Reported Reactions

Drugs › Hepatitis B virus nucleoside analog reverse transcriptase inhibitor

Generic name

Lamivudine and zidovudine: adverse event reports filed with FDA

1,432 reports list it as a suspect or interacting product, 2004–2026. Class: Hepatitis B virus nucleoside analog reverse transcriptase inhibitor. Also reported as Lamivudine/Zidovudine, Lamivudine And Zidovudine Tablets, Lamivudine 150mg/Zidovudine 300mg Tablet.

1,432
reports as suspect product
0% of all reports · about 64 a year
8
reports, 12 months to June 2026
16 in the 12 months before
84.2%
marked serious by the reporter
88.4% across the class
10.6%
record death among outcomes, as reported
152 reports · not verified by FDA

Between April 2004 and June 2026, 1,432 adverse event reports received by FDA list lamivudine and zidovudine, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (228) are left out of every figure here.

In the 12 months to June 2026, 8 reports listed it, down 50% from 16 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 64 reports a year and 0% of the 20,646,523 reports in the database, and 2% 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.

The MedDRA terms listed most often are foetal exposure during pregnancy (19.1%), virologic failure (13.5%) and exposure during pregnancy (11%). A report can list several reactions, so shares add to more than 100%; 352 different terms appear across these reports. Foetal exposure during pregnancy is recorded in 19.1% of these reports, a larger share than in the median hepatitis B virus nucleoside analog reverse transcriptase inhibitor drug (3.2%).

84.2% of the reports are marked serious by the reporter (88.4% across the class); 10.6% record death among the outcomes and 11% record hospitalisation, as reported. 52.1% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (27.9%). 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

0713Jul 2021: 4Aug 2021: 8Sep 2021: 10Oct 2021: 9Nov 2021: 4Dec 2021: 22022Jan 2022: 2Feb 2022: 5Mar 2022: 2Apr 2022: 0May 2022: 6Jun 2022: 8Jul 2022: 4Aug 2022: 3Sep 2022: 9Oct 2022: 2Nov 2022: 1Dec 2022: 62023Jan 2023: 0Feb 2023: 0Mar 2023: 1Apr 2023: 1May 2023: 2Jun 2023: 8Jul 2023: 2Aug 2023: 0Sep 2023: 0Oct 2023: 1Nov 2023: 3Dec 2023: 22024Jan 2024: 8Feb 2024: 13Mar 2024: 1Apr 2024: 3May 2024: 0Jun 2024: 1Jul 2024: 0Aug 2024: 2Sep 2024: 0Oct 2024: 2Nov 2024: 5Dec 2024: 02025Jan 2025: 1Feb 2025: 1Mar 2025: 3Apr 2025: 0May 2025: 2Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 0Oct 2025: 0Nov 2025: 0Dec 2025: 12026Jan 2026: 0Feb 2026: 1Mar 2026: 0Apr 2026: 0May 2026: 5Jun 2026: 1

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

01212412004: 1020042005: 302006: 122008: 920082009: 192010: 62011: 620112012: 162013: 232014: 7320142015: 1262016: 2412017: 21920172018: 1712019: 1332020: 11520202021: 1052022: 482023: 2020232024: 352025: 82026: 72026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Foetal exposure during pregnancythe unborn baby was exposed to the medicine19.1%273
  2. Exposure during pregnancythe medicine was taken during pregnancy11%157
  3. Viral mutation identified8.1%116
  4. Maternal exposure during pregnancythe mother took the medicine during pregnancy7.8%111
  5. Exposure during breast feeding5.1%73
  6. Lipodystrophy acquiredchanges in body fat distribution4.1%59
  7. Abortion spontaneousmiscarriage3.5%50
  8. HIV infectionHIV infection3.5%50
  9. Foetal exposure during delivery3.4%49
  10. Treatment noncompliancethe treatment was not taken as directed3.4%48
  11. Premature babya baby born early3.2%46
  12. No adverse eventno adverse event was reported3%43
  13. Anaemialow red blood cells2.7%39
  14. Renal impairmentreduced kidney function2.2%31
  15. Dandy-Walker syndrome2%28
  16. Deaththe patient died; cause not stated by this term1.8%26
  17. Drug interactionan interaction between medicines1.8%26
  18. Stillbirth1.7%25
  19. Drug ineffectivethe medicine did not work as expected1.7%24
  20. Congenital central nervous system anomaly1.5%21
  21. Renal failurekidney failure1.5%21
  22. Diarrhoealoose or frequent stools1.4%20
  23. Nauseafeeling sick1.4%20
  24. Sleep disordera sleep problem1.4%20
  25. Ataxia1.3%19

Top 30 of 352 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

Death10.6%152
Life-threatening1.7%24
Hospitalisation (initial or prolonged)11%157
Disability1.1%16
Congenital anomaly14.5%208
Other serious67.7%970
Not serious15.8%226

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 26.5%93
2 to 111%14
12 to 170.1%2
18 to 4427.9%400
45 to 6410.1%144
65 to 741.6%23
75 and over0.8%12
Age not given52%744

Patient sex

Female35.3%505
Male25.3%362
Not given39.5%565

Who reported

Physician23.1%331
Pharmacist1.1%16
Other health professional52.1%746
Lawyer0%0
Consumer or non-health professional19.6%281
Not given4.1%58

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 39% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hiv infection78454.7%
Antiretroviral therapy614.3%
Hiv infection cdc category c282%
Prophylaxis against HIV infection221.5%
Maternal exposure timing unspecified181.3%
Acquired immunodeficiency syndrome141%

The indication field is filled in by the reporter and is often blank; shares are of all 1,432 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Lamivudine and zidovudine reports
Ritonavir1379.6%
Isentress1278.9%
Zidovudine1238.6%
Efavirenz1218.4%
Nevirapine1168.1%
Kaletra1137.9%
Lamivudine1127.8%
Darunavir896.2%
Lopinavir Ritonavir815.7%
Norvir664.6%

Other products listed in reports where Lamivudine and zidovudine 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

MeasureLamivudine and zidovudineHepatitis B virus nucleoside analog reverse transcriptase inhibitorAll reports
Reports as suspect product1,43272,52320,646,523
Share of that pool—2%0%
Reports, latest 12 months8—1,332,454
Marked serious84.2%88.4%57.4%
Death recorded among outcomes, per 1,000 reports1068991
Hospitalisation recorded, per 1,000 reports110200213
Consumer-filed share19.6%21.1%45.8%
Top term, share of reportsFoetal exposure during pregnancy 19.1%median 3.2%0.4%

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%
Entecavirgeneric2,79716387.1%
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 Lamivudine and zidovudine reports

How many adverse event reports has FDA received for Lamivudine and zidovudine?

1,432 reports list Lamivudine and zidovudine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 8 of them arrived in the latest 12 months. Another 228 list it only as a concomitant medication.

What reactions are recorded in Lamivudine and zidovudine reports?

foetal exposure during pregnancy (19.1%), virologic failure (13.5%), exposure during pregnancy (11%), drug resistance (8.2%) and viral mutation identified (8.1%). 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 Lamivudine and zidovudine was responsible.

How serious are the reports?

84.2% are marked serious by the reporter. Among the outcomes recorded, 10.6% of reports include death and 11% 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 (52.1%), physician (23.1%) and consumer or non-health professional (19.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Lamivudine and zidovudine rising?

8 reports in the 12 months to June 2026, down 50% from 16 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 Lamivudine and zidovudine 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 Lamivudine and zidovudine?

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 Lamivudine and zidovudine as a suspect or interacting product; reports listing it only as a concomitant medication (228) 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.