Reported Reactions

Reactions

MedDRA preferred term

Bone density decreased: adverse event reports recording this term

31,231 reports to FDA record it, 2004–2026; 0.2% of the database.

31,231
reports recording the term
0.2% of all reports
713
reports, 12 months to June 2026
1,146 in the 12 months before
79.9%
marked serious by the reporter
57.4% across all reports
1.3%
record death among outcomes, as reported
9.1% across all reports

31,231 reports in FDA's adverse event database record the MedDRA term "Bone density decreased": 0.2% of all reports received between January 2004 and June 2026. Coders pick the term that best matches the reporter's description.

713 reports recorded it in the 12 months to June 2026, down 38% from 1,146 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Of reports recording this term, 79.9% are marked serious, 1.3% include death among the outcomes and 9.9% include hospitalisation, as reported.

The drugs listed most often as suspect products in those reports are Truvada, Viread and Atripla. That order mostly follows how many reports each drug has overall; the table also gives the term's share within each drug's own reports. 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

0257514Jul 2021: 375Aug 2021: 171Sep 2021: 470Oct 2021: 282Nov 2021: 152Dec 2021: 5142022Jan 2022: 373Feb 2022: 245Mar 2022: 174Apr 2022: 186May 2022: 171Jun 2022: 100Jul 2022: 106Aug 2022: 146Sep 2022: 73Oct 2022: 68Nov 2022: 174Dec 2022: 2242023Jan 2023: 130Feb 2023: 102Mar 2023: 102Apr 2023: 75May 2023: 74Jun 2023: 66Jul 2023: 111Aug 2023: 47Sep 2023: 107Oct 2023: 16Nov 2023: 86Dec 2023: 772024Jan 2024: 57Feb 2024: 21Mar 2024: 29Apr 2024: 38May 2024: 211Jun 2024: 147Jul 2024: 110Aug 2024: 123Sep 2024: 82Oct 2024: 74Nov 2024: 112Dec 2024: 912025Jan 2025: 52Feb 2025: 238Mar 2025: 26Apr 2025: 73May 2025: 75Jun 2025: 90Jul 2025: 106Aug 2025: 31Sep 2025: 75Oct 2025: 82Nov 2025: 31Dec 2025: 822026Jan 2026: 44Feb 2026: 69Mar 2026: 30Apr 2026: 46May 2026: 93Jun 2026: 24

FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

Drugs listed as suspect products in these reports

DrugClassReports with this termShare of the drug's own reports
TruvadaHuman immunodeficiency virus nucleoside analog reverse transcriptase inhibitor16,59342.9%
VireadHepatitis B virus nucleoside analog reverse transcriptase inhibitor10,65648.4%
Atripla—9,64853.6%
StribildCytochrome P450 3A inhibitor4,59252.5%
CompleraHuman immunodeficiency virus nucleoside analog reverse transcriptase inhibitor3,54854.3%
ForteoParathyroid hormone analog1,5951.6%
ProliaRANK ligand inhibitor1,0640.8%
FosamaxBisphosphonate6421.8%
MethotrexateFolate analog metabolic inhibitor5630.3%
PrednisoneCorticosteroid5630.3%
Humira—5320.1%
OrenciaSelective T cell costimulation modulator5230.5%
EnbrelTumor necrosis factor blocker5090.1%
ActemraInterleukin-6 receptor antagonist5060.6%
NexiumProton pump inhibitor4940.6%
EvistaEstrogen Agonist/Antagonist3865.2%
AnakinraInterleukin-1 receptor antagonist3506.2%
SulfasalazineAminosalicylate3470.9%
Hydroxychloroquine sulfateAntimalarial3361.4%
InfliximabTumor necrosis factor blocker2990.6%
HydroxychloroquineAntimalarial2930.7%
NaproxenNonsteroidal anti-inflammatory drug2481%
AdalimumabTumor necrosis factor blocker2380.6%
Alendronate sodiumBisphosphonate2381.3%
Triamcinolone—2213%

Drugs with a page on this site, ordered by the number of their reports recording this term. The last column is the term's share within that drug's own reports, against 0.2% across the whole database. 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."

By pharmacologic class

ClassReports with this termShare of class reportsMedian drug in class
Human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor20,18424.9%0%
Hepatitis B virus nucleoside analog reverse transcriptase inhibitor10,78814.9%0.2%
Cytochrome P450 3A inhibitor4,74010.2%0.1%
Parathyroid hormone analog1,6441.5%1.2%
Tumor necrosis factor blocker1,2850.1%0%
Bisphosphonate1,1151.1%0.6%
RANK ligand inhibitor1,0910.6%0.3%
Corticosteroid1,0070.1%0%
Proton pump inhibitor8560.2%0%
Nonsteroidal anti-inflammatory drug6870.1%0%

Classes ordered by count. Class shares follow the class's overall report volume as much as anything else.

Patients in these reports

Patient age

Under 20%12
2 to 110.7%206
12 to 170.4%127
18 to 4418.1%5,643
45 to 6434.9%10,904
65 to 746.3%1,955
75 and over3.1%976
Age not given36.5%11,408

Patient sex

Female40.2%12,554
Male52.4%16,359
Not given7.4%2,318

Grey bar: all 20,646,523 reports in the database. 90.3% of these reports give the United States as the country.

Questions about "Bone density decreased"

What does "Bone density decreased" mean in an adverse event report?

It is a MedDRA preferred term, the dictionary FDA uses to code what a reporter described. The report's own description is not published by openFDA and is not shown here.

How many reports record bone density decreased?

31,231 reports through June 2026 (0.2% of all reports), 713 of them in the latest 12 months.

Which drugs appear most often in these reports?

Truvada (16,593), Viread (10,656), Atripla (9,648), Stribild (4,592) and Complera (3,548). Drugs with many reports overall lead almost every term's list. 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."

Does a drug appearing here mean it was responsible for this reaction?

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."

I have this symptom. What should I do?

This site cannot assess anyone. A pharmacist or clinician can; for an emergency, call the local emergency number. Nothing on this page is medical advice.

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. Terms are pooled across spelling and capitalisation variants of one MedDRA preferred term. 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.