Reported Reactions

Drugs › Human immunodeficiency virus integrase strand transfer inhibitor

Brand name · Dolutegravir sodium

Tivicay: adverse event reports filed with FDA

5,549 reports list it as a suspect or interacting product, 2010–2026. Class: Human immunodeficiency virus integrase strand transfer inhibitor.

5,549
reports as suspect product
0% of all reports · about 354 a year
239
reports, 12 months to June 2026
376 in the 12 months before
73.2%
marked serious by the reporter
78.6% across the class
10.5%
record death among outcomes, as reported
584 reports · not verified by FDA

5,549 adverse event reports received by FDA list the brand name Tivicay (dolutegravir sodium) as a suspect or interacting product, from November 2010 to June 2026. A further 2,727 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, 239 reports listed it, down 36% from 376 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 354 reports a year and 0% of the 20,646,523 reports in the database, and 30.9% of the reports for the human immunodeficiency virus integrase strand transfer 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 (8%), death (6%) and product dose omission issue (5.4%). A report can list several reactions, so shares add to more than 100%; 1,145 different terms appear across these reports. Foetal exposure during pregnancy is recorded in 8% of these reports, about the same share as in the median human immunodeficiency virus integrase strand transfer inhibitor drug (8.7%).

73.2% of the reports are marked serious by the reporter (78.6% across the class); 10.5% record death among the outcomes and 20.6% record hospitalisation, as reported. 37.5% of the reports came from consumers, and the largest patient age group is 45 to 64 (22.7%). 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

04488Jul 2021: 24Aug 2021: 42Sep 2021: 47Oct 2021: 44Nov 2021: 41Dec 2021: 272022Jan 2022: 44Feb 2022: 27Mar 2022: 51Apr 2022: 45May 2022: 21Jun 2022: 31Jul 2022: 46Aug 2022: 38Sep 2022: 21Oct 2022: 41Nov 2022: 31Dec 2022: 242023Jan 2023: 41Feb 2023: 88Mar 2023: 26Apr 2023: 25May 2023: 42Jun 2023: 25Jul 2023: 43Aug 2023: 52Sep 2023: 23Oct 2023: 32Nov 2023: 26Dec 2023: 412024Jan 2024: 38Feb 2024: 47Mar 2024: 50Apr 2024: 33May 2024: 44Jun 2024: 28Jul 2024: 31Aug 2024: 33Sep 2024: 40Oct 2024: 28Nov 2024: 34Dec 2024: 232025Jan 2025: 31Feb 2025: 27Mar 2025: 36Apr 2025: 47May 2025: 24Jun 2025: 22Jul 2025: 29Aug 2025: 10Sep 2025: 20Oct 2025: 16Nov 2025: 14Dec 2025: 182026Jan 2026: 67Feb 2026: 7Mar 2026: 23Apr 2026: 13May 2026: 11Jun 2026: 11

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

03336662010: 120102013: 232014: 34520142015: 4262016: 38020162017: 4172018: 57220182019: 6662020: 50320202021: 4772022: 42020222023: 4642024: 42920242025: 2942026: 1322026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Tivicay reports recording the termmedian drug in human immunodeficiency virus integrase strand transfer inhibitor

  1. Foetal exposure during pregnancythe unborn baby was exposed to the medicine8%445
  2. Deaththe patient died; cause not stated by this term6%331
  3. Product dose omission issuea dose was missed5.4%297
  4. Maternal exposure during pregnancythe mother took the medicine during pregnancy5%279
  5. Exposure during pregnancythe medicine was taken during pregnancy4.8%268
  6. Headachehead pain3.7%205
  7. Nauseafeeling sick3.4%188
  8. Off label useused for a purpose or in a way not on the label3.4%187
  9. Fatiguetiredness3.3%183
  10. Rashskin rash3.1%174
  11. Abortion spontaneousmiscarriage2.9%162
  12. Pyrexiafever2.6%144
  13. Hospitalisationadmission to hospital2.4%135
  14. Insomniadifficulty sleeping2.4%134
  15. Diarrhoealoose or frequent stools2.3%126
  16. Weight increasedweight gain2.3%126
  17. Renal impairmentreduced kidney function2.3%125
  18. Drug ineffectivethe medicine did not work as expected2.2%123
  19. Malaisegeneral feeling of being unwell2.1%116
  20. Blood HIV RNA increased1.9%103
  21. Immune reconstitution inflammatory syndrome1.9%103
  22. Treatment noncompliancethe treatment was not taken as directed1.8%99
  23. Depressionlow mood1.7%97
  24. Painpain, site not specified1.6%87
  25. Renal failurekidney failure1.6%87
  26. Condition aggravatedthe condition being treated got worse1.5%85
  27. Dizzinesslight-headedness or unsteadiness1.5%85
  28. Suicidal ideationthoughts of suicide1.5%85
  29. Arthralgiajoint pain1.5%84

Top 30 of 1,145 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 4 drugs in the human immunodeficiency virus integrase strand transfer 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

Death10.5%584
Life-threatening2.7%152
Hospitalisation (initial or prolonged)20.6%1,145
Disability1.4%80
Congenital anomaly6.6%367
Other serious59.3%3,291
Not serious26.8%1,485

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 17,985 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 21.9%106
2 to 110.1%6
12 to 170.6%34
18 to 4420.5%1,137
45 to 6422.7%1,257
65 to 745.2%286
75 and over1.2%65
Age not given47.9%2,658

Patient sex

Female27.9%1,547
Male51.8%2,875
Not given20.3%1,127

Who reported

Physician25.5%1,415
Pharmacist10.6%586
Other health professional24.6%1,364
Lawyer0.3%15
Consumer or non-health professional37.5%2,080
Not given1.6%89

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 45.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hiv infection3,20057.7%
Prophylaxis against HIV infection841.5%
Acquired immunodeficiency syndrome571%
Antiretroviral therapy400.7%
Hiv test positive370.7%
Maternal exposure timing unspecified290.5%

The indication field is filled in by the reporter and is often blank; shares are of all 5,549 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Tivicay reports
Truvada88816%
Descovy60410.9%
Norvir4628.3%
Lamivudine4538.2%
Prezista4037.3%
Epivir2684.8%
Isentress2504.5%
Ritonavir2324.2%
Darunavir2003.6%
Triumeq1913.4%

Other products listed in reports where Tivicay 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

MeasureTivicayHuman immunodeficiency virus integrase strand transfer inhibitorAll reports
Reports as suspect product5,54917,98520,646,523
Share of that pool—30.9%0%
Reports, latest 12 months239—1,332,454
Marked serious73.2%78.6%57.4%
Death recorded among outcomes, per 1,000 reports10510491
Hospitalisation recorded, per 1,000 reports206252213
Consumer-filed share37.5%26.8%45.8%
Top term, share of reportsFoetal exposure during pregnancy 8%median 8.7%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 human immunodeficiency virus integrase strand transfer inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Isentressbrand7,9696774.7%
Raltegravirgeneric3,1998297.1%
Vocabriabrand1,26825679.1%

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 Tivicay reports

How many adverse event reports has FDA received for Tivicay?

5,549 reports list Tivicay as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 239 of them arrived in the latest 12 months. Another 2,727 list it only as a concomitant medication.

What reactions are recorded in Tivicay reports?

foetal exposure during pregnancy (8%), death (6%), product dose omission issue (5.4%), maternal exposure during pregnancy (5%) and exposure during pregnancy (4.8%). 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 Tivicay was responsible.

How serious are the reports?

73.2% are marked serious by the reporter. Among the outcomes recorded, 10.5% 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?

consumer or non-health professional (37.5%), physician (25.5%) and other health professional (24.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Tivicay rising?

239 reports in the 12 months to June 2026, down 36% from 376 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 Tivicay 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 Tivicay?

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 Tivicay as a suspect or interacting product; reports listing it only as a concomitant medication (2,727) 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.