Reported Reactions

Drugs › Cytochrome P450 3A inhibitor

Brand name · Darunavir, cobicistat, emtricitabine, and tenofovir alafenamide

Symtuza: adverse event reports filed with FDA

1,067 reports list it as a suspect or interacting product, 2018–2026. Class: Cytochrome P450 3A inhibitor.

1,067
reports as suspect product
0% of all reports · about 135 a year
64
reports, 12 months to June 2026
62 in the 12 months before
56.8%
marked serious by the reporter
87.2% across the class
8.3%
record death among outcomes, as reported
89 reports · not verified by FDA

1,067 adverse event reports received by FDA list the brand name Symtuza (darunavir, cobicistat, emtricitabine, and tenofovir alafenamide) as a suspect or interacting product, from August 2018 to June 2026. A further 1,652 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, 64 reports listed it, close to the 62 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 135 reports a year and 0% of the 20,646,523 reports in the database, and 2.3% 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.

The MedDRA terms listed most often are death (6.6%), rash (5.7%) and diarrhoea (5.4%). A report can list several reactions, so shares add to more than 100%; 233 different terms appear across these reports. Death is recorded in 6.6% of these reports, a larger share than in the median cytochrome P450 3A inhibitor drug (2.2%).

56.8% of the reports are marked serious by the reporter (87.2% across the class); 8.3% record death among the outcomes and 15% record hospitalisation, as reported. 32.8% of the reports came from physicians, and the largest patient age group is 45 to 64 (22.2%). 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

01530Jul 2021: 12Aug 2021: 14Sep 2021: 13Oct 2021: 13Nov 2021: 10Dec 2021: 122022Jan 2022: 9Feb 2022: 12Mar 2022: 30Apr 2022: 9May 2022: 14Jun 2022: 8Jul 2022: 7Aug 2022: 14Sep 2022: 15Oct 2022: 15Nov 2022: 7Dec 2022: 122023Jan 2023: 11Feb 2023: 8Mar 2023: 12Apr 2023: 19May 2023: 13Jun 2023: 27Jul 2023: 8Aug 2023: 21Sep 2023: 18Oct 2023: 11Nov 2023: 9Dec 2023: 32024Jan 2024: 4Feb 2024: 11Mar 2024: 9Apr 2024: 7May 2024: 13Jun 2024: 7Jul 2024: 5Aug 2024: 8Sep 2024: 3Oct 2024: 5Nov 2024: 7Dec 2024: 52025Jan 2025: 7Feb 2025: 5Mar 2025: 5Apr 2025: 6May 2025: 3Jun 2025: 3Jul 2025: 6Aug 2025: 4Sep 2025: 4Oct 2025: 4Nov 2025: 9Dec 2025: 42026Jan 2026: 1Feb 2026: 3Mar 2026: 9Apr 2026: 10May 2026: 3Jun 2026: 7

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

01052092018: 2420182019: 20920192020: 18420202021: 16120212022: 15220222023: 16020232024: 8420242025: 6020252026: 332026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Deaththe patient died; cause not stated by this term6.6%70
  2. Rashskin rash5.7%61
  3. Diarrhoealoose or frequent stools5.4%58
  4. Nauseafeeling sick4.4%47
  5. Weight increasedweight gain4.3%46
  6. Hospitalisationadmission to hospital3.7%40
  7. Drug ineffectivethe medicine did not work as expected3.6%38
  8. Viral load increased3.6%38
  9. Drug interactionan interaction between medicines3.5%37
  10. Fatiguetiredness3.5%37
  11. Off label useused for a purpose or in a way not on the label3.2%34
  12. Product dose omission issuea dose was missed3.1%33
  13. Headachehead pain2.3%25
  14. Treatment noncompliancethe treatment was not taken as directed2.1%22
  15. Vomitingbeing sick1.9%20
  16. Weight decreasedweight loss1.9%20
  17. Dizzinesslight-headedness or unsteadiness1.8%19
  18. Exposure during pregnancythe medicine was taken during pregnancy1.4%15
  19. Myocardial infarctionheart attack1.4%15
  20. Chest painchest pain1.3%14
  21. Insomniadifficulty sleeping1.3%14
  22. Pruritusitching1.3%14
  23. Abdominal distensiona bloated abdomen1.2%13
  24. Astheniaweakness or lack of energy1.2%13
  25. Abdominal painstomach or belly pain1.1%12
  26. Abdominal pain upperupper stomach pain1%11
  27. Anxietyanxiety1%11
  28. Depressionlow mood1%11

Top 30 of 233 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

Death8.3%89
Life-threatening3.1%33
Hospitalisation (initial or prolonged)15%160
Disability1.1%12
Congenital anomaly0.7%7
Other serious39.3%419
Not serious43.2%461

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 20.1%1
2 to 110.1%1
12 to 170.4%4
18 to 4411.7%125
45 to 6422.2%237
65 to 744.5%48
75 and over0.7%8
Age not given60.3%643

Patient sex

Female19.4%207
Male50%533
Not given30.6%327

Who reported

Physician32.8%350
Pharmacist15.3%163
Other health professional28.3%302
Lawyer0.2%2
Consumer or non-health professional22.3%238
Not given1.1%12

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 70.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hiv infection45042.2%
Hiv test positive131.2%
Antiretroviral therapy40.4%
Acquired immunodeficiency syndrome30.3%
Acute HIV infection30.3%
Antiviral treatment20.2%

The indication field is filled in by the reporter and is often blank; shares are of all 1,067 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Symtuza reports
Tivicay858%
Lamivudine272.5%
Abacavir262.4%
Biktarvy262.4%
Descovy242.2%
Dolutegravir222.1%
Acyclovir212%
Emtricitabine212%
Dovato201.9%
Cotrimoxazole191.8%

Other products listed in reports where Symtuza 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

MeasureSymtuzaCytochrome P450 3A inhibitorAll reports
Reports as suspect product1,06746,42520,646,523
Share of that pool—2.3%0%
Reports, latest 12 months64—1,332,454
Marked serious56.8%87.2%57.4%
Death recorded among outcomes, per 1,000 reports839091
Hospitalisation recorded, per 1,000 reports150260213
Consumer-filed share22.3%15.9%45.8%
Top term, share of reportsDeath 6.6%median 2.2%4.1%

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 cytochrome p450 3a inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Ritonavirgeneric11,39916492%
Kaletrabrand9,4195792.5%
Norvirbrand8,8214492.8%
Stribildbrand8,75412486.3%
Lopinavir and ritonavirgeneric3,003996.7%
Genvoyabrand2,9945750.6%
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 Symtuza reports

How many adverse event reports has FDA received for Symtuza?

1,067 reports list Symtuza as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 64 of them arrived in the latest 12 months. Another 1,652 list it only as a concomitant medication.

What reactions are recorded in Symtuza reports?

death (6.6%), rash (5.7%), diarrhoea (5.4%), nausea (4.4%) and weight increased (4.3%). 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 Symtuza was responsible.

How serious are the reports?

56.8% are marked serious by the reporter. Among the outcomes recorded, 8.3% of reports include death and 15% 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?

physician (32.8%), other health professional (28.3%) and consumer or non-health professional (22.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Symtuza rising?

64 reports in the 12 months to June 2026, close to the 62 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 Symtuza 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 Symtuza?

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 Symtuza as a suspect or interacting product; reports listing it only as a concomitant medication (1,652) 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.