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
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
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
- Bone density decreased54.3%3,548
- Renal injury45.3%2,959
- Skeletal injury42.4%2,774
- Tooth loss30.6%2,001
- Chronic kidney diseaselong-term kidney disease30.4%1,987
- Tooth injury30.2%1,976
- Renal failurekidney failure24.8%1,618
- Bone loss23.9%1,562
- Multiple fractures23.2%1,515
- Osteonecrosis23.2%1,515
- Osteoporosisthinning of the bones21.1%1,379
- Painpain, site not specified21.1%1,379
- Emotional distressemotional distress20.9%1,365
- Anxietyanxiety19.2%1,252
- Anhedonia18.6%1,215
- Osteopenia13.7%893
- Acute kidney injurysudden loss of kidney function6.7%439
- Blood creatinine increasedraised creatinine, a kidney test6.3%409
- Economic problema financial problem6.1%400
- Vitamin D deficiencylow vitamin D5.8%379
- Renal impairmentreduced kidney function5%324
- Nephropathy4.5%297
- Fracturea broken bone3.2%208
- Bone density abnormal3%198
- Depressionlow mood3%194
- Foot fracture2.9%190
- Bone disorder2.7%175
- Osteoarthritis2.4%158
- Tooth fracture2.3%149
- Ankle fracture2.1%137
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
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
Patient sex
Who reported
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) | Reports | Share |
|---|---|---|
| Hiv infection | 5,132 | 78.5% |
| Acquired immunodeficiency syndrome | 366 | 5.6% |
| Prophylaxis against HIV infection | 8 | 0.1% |
| Antiretroviral therapy | 3 | 0% |
| Maternal exposure timing unspecified | 3 | 0% |
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) | Reports | Share of Complera reports |
|---|---|---|
| Truvada | 4,455 | 68.2% |
| Atripla | 4,093 | 62.6% |
| Viread | 3,688 | 56.4% |
| Stribild | 3,073 | 47% |
| Biktarvy | 1,587 | 24.3% |
| Odefsey | 1,147 | 17.6% |
| Genvoya | 1,085 | 16.6% |
| Descovy | 897 | 13.7% |
| Symtuza | 199 | 3% |
| Norvir | 159 | 2.4% |
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
| Measure | Complera | Human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor | All reports |
|---|---|---|---|
| Reports as suspect product | 6,535 | 80,988 | 20,646,523 |
| Share of that pool | — | 8.1% | 0% |
| Reports, latest 12 months | 95 | — | 1,332,454 |
| Marked serious | 86.9% | 84.3% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 13 | 66 | 91 |
| Hospitalisation recorded, per 1,000 reports | 57 | 167 | 213 |
| Consumer-filed share | 20.9% | 18.9% | 45.8% |
| Top term, share of reports | Bone 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
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Truvada | brand | 38,638 | 844 | 85.7% |
| Zidovudine | generic | 8,510 | 121 | 95% |
| Biktarvy | brand | 6,739 | 677 | 54.7% |
| Emtricitabine | generic | 3,870 | 73 | 97.7% |
| Abacavir | generic | 3,867 | 108 | 95.3% |
| Emtricitabine and tenofovir disoproxil fumarate | generic | 3,518 | 5 | 98% |
| Descovy | brand | 3,123 | 318 | 46.3% |
| Retrovir | brand | 2,026 | 11 | 93.7% |
| Ziagen | brand | 1,554 | 7 | 90.3% |
| Odefsey | brand | 1,035 | 33 | 51.9% |
| Abacavir sulfate | generic | 840 | 66 | 98% |
| Emtriva | brand | 733 | 9 | 94.3% |
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.