Reported Reactions

Drugs › Human immunodeficiency virus 1 Non-Nucleoside analog reverse transcriptase inhibitor

Generic name

Efavirenz: adverse event reports filed with FDA

9,155 reports list it as a suspect or interacting product, 2004–2026. Class: Human immunodeficiency virus 1 Non-Nucleoside analog reverse transcriptase inhibitor. Also reported as Efavirenz Caps, Efavirenz Tabs, Efavirenz 600mg.

9,155
reports as suspect product
0% of all reports · about 407 a year
120
reports, 12 months to June 2026
148 in the 12 months before
97.2%
marked serious by the reporter
79.6% across the class
14.3%
record death among outcomes, as reported
1,308 reports · not verified by FDA

Between January 2004 and June 2026, 9,155 adverse event reports received by FDA list efavirenz, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (2,138) are left out of every figure here.

In the 12 months to June 2026, 120 reports listed it, down 19% from 148 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 407 reports a year and 0% of the 20,646,523 reports in the database, and 31.5% of the reports for the human immunodeficiency virus 1 Non-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 MedDRA terms listed most often are virologic failure (10.2%), drug resistance (7.8%) and viral mutation identified (7.1%). A report can list several reactions, so shares add to more than 100%; 1,515 different terms appear across these reports. Virologic failure is recorded in 10.2% of these reports, a larger share than in the median human immunodeficiency virus 1 Non-Nucleoside analog reverse transcriptase inhibitor drug (6.3%).

97.2% of the reports are marked serious by the reporter (79.6% across the class); 14.3% record death among the outcomes and 23.2% record hospitalisation, as reported. 60.5% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (28.6%). 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

03978Jul 2021: 28Aug 2021: 39Sep 2021: 41Oct 2021: 36Nov 2021: 31Dec 2021: 252022Jan 2022: 22Feb 2022: 56Mar 2022: 43Apr 2022: 54May 2022: 34Jun 2022: 51Jul 2022: 31Aug 2022: 56Sep 2022: 67Oct 2022: 44Nov 2022: 51Dec 2022: 482023Jan 2023: 35Feb 2023: 49Mar 2023: 78Apr 2023: 67May 2023: 34Jun 2023: 76Jul 2023: 29Aug 2023: 71Sep 2023: 29Oct 2023: 12Nov 2023: 25Dec 2023: 182024Jan 2024: 29Feb 2024: 11Mar 2024: 12Apr 2024: 15May 2024: 16Jun 2024: 9Jul 2024: 15Aug 2024: 9Sep 2024: 8Oct 2024: 12Nov 2024: 6Dec 2024: 32025Jan 2025: 22Feb 2025: 9Mar 2025: 22Apr 2025: 26May 2025: 5Jun 2025: 11Jul 2025: 13Aug 2025: 2Sep 2025: 12Oct 2025: 5Nov 2025: 11Dec 2025: 32026Jan 2026: 5Feb 2026: 11Mar 2026: 9Apr 2026: 20May 2026: 23Jun 2026: 6

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

04308592004: 20420042005: 1902006: 2162007: 21220072008: 3772009: 3762010: 26020102011: 1752012: 2232013: 26020132014: 3802015: 6522016: 75320162017: 8592018: 7212019: 52320192020: 8522021: 4762022: 55720222023: 5232024: 1452025: 14120252026: 74

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Efavirenz reports recording the termmedian drug in human immunodeficiency virus 1 non-nucleoside analog reverse transcriptase inhibitor

  1. Viral mutation identified7.1%651
  2. Drug interactionan interaction between medicines6.8%625
  3. Foetal exposure during pregnancythe unborn baby was exposed to the medicine6.2%571
  4. Depressionlow mood4.5%414
  5. Treatment failurethe treatment did not work4.4%401
  6. Maternal exposure during pregnancythe mother took the medicine during pregnancy4.4%399
  7. Immune reconstitution inflammatory syndrome3.8%344
  8. Anaemialow red blood cells3.4%310
  9. Deaththe patient died; cause not stated by this term3.4%309
  10. Pyrexiafever3.2%294
  11. Abortion spontaneousmiscarriage3%276
  12. Vomitingbeing sick3%271
  13. Treatment noncompliancethe treatment was not taken as directed2.8%258
  14. Immune reconstitution syndrome2.8%256
  15. Exposure during pregnancythe medicine was taken during pregnancy2.6%237
  16. Diarrhoealoose or frequent stools2.5%226
  17. Lipodystrophy acquiredchanges in body fat distribution2.3%213
  18. Nauseafeeling sick2.3%212
  19. Alanine aminotransferase increasedraised liver enzyme (ALT)2.1%196
  20. Drug ineffectivethe medicine did not work as expected2%185
  21. Rashskin rash2%181
  22. Aspartate aminotransferase increasedraised liver enzyme (AST)1.8%169
  23. Renal impairmentreduced kidney function1.7%155
  24. Condition aggravatedthe condition being treated got worse1.5%136

Top 30 of 1,515 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 7 drugs in the human immunodeficiency virus 1 non-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

Death14.3%1,308
Life-threatening4.6%419
Hospitalisation (initial or prolonged)23.2%2,122
Disability1.5%136
Congenital anomaly5.5%500
Other serious78%7,143
Not serious2.8%253

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 29,070 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%175
2 to 111.5%135
12 to 171.2%107
18 to 4428.6%2,621
45 to 6416.9%1,549
65 to 741.5%138
75 and over0.3%32
Age not given48%4,398

Patient sex

Female25.8%2,366
Male39.4%3,604
Not given34.8%3,185

Who reported

Physician21%1,922
Pharmacist1.4%132
Other health professional60.5%5,538
Lawyer0%0
Consumer or non-health professional12.1%1,111
Not given4.9%452

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 20.1% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hiv infection6,28268.6%
Antiretroviral therapy5926.5%
Acquired immunodeficiency syndrome1962.1%
Hiv test positive620.7%
Prophylaxis against HIV infection380.4%
Perinatal HIV infection350.4%

The indication field is filled in by the reporter and is often blank; shares are of all 9,155 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Efavirenz reports
Lamivudine4,55049.7%
Zidovudine1,90820.8%
Tenofovir disoproxil fumarate1,59617.4%
Stavudine1,50016.4%
Tenofovir1,34514.7%
Emtricitabine1,19513.1%
Nevirapine1,08411.8%
Didanosine1,00711%
Abacavir95010.4%
Ritonavir9089.9%

Other products listed in reports where Efavirenz 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

MeasureEfavirenzHuman immunodeficiency virus 1 Non-Nucleoside analog reverse transcriptase inhibitorAll reports
Reports as suspect product9,15529,07020,646,523
Share of that pool—31.5%0%
Reports, latest 12 months120—1,332,454
Marked serious97.2%79.6%57.4%
Death recorded among outcomes, per 1,000 reports14311591
Hospitalisation recorded, per 1,000 reports232171213
Consumer-filed share12.1%14.4%45.8%
Top term, share of reportsVirologic failure 10.2%median 6.3%0%

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 1 non-nucleoside analog reverse transcriptase inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Nevirapinegeneric7,9186597.2%
Rilpivirinegeneric6,68587739.3%
Intelencebrand1,7521486.8%
Etravirinegeneric1,2851791.1%
Julucabrand1,1814640.6%
Edurantbrand1,0943467.5%

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 Efavirenz reports

How many adverse event reports has FDA received for Efavirenz?

9,155 reports list Efavirenz as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 120 of them arrived in the latest 12 months. Another 2,138 list it only as a concomitant medication.

What reactions are recorded in Efavirenz reports?

virologic failure (10.2%), drug resistance (7.8%), viral mutation identified (7.1%), drug interaction (6.8%) and pathogen resistance (6.4%). 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 Efavirenz was responsible.

How serious are the reports?

97.2% are marked serious by the reporter. Among the outcomes recorded, 14.3% of reports include death and 23.2% 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 (60.5%), physician (21%) and consumer or non-health professional (12.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Efavirenz rising?

120 reports in the 12 months to June 2026, down 19% from 148 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 Efavirenz 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 Efavirenz?

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 Efavirenz as a suspect or interacting product; reports listing it only as a concomitant medication (2,138) 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.