Reported Reactions

Drugs › Hepatitis B virus nucleoside analog reverse transcriptase inhibitor

Generic name

Entecavir: adverse event reports filed with FDA

2,797 reports list it as a suspect or interacting product, 2004–2026. Class: Hepatitis B virus nucleoside analog reverse transcriptase inhibitor. Also reported as Entecavir Tablet 50mg, Entecavir Tabs, Entecavir Tab 0 5mg.

2,797
reports as suspect product
0% of all reports · about 125 a year
163
reports, 12 months to June 2026
158 in the 12 months before
87.1%
marked serious by the reporter
88.4% across the class
18.4%
record death among outcomes, as reported
515 reports · not verified by FDA

2,797 adverse event reports received by FDA list entecavir, a generic name as a suspect or interacting product, from February 2004 to June 2026. A further 4,448 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, 163 reports listed it, close to the 158 of 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 125 reports a year and 0% of the 20,646,523 reports in the database, and 3.9% of the reports for the hepatitis B 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.

Reporters most often recorded drug resistance (11.2%), drug ineffective (6.7%) and death (5.8%). A report can list several reactions, so shares add to more than 100%; 602 different terms appear across these reports. Drug resistance is recorded in 11.2% of these reports, a larger share than in the median hepatitis B virus nucleoside analog reverse transcriptase inhibitor drug (2.3%).

87.1% of the reports are marked serious by the reporter (88.4% across the class); 18.4% record death among the outcomes and 28.2% record hospitalisation, as reported. 38.2% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (32.1%). 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

01529Jul 2021: 20Aug 2021: 9Sep 2021: 18Oct 2021: 9Nov 2021: 21Dec 2021: 142022Jan 2022: 14Feb 2022: 8Mar 2022: 11Apr 2022: 21May 2022: 23Jun 2022: 21Jul 2022: 6Aug 2022: 20Sep 2022: 15Oct 2022: 3Nov 2022: 16Dec 2022: 192023Jan 2023: 29Feb 2023: 26Mar 2023: 12Apr 2023: 4May 2023: 7Jun 2023: 14Jul 2023: 3Aug 2023: 18Sep 2023: 19Oct 2023: 5Nov 2023: 9Dec 2023: 92024Jan 2024: 14Feb 2024: 14Mar 2024: 20Apr 2024: 24May 2024: 11Jun 2024: 18Jul 2024: 13Aug 2024: 18Sep 2024: 14Oct 2024: 17Nov 2024: 16Dec 2024: 92025Jan 2025: 11Feb 2025: 14Mar 2025: 15Apr 2025: 6May 2025: 15Jun 2025: 10Jul 2025: 11Aug 2025: 21Sep 2025: 13Oct 2025: 19Nov 2025: 8Dec 2025: 182026Jan 2026: 13Feb 2026: 11Mar 2026: 7Apr 2026: 9May 2026: 17Jun 2026: 16

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

01713422004: 220042005: 42006: 52007: 2920072008: 412009: 342010: 3420102011: 282012: 522013: 3420132014: 762015: 1932016: 26520162017: 2032018: 3082019: 34220192020: 2002021: 1932022: 17720222023: 1552024: 1882025: 16120252026: 73

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Entecavir reports recording the termmedian drug in hepatitis b virus nucleoside analog reverse transcriptase inhibitor

  1. Drug ineffectivethe medicine did not work as expected6.7%187
  2. Deaththe patient died; cause not stated by this term5.8%161
  3. Hepatitis Bhepatitis B infection5.6%158
  4. Viral mutation identified4.2%118
  5. Off label useused for a purpose or in a way not on the label2.7%76
  6. Renal impairmentreduced kidney function2.5%70
  7. Hepatic failureliver failure2.5%69
  8. Hepatitis B reactivation2.4%68
  9. Viral load increased2.1%60
  10. Hepatitis B DNA increased2.1%58
  11. Maternal exposure during pregnancythe mother took the medicine during pregnancy1.9%52
  12. Multiple-drug resistance1.9%52
  13. Blood creatinine increasedraised creatinine, a kidney test1.8%50
  14. Fatiguetiredness1.8%49
  15. Acute kidney injurysudden loss of kidney function1.7%47
  16. Headachehead pain1.6%45
  17. Condition aggravatedthe condition being treated got worse1.6%44
  18. Hospitalisationadmission to hospital1.6%44
  19. Viral infectiona viral infection1.5%41
  20. Alanine aminotransferase increasedraised liver enzyme (ALT)1.4%40
  21. Astheniaweakness or lack of energy1.4%40
  22. Thrombocytopenialow platelets1.4%40
  23. Treatment failurethe treatment did not work1.4%40
  24. Diarrhoealoose or frequent stools1.4%38
  25. Nauseafeeling sick1.4%38
  26. Renal failurekidney failure1.2%34

Top 30 of 602 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 12 drugs in the hepatitis b 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

Death18.4%515
Life-threatening2.8%77
Hospitalisation (initial or prolonged)28.2%788
Disability1.2%34
Congenital anomaly0.9%25
Other serious63.5%1,775
Not serious12.9%362

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 72,523 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 20.4%10
2 to 110.3%8
12 to 170.5%15
18 to 4416.3%456
45 to 6432.1%899
65 to 7413.6%381
75 and over5.5%155
Age not given31.2%873

Patient sex

Female31%867
Male54%1,509
Not given15.1%421

Who reported

Physician28.7%803
Pharmacist12.5%349
Other health professional38.2%1,069
Lawyer0%0
Consumer or non-health professional16.5%462
Not given4.1%114

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 32.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hepatitis b94033.6%
Chronic hepatitis b39414.1%
Hepatitis b reactivation511.8%
Antiviral prophylaxis471.7%
Hiv infection341.2%
Hepatitis viral271%

The indication field is filled in by the reporter and is often blank; shares are of all 2,797 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Entecavir reports
Lamivudine33311.9%
Adefovir dipivoxil2268.1%
Viread1625.8%
Tenofovir disoproxil fumarate1515.4%
Hepsera1214.3%
Tacrolimus1083.9%
Prednisone802.9%
Dexamethasone732.6%
Aspirin712.5%
Tenofovir702.5%

Other products listed in reports where Entecavir 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

MeasureEntecavirHepatitis B virus nucleoside analog reverse transcriptase inhibitorAll reports
Reports as suspect product2,79772,52320,646,523
Share of that pool—3.9%0%
Reports, latest 12 months163—1,332,454
Marked serious87.1%88.4%57.4%
Death recorded among outcomes, per 1,000 reports1848991
Hospitalisation recorded, per 1,000 reports282200213
Consumer-filed share16.5%21.1%45.8%
Top term, share of reportsDrug resistance 11.2%median 2.3%0.1%

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 hepatitis b virus nucleoside analog reverse transcriptase inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Vireadbrand22,03319594.5%
Lamivudinegeneric17,96627197.6%
Tenofovir disoproxil fumarategeneric7,40015097.4%
Triumeqbrand4,8238145.7%
Combivirbrand4,3671192.2%
Baracludebrand3,3082577.8%
Epivirbrand3,2081493.1%
Dovatobrand3,05925333.4%
Lamivudine and zidovudinegeneric1,432884.2%
Adefovir dipivoxilgeneric1,156399.2%
Tenofovir alafenamidegeneric97413997.3%

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 Entecavir reports

How many adverse event reports has FDA received for Entecavir?

2,797 reports list Entecavir as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 163 of them arrived in the latest 12 months. Another 4,448 list it only as a concomitant medication.

What reactions are recorded in Entecavir reports?

drug resistance (11.2%), drug ineffective (6.7%), death (5.8%), hepatitis B (5.6%) and viral mutation identified (4.2%). 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 Entecavir was responsible.

How serious are the reports?

87.1% are marked serious by the reporter. Among the outcomes recorded, 18.4% of reports include death and 28.2% 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 (38.2%), physician (28.7%) and consumer or non-health professional (16.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Entecavir rising?

163 reports in the 12 months to June 2026, close to the 158 of 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 Entecavir 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 Entecavir?

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 Entecavir as a suspect or interacting product; reports listing it only as a concomitant medication (4,448) 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.