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Simeprevir Side Effects

The most commonly reported side effects of simeprevir include off label use, anaemia, and hepatitis c, based on 5,316 FDA adverse event reports from 2013 to 2025. 8.5% of reports found the drug to be ineffective.

Simeprevir side effects

Percentages show how often each reaction appears relative to total reports for simeprevir.

1
Off Label Use22.1%1,174
2
Anaemia10.6%563
3
Hepatitis C9.5%507
4
Drug Ineffective8.5%451
5
Fatigue6.5%347
6
Platelet Count Decreased5.8%306
7
Blood Bilirubin Increased5.2%278
8
Headache5.1%270
9
Rash5.0%266
10
Nausea4.9%258
11
White Blood Cell Count Decreased4.2%222
12
Pruritus4.2%222
13
Pyrexia4.0%211
14
Hyperbilirubinaemia3.5%185
15
Photosensitivity Reaction3.4%182

These are voluntary reports and do not establish that simeprevir caused these reactions.

Report severity

78.1%Serious4,150 reports
20.8%Hospitalizations1,106 reports
7.4%Fatal393 reports

Seriousness is determined by the reporter, not by OpenClaim.

Simeprevir drug interactions

Other drugs that appear in adverse event reports alongside simeprevir. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Sofosbuvir70.6%3,752
2
Ribavirin34.9%1,856
3
Peginterferon13.1%696
4
Daclatasvir-dihydrochloride5.3%284
5
Ledipasvir1.6%83
6
Tacrolimus1.0%52
7
Tenofovir1.0%51
8
Emtricitabine0.8%41
9
Mycophenolate0.8%41
10
Lisinopril0.8%40
11
Dasabuvir-sodium0.7%39
12
Ombitasvir0.7%39
13
Cyclosporine0.7%37
14
Telaprevir0.7%35
15
Atorvastatin-calcium0.6%34

Taken alongside

1
Sofosbuvir4.4%232
2
Ribavirin3.9%208
3
Furosemide3.7%195
4
Omeprazole3.1%166
5
Spironolactone3.1%164
6
Insulin2.7%145
7
Aspirin2.6%138
8
Amlodipine2.5%133
9
Tacrolimus2.2%119
10
Lactulose1.7%93
11
Pantoprazole-sodium1.7%92
12
Metformin1.7%89
13
Ergocalciferol1.6%87
14
Levothyroxine-sodium1.5%80
15
Losartan-potassium1.4%77

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports simeprevir side effects

31.6% of simeprevir adverse event reports involve female patients and 46.2% involve male patients. The largest age group is adult at 71%. These figures reflect who reports side effects, not underlying risk.

Sex

Female31.6%
Male46.2%
Unknown22.2%

Age group

< 2<0.1%
2–110.1%
12–170.3%
18–6471.2%
65+28.3%

What is simeprevir used for

Conditions and purposes for which patients were taking simeprevir when the adverse event was reported.

Acute Hepatitis CAntiviral TreatmentAntiviral TreatmentAplasia Pure Red CellAplastic AnaemiaCardiac Failure CongestiveChronic HepatitisChronic Hepatitis BChronic Hepatitis CChronic Kidney DiseaseCryoglobulinaemiaChronic Hepatitis CDiffuse Large B-cell LymphomaFibrosisHaemodialysis

Showing 15 of 48 indications

Simeprevir brand names and reporting trend

Simeprevir is sold under the brand name Olysio.

Brand names

Olysio2,673

Quarterly reports (20132025)

20132016202020242025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking simeprevir with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.