nov 2024: 6Dec 2024: 62025Jan 2025: 14Feb 2025: 29Mar 2025: 0Apr 2025: 8May 2025: 66Jun 2025: 10Jul 2025: 42Aug 2025: 0Sep 2025: 3Oct 2025: 8Nov 2025: 1Dec 2025: 162026Jan 2026: 3Feb 2026: 8Mar 2026: 2Apr 2026: 0May 2026: 12Jun 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

01,5633,1252011: 220112012: 262013: 6820132014: 2422015: 8120152016: 822017: 4720172018: 642019: 34020192020: 3,1252021: 1,26320212022: 5532023: 22920232024: 1912025: 19720252026: 25

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Renal injury45.3%2,959
  2. Skeletal injury42.4%2,774
  3. Tooth loss30.6%2,001
  4. Chronic kidney diseaselong-term kidney disease30.4%1,987
  5. Tooth injury30.2%1,976
  6. Renal failurekidney failure24.8%1,618
  7. Bone loss23.9%1,562
  8. Osteonecrosis23.2%1,515
  9. Osteoporosisthinning of the bones21.1%1,379
  10. Painpain, site not specified21.1%1,379
  11. Emotional distressemotional distress20.9%1,365
  12. Anxietyanxiety19.2%1,252
  13. Anhedonia18.6%1,215
  14. Osteopenia13.7%893
  15. Acute kidney injurysudden loss of kidney function6.7%439
  16. Blood creatinine increasedraised creatinine, a kidney test6.3%409
  17. Economic problema financial problem6.1%400
  18. Vitamin D deficiencylow vitamin D5.8%379
  19. Renal impairmentreduced kidney function5%324
  20. Fracturea broken bone3.2%208
  21. Bone density abnormal3%198
  22. Depressionlow mood3%194

Top 30 of 377 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

Death1.3%82
Life-threatening0.2%10
Hospitalisation (initial or prolonged)5.7%372
Disability0.2%13
Congenital anomaly0.1%9
Other serious86.4%5,643
Not serious13.1%855

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 20.1%6
2 to 110%1
12 to 170%3
18 to 4423.5%1,535
45 to 6435.7%2,331
65 to 742.8%181
75 and over0.3%17
Age not given37.7%2,461

Patient sex

Female25.5%1,664
Male60.6%3,962
Not given13.9%909

Who reported

Physician2.6%167
Pharmacist2.1%138
Other health professional2.3%149
Lawyer72%4,705
Consumer or non-health professional20.9%1,366
Not given0.2%10

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hiv infection5,13278.5%
Acquired immunodeficiency syndrome3665.6%
Prophylaxis against HIV infection80.1%
Antiretroviral therapy30%
Maternal exposure timing unspecified30%

The indication field is filled in by the reporter and is often blank; shares are of all 6,535 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Complera reports
Truvada4,45568.2%
Atripla4,09362.6%
Viread3,68856.4%
Stribild3,07347%
Biktarvy1,58724.3%
Odefsey1,14717.6%
Genvoya1,08516.6%
Descovy89713.7%
Symtuza1993%
Norvir1592.4%

Other products listed in reports where Complera 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

MeasureCompleraHuman immunodeficiency virus nucleoside analog reverse transcriptase inhibitorAll reports
Reports as suspect product6,53580,98820,646,523
Share of that pool—8.1%0%
Reports, latest 12 months95—1,332,454
Marked serious86.9%84.3%57.4%
Death recorded among outcomes, per 1,000 reports136691
Hospitalisation recorded, per 1,000 reports57167213
Consumer-filed share20.9%18.9%45.8%
Top term, share of reportsBone density decreased 54.3%median 0%0.2%

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%
Biktarvybrand6,73967754.7%
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 Complera reports

How many adverse event reports has FDA received for Complera?

6,535 reports list Complera as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 95 of them arrived in the latest 12 months. Another 188 list it only as a concomitant medication.

What reactions are recorded in Complera reports?

bone density decreased (54.3%), renal injury (45.3%), skeletal injury (42.4%), tooth loss (30.6%) and chronic kidney disease (30.4%). 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 Complera was responsible.

How serious are the reports?

86.9% are marked serious by the reporter. Among the outcomes recorded, 1.3% of reports include death and 5.7% 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?

lawyer (72%), consumer or non-health professional (20.9%) and physician (2.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Complera rising?

95 reports in the 12 months to June 2026, down 65% from 268 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 Complera 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 Complera?

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 Complera as a suspect or interacting product; reports listing it only as a concomitant medication (188) 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.