Drugs › Hepatitis B virus nucleoside analog reverse transcriptase inhibitor
Generic name
Lamivudine: adverse event reports filed with FDA
17,966 reports list it as a suspect or interacting product, 2004–2026. Class: Hepatitis B virus nucleoside analog reverse transcriptase inhibitor. Also reported as Tab Lamivudine, Lamivudine Tablet, Lamivudine Tablets.
- 17,966
- reports as suspect product
- 0.1% of all reports · about 799 a year
- 271
- reports, 12 months to June 2026
- 480 in the 12 months before
- 97.6%
- marked serious by the reporter
- 88.4% across the class
- 13.4%
- record death among outcomes, as reported
- 2,400 reports · not verified by FDA
Between January 2004 and June 2026, 17,966 adverse event reports received by FDA list lamivudine, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (7,551) are left out of every figure here.
In the 12 months to June 2026, 271 reports listed it, down 44% from 480 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 799 reports a year and 0.1% of the 20,646,523 reports in the database, and 24.8% 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 virologic failure (10.2%), drug resistance (9.8%) and foetal exposure during pregnancy (9.6%). A report can list several reactions, so shares add to more than 100%; 2,436 different terms appear across these reports. Virologic failure is recorded in 10.2% of these reports, a larger share than in the median hepatitis B virus nucleoside analog reverse transcriptase inhibitor drug (1%).
97.6% of the reports are marked serious by the reporter (88.4% across the class); 13.4% record death among the outcomes and 20.6% record hospitalisation, as reported. 60.4% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (21.1%). 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
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 Lamivudine reports recording the termmedian drug in hepatitis b virus nucleoside analog reverse transcriptase inhibitor
- Virologic failure10.2%1,829
- Drug resistance9.8%1,766
- Foetal exposure during pregnancythe unborn baby was exposed to the medicine9.6%1,718
- Pathogen resistance9.4%1,683
- Viral mutation identified9%1,612
- Drug interactionan interaction between medicines6.9%1,242
- Treatment failurethe treatment did not work5.3%959
- Depressionlow mood5.2%930
- Exposure during pregnancythe medicine was taken during pregnancy4.6%819
- Drug ineffectivethe medicine did not work as expected4.2%746
- Immune reconstitution inflammatory syndrome3.6%643
- Pyrexiafever3.3%592
- Treatment noncompliancethe treatment was not taken as directed3.2%566
- Anaemialow red blood cells2.8%495
- Immune reconstitution syndrome2.7%478
- Maternal exposure during pregnancythe mother took the medicine during pregnancy2.6%471
- Deaththe patient died; cause not stated by this term2.6%466
- Lipodystrophy acquiredchanges in body fat distribution2.4%429
- Hepatitis Bhepatitis B infection2.2%403
- Vomitingbeing sick2.2%398
- Condition aggravatedthe condition being treated got worse2.2%395
- Nauseafeeling sick2.1%385
- Blood HIV RNA increased2.1%377
- Alanine aminotransferase increasedraised liver enzyme (ALT)2.1%373
- Diarrhoealoose or frequent stools2.1%371
- Fatiguetiredness1.9%348
- Renal impairmentreduced kidney function1.9%346
- Premature babya baby born early1.9%338
- Headachehead pain1.7%300
- Rashskin rash1.7%298
Top 30 of 2,436 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
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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 15.8% 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 | 10,182 | 56.7% |
| Antiretroviral therapy | 904 | 5% |
| Hepatitis b | 664 | 3.7% |
| Chronic hepatitis b | 646 | 3.6% |
| Antiviral prophylaxis | 320 | 1.8% |
| Prophylaxis against HIV infection | 263 | 1.5% |
The indication field is filled in by the reporter and is often blank; shares are of all 17,966 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Lamivudine reports |
|---|---|---|
| Zidovudine | 5,579 | 31.1% |
| Efavirenz | 4,380 | 24.4% |
| Nevirapine | 3,752 | 20.9% |
| Stavudine | 2,890 | 16.1% |
| Tenofovir disoproxil fumarate | 2,889 | 16.1% |
| Abacavir | 2,681 | 14.9% |
| Ritonavir | 2,426 | 13.5% |
| Tenofovir | 1,949 | 10.8% |
| Dolutegravir | 1,709 | 9.5% |
| Kaletra | 1,656 | 9.2% |
Other products listed in reports where Lamivudine 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 | Lamivudine | Hepatitis B virus nucleoside analog reverse transcriptase inhibitor | All reports |
|---|---|---|---|
| Reports as suspect product | 17,966 | 72,523 | 20,646,523 |
| Share of that pool | — | 24.8% | 0.1% |
| Reports, latest 12 months | 271 | — | 1,332,454 |
| Marked serious | 97.6% | 88.4% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 134 | 89 | 91 |
| Hospitalisation recorded, per 1,000 reports | 206 | 200 | 213 |
| Consumer-filed share | 9.8% | 21.1% | 45.8% |
| Top term, share of reports | Virologic failure 10.2% | median 1% | 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 hepatitis b virus nucleoside analog reverse transcriptase inhibitor class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Viread | brand | 22,033 | 195 | 94.5% |
| Tenofovir disoproxil fumarate | generic | 7,400 | 150 | 97.4% |
| Triumeq | brand | 4,823 | 81 | 45.7% |
| Combivir | brand | 4,367 | 11 | 92.2% |
| Baraclude | brand | 3,308 | 25 | 77.8% |
| Epivir | brand | 3,208 | 14 | 93.1% |
| Dovato | brand | 3,059 | 253 | 33.4% |
| Entecavir | generic | 2,797 | 163 | 87.1% |
| Lamivudine and zidovudine | generic | 1,432 | 8 | 84.2% |
| Adefovir dipivoxil | generic | 1,156 | 3 | 99.2% |
| Tenofovir alafenamide | generic | 974 | 139 | 97.3% |
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 reports
How many adverse event reports has FDA received for Lamivudine?
17,966 reports list Lamivudine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 271 of them arrived in the latest 12 months. Another 7,551 list it only as a concomitant medication.
What reactions are recorded in Lamivudine reports?
virologic failure (10.2%), drug resistance (9.8%), foetal exposure during pregnancy (9.6%), pathogen resistance (9.4%) and viral mutation identified (9%). 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 was responsible.
How serious are the reports?
97.6% are marked serious by the reporter. Among the outcomes recorded, 13.4% of reports include death and 20.6% 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 (60.4%), physician (21.9%) and consumer or non-health professional (9.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Lamivudine rising?
271 reports in the 12 months to June 2026, down 44% from 480 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 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?
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 as a suspect or interacting product; reports listing it only as a concomitant medication (7,551) 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.