Reported Reactions

Drugs › Cytochrome P450 3A inhibitor

Brand name · Lopinavir and ritonavir

Kaletra: adverse event reports filed with FDA

9,419 reports list it as a suspect or interacting product, 2004–2026. Class: Cytochrome P450 3A inhibitor. Also reported as Kaletra /01399701/, Kaletra /01506501/, Kaletra Tablets.

9,419
reports as suspect product
0.1% of all reports · about 419 a year
57
reports, 12 months to June 2026
76 in the 12 months before
92.5%
marked serious by the reporter
87.2% across the class
15.1%
record death among outcomes, as reported
1,422 reports · not verified by FDA

Between January 2004 and June 2026, 9,419 adverse event reports received by FDA list the brand name Kaletra (lopinavir and ritonavir) as a suspect or interacting product. Reports that mention it only as a concomitant medication (3,411) are left out of every figure here.

In the 12 months to June 2026, 57 reports listed it, down 25% from 76 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 419 reports a year and 0.1% of the 20,646,523 reports in the database, and 20.3% of the reports for the cytochrome P450 3A 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 interaction (12.7%), depression (9.8%) and foetal exposure during pregnancy (6.8%). A report can list several reactions, so shares add to more than 100%; 1,558 different terms appear across these reports. Drug interaction is recorded in 12.7% of these reports, a larger share than in the median cytochrome P450 3A inhibitor drug (7.1%).

92.5% of the reports are marked serious by the reporter (87.2% across the class); 15.1% record death among the outcomes and 35% record hospitalisation, as reported. 32.9% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (24.2%). 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

03977Jul 2021: 64Aug 2021: 77Sep 2021: 45Oct 2021: 53Nov 2021: 22Dec 2021: 342022Jan 2022: 35Feb 2022: 21Mar 2022: 20Apr 2022: 28May 2022: 39Jun 2022: 47Jul 2022: 15Aug 2022: 27Sep 2022: 23Oct 2022: 14Nov 2022: 28Dec 2022: 202023Jan 2023: 16Feb 2023: 35Mar 2023: 16Apr 2023: 15May 2023: 9Jun 2023: 39Jul 2023: 6Aug 2023: 6Sep 2023: 3Oct 2023: 3Nov 2023: 7Dec 2023: 32024Jan 2024: 4Feb 2024: 4Mar 2024: 6Apr 2024: 6May 2024: 9Jun 2024: 8Jul 2024: 1Aug 2024: 4Sep 2024: 11Oct 2024: 18Nov 2024: 2Dec 2024: 42025Jan 2025: 1Feb 2025: 7Mar 2025: 13Apr 2025: 6May 2025: 3Jun 2025: 6Jul 2025: 6Aug 2025: 2Sep 2025: 3Oct 2025: 5Nov 2025: 3Dec 2025: 12026Jan 2026: 0Feb 2026: 8Mar 2026: 8Apr 2026: 3May 2026: 14Jun 2026: 4

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

05511,1012004: 48520042005: 3712006: 4192007: 51120072008: 6302009: 7132010: 67820102011: 4782012: 6012013: 40120132014: 4632015: 4232016: 31620162017: 1452018: 1642019: 22920192020: 1,1012021: 6412022: 31720222023: 1582024: 772025: 5620252026: 37

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Kaletra reports recording the termmedian drug in cytochrome p450 3a inhibitor

  1. Drug interactionan interaction between medicines12.7%1,200
  2. Depressionlow mood9.8%920
  3. Foetal exposure during pregnancythe unborn baby was exposed to the medicine6.8%640
  4. Drug exposure during pregnancythe medicine was taken during pregnancy6.5%611
  5. Diarrhoealoose or frequent stools6.3%593
  6. Off label useused for a purpose or in a way not on the label5.5%516
  7. Nauseafeeling sick4.7%441
  8. Vomitingbeing sick3.9%370
  9. Abortion spontaneousmiscarriage3.7%348
  10. Pyrexiafever3.6%342
  11. Exposure during pregnancythe medicine was taken during pregnancy3.1%290
  12. Premature babya baby born early3.1%289
  13. Anaemialow red blood cells3%284
  14. Lipodystrophy acquiredchanges in body fat distribution2.7%253
  15. Maternal exposure during pregnancythe mother took the medicine during pregnancy2.7%250
  16. Renal failurekidney failure2.3%218
  17. Aspartate aminotransferase increasedraised liver enzyme (AST)2.1%197
  18. Alanine aminotransferase increasedraised liver enzyme (ALT)2%190
  19. Abdominal painstomach or belly pain1.9%179
  20. Deaththe patient died; cause not stated by this term1.9%179
  21. Weight decreasedweight loss1.9%177
  22. Astheniaweakness or lack of energy1.9%175
  23. Pneumonialung infection1.8%170
  24. Anxietyanxiety1.8%166
  25. Headachehead pain1.8%166
  26. Mitochondrial toxicity1.8%165
  27. Stillbirth1.7%164
  28. Diplopiadouble vision1.7%161

Top 30 of 1,558 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 8 drugs in the cytochrome p450 3a 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

Death15.1%1,422
Life-threatening5.3%497
Hospitalisation (initial or prolonged)35%3,293
Disability2.7%255
Congenital anomaly9.7%912
Other serious55.2%5,198
Not serious7.5%704

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 46,425 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 23.3%312
2 to 110.6%57
12 to 170.6%59
18 to 4424.2%2,279
45 to 6422.9%2,157
65 to 743.7%347
75 and over2%184
Age not given42.7%4,024

Patient sex

Female33.4%3,147
Male56.7%5,338
Not given9.9%934

Who reported

Physician32.2%3,030
Pharmacist5.9%559
Other health professional32.9%3,102
Lawyer1.3%122
Consumer or non-health professional13.6%1,285
Not given14%1,321

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 23.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hiv infection5,07453.9%
Antiretroviral therapy4134.4%
Covid-193303.5%
Drug exposure during pregnancy3273.5%
Maternal exposure timing unspecified3233.4%
Coronavirus infection2803%

The indication field is filled in by the reporter and is often blank; shares are of all 9,419 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Kaletra reports
Lamivudine2,10522.3%
Truvada1,58416.8%
Sustiva1,07811.4%
Viread97510.4%
Zidovudine8989.5%
Clonazepam8859.4%
Isentress8769.3%
Zopiclone8428.9%
Valproic acid8268.8%
Efavirenz8148.6%

Other products listed in reports where Kaletra 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

MeasureKaletraCytochrome P450 3A inhibitorAll reports
Reports as suspect product9,41946,42520,646,523
Share of that pool—20.3%0.1%
Reports, latest 12 months57—1,332,454
Marked serious92.5%87.2%57.4%
Death recorded among outcomes, per 1,000 reports1519091
Hospitalisation recorded, per 1,000 reports350260213
Consumer-filed share13.6%15.9%45.8%
Top term, share of reportsDrug interaction 12.7%median 7.1%0.8%

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 cytochrome p450 3a inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Ritonavirgeneric11,39916492%
Norvirbrand8,8214492.8%
Stribildbrand8,75412486.3%
Lopinavir and ritonavirgeneric3,003996.7%
Genvoyabrand2,9945750.6%
Symtuzabrand1,0676456.8%
Prezcobixbrand9682754.4%

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 Kaletra reports

How many adverse event reports has FDA received for Kaletra?

9,419 reports list Kaletra as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 57 of them arrived in the latest 12 months. Another 3,411 list it only as a concomitant medication.

What reactions are recorded in Kaletra reports?

drug interaction (12.7%), depression (9.8%), foetal exposure during pregnancy (6.8%), drug exposure during pregnancy (6.5%) and diarrhoea (6.3%). 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 Kaletra was responsible.

How serious are the reports?

92.5% are marked serious by the reporter. Among the outcomes recorded, 15.1% of reports include death and 35% 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 (32.9%), physician (32.2%) and not given (14%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Kaletra rising?

57 reports in the 12 months to June 2026, down 25% from 76 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 Kaletra 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 Kaletra?

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 Kaletra as a suspect or interacting product; reports listing it only as a concomitant medication (3,411) 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.