Reported Reactions

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

Generic name

Rilpivirine: adverse event reports filed with FDA

6,685 reports list it as a suspect or interacting product, 2011–2026. Class: Human immunodeficiency virus 1 Non-Nucleoside analog reverse transcriptase inhibitor.

6,685
reports as suspect product
0% of all reports · about 443 a year
877
reports, 12 months to June 2026
1,666 in the 12 months before
39.3%
marked serious by the reporter
79.6% across the class
2.9%
record death among outcomes, as reported
195 reports · not verified by FDA

6,685 adverse event reports received by FDA list rilpivirine, a generic name as a suspect or interacting product, from June 2011 to June 2026. A further 351 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, 877 reports listed it, down 47% from 1,666 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 443 reports a year and 0% of the 20,646,523 reports in the database, and 23% 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.

Reporters most often recorded injection site pain (10%), product dose omission issue (10%) and viral load increased (6.8%). A report can list several reactions, so shares add to more than 100%; 813 different terms appear across these reports. Injection site pain is recorded in 10% of these reports, with no counterpart in the median human immunodeficiency virus 1 Non-Nucleoside analog reverse transcriptase inhibitor drug (0%).

39.3% of the reports are marked serious by the reporter (79.6% across the class); 2.9% record death among the outcomes and 6.9% record hospitalisation, as reported. 36.1% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (22.1%). 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

0103205Jul 2021: 29Aug 2021: 25Sep 2021: 27Oct 2021: 27Nov 2021: 37Dec 2021: 372022Jan 2022: 39Feb 2022: 56Mar 2022: 107Apr 2022: 50May 2022: 81Jun 2022: 97Jul 2022: 79Aug 2022: 76Sep 2022: 72Oct 2022: 97Nov 2022: 101Dec 2022: 1342023Jan 2023: 78Feb 2023: 103Mar 2023: 145Apr 2023: 140May 2023: 179Jun 2023: 159Jul 2023: 119Aug 2023: 120Sep 2023: 153Oct 2023: 143Nov 2023: 109Dec 2023: 1102024Jan 2024: 162Feb 2024: 105Mar 2024: 139Apr 2024: 119May 2024: 157Jun 2024: 143Jul 2024: 205Aug 2024: 166Sep 2024: 107Oct 2024: 172Nov 2024: 78Dec 2024: 542025Jan 2025: 160Feb 2025: 143Mar 2025: 153Apr 2025: 172May 2025: 154Jun 2025: 102Jul 2025: 95Aug 2025: 104Sep 2025: 141Oct 2025: 91Nov 2025: 91Dec 2025: 942026Jan 2026: 35Feb 2026: 84Mar 2026: 31Apr 2026: 37May 2026: 37Jun 2026: 37

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

08041,6072011: 120112012: 12013: 920132014: 52015: 3420152016: 692017: 8620172018: 1352019: 5220192020: 1032021: 27520212022: 9892023: 1,55820232024: 1,6072025: 1,50020252026: 261

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Injection site painpain where the injection was given10%670
  2. Product dose omission issuea dose was missed10%668
  3. Viral load increased6.8%456
  4. Painpain, site not specified4.5%303
  5. Off label useused for a purpose or in a way not on the label4.2%284
  6. Product use in unapproved therapeutic environment4.1%271
  7. Viral mutation identified3.4%227
  8. Blood HIV RNA increased3.2%217
  9. Inappropriate schedule of product administrationthe product was taken at the wrong times2.7%182
  10. Product storage errorthe product was stored wrongly2.6%176
  11. Pyrexiafever2.6%173
  12. Treatment failurethe treatment did not work2.5%169
  13. Exposure during pregnancythe medicine was taken during pregnancy2.5%168
  14. Fatiguetiredness2.3%154
  15. Headachehead pain1.9%128
  16. Nauseafeeling sick1.8%123
  17. Depressionlow mood1.8%118
  18. Condition aggravatedthe condition being treated got worse1.7%113
  19. Dizzinesslight-headedness or unsteadiness1.6%106
  20. Malaisegeneral feeling of being unwell1.6%106
  21. Rashskin rash1.6%105
  22. Myalgiamuscle pain1.6%104
  23. Diarrhoealoose or frequent stools1.5%101
  24. Drug interactionan interaction between medicines1.5%101

Top 30 of 813 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

Death2.9%195
Life-threatening1.5%98
Hospitalisation (initial or prolonged)6.9%463
Disability0.5%31
Congenital anomaly0.5%33
Other serious35.2%2,351
Not serious60.7%4,061

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 20.3%20
2 to 110%1
12 to 170.3%21
18 to 4422.1%1,476
45 to 6417.8%1,191
65 to 743.3%218
75 and over0.6%41
Age not given55.6%3,717

Patient sex

Female21%1,402
Male49.2%3,292
Not given29.8%1,991

Who reported

Physician30.6%2,044
Pharmacist16.5%1,103
Other health professional36.1%2,416
Lawyer0%0
Consumer or non-health professional16.7%1,119
Not given0%3

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 67.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hiv infection3,12946.8%
Antiretroviral therapy510.8%
Hiv test positive410.6%
Hiv test280.4%
Hiv infection cdc group iii200.3%
Antiviral treatment180.3%

The indication field is filled in by the reporter and is often blank; shares are of all 6,685 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Rilpivirine reports
Cabotegravir4,95674.1%
Edurant3244.8%
Biktarvy2593.9%
Dolutegravir2553.8%
Lamivudine2443.6%
Emtricitabine2283.4%
Abacavir1662.5%
Efavirenz1602.4%
Nevirapine1552.3%
Ritonavir1442.2%

Other products listed in reports where Rilpivirine 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

MeasureRilpivirineHuman immunodeficiency virus 1 Non-Nucleoside analog reverse transcriptase inhibitorAll reports
Reports as suspect product6,68529,07020,646,523
Share of that pool—23%0%
Reports, latest 12 months877—1,332,454
Marked serious39.3%79.6%57.4%
Death recorded among outcomes, per 1,000 reports2911591
Hospitalisation recorded, per 1,000 reports69171213
Consumer-filed share16.7%14.4%45.8%
Top term, share of reportsInjection site pain 10%median 0%1.4%

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 human immunodeficiency virus 1 non-nucleoside analog reverse transcriptase inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Efavirenzgeneric9,15512097.2%
Nevirapinegeneric7,9186597.2%
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 Rilpivirine reports

How many adverse event reports has FDA received for Rilpivirine?

6,685 reports list Rilpivirine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 877 of them arrived in the latest 12 months. Another 351 list it only as a concomitant medication.

What reactions are recorded in Rilpivirine reports?

injection site pain (10%), product dose omission issue (10%), viral load increased (6.8%), virologic failure (6.3%) and pathogen resistance (5.2%). 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 Rilpivirine was responsible.

How serious are the reports?

39.3% are marked serious by the reporter. Among the outcomes recorded, 2.9% of reports include death and 6.9% 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 (36.1%), physician (30.6%) and consumer or non-health professional (16.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Rilpivirine rising?

877 reports in the 12 months to June 2026, down 47% from 1,666 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 Rilpivirine 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 Rilpivirine?

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 Rilpivirine as a suspect or interacting product; reports listing it only as a concomitant medication (351) 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.