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Sofosbuvir Side Effects

The most commonly reported side effects of sofosbuvir include fatigue, headache, and nausea, based on 52,285 FDA adverse event reports from 2013 to 2025. 6.9% of reports found the drug to be ineffective.

Sofosbuvir side effects

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

1
Fatigue17.7%9,231
2
Headache14.7%7,680
3
Nausea7.5%3,907
4
Drug Ineffective6.9%3,614
5
Hepatitis C5.8%3,025
6
Insomnia4.7%2,432
7
Diarrhoea4.6%2,395
8
Anaemia3.1%1,609
9
Treatment Failure3.1%1,602
10
Off Label Use3.0%1,570
11
Vomiting2.8%1,478
12
Dizziness2.8%1,448
13
Hepatocellular Carcinoma2.7%1,430
14
Asthenia2.5%1,325
15
Dyspnoea2.4%1,248

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

Report severity

49.3%Serious25,781 reports
16.7%Hospitalizations8,743 reports
6.0%Fatal3,153 reports

Seriousness is determined by the reporter, not by OpenClaim.

Sofosbuvir drug interactions

Other drugs that appear in adverse event reports alongside sofosbuvir. 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
Ledipasvir36.2%18,936
2
Velpatasvir25.2%13,171
3
Ribavirin21.4%11,173
4
Daclatasvir-dihydrochloride7.3%3,809
5
Simeprevir-sodium6.7%3,516
6
Peginterferon4.1%2,139
7
Voxilaprevir2.0%1,058
8
Tenofovir0.9%447
9
Mycophenolate0.7%355
10
Emtricitabine0.7%354
11
Atorvastatin-calcium0.6%312
12
Etanercept0.6%294
13
Adalimumab0.5%286
14
Acetaminophen0.5%286
15
Letrozole0.5%283

Taken alongside

1
Ribavirin5.5%2,891
2
Furosemide3.2%1,652
3
Omeprazole2.6%1,380
4
Spironolactone2.6%1,338
5
Amlodipine2.4%1,235
6
Aspirin2.2%1,140
7
Lisinopril2.0%1,046
8
Insulin1.8%935
9
Acetaminophen1.8%928
10
Gabapentin1.7%878
11
Lactulose1.6%856
12
Metformin1.6%828
13
Ergocalciferol1.6%824
14
Albuterol1.5%795
15
Pantoprazole-sodium1.5%790

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 sofosbuvir side effects

37.9% of sofosbuvir adverse event reports involve female patients and 54.3% involve male patients. The largest age group is adult at 77%. These figures reflect who reports side effects, not underlying risk.

Sex

Female37.9%
Male54.3%
Unknown7.8%

Age group

< 20.1%
2–110.3%
12–170.1%
18–6477.3%
65+22.2%

What is sofosbuvir used for

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

Abdominal PainAbnormal BehaviourAcute Hepatitis BAcute Hepatitis CAcute Lymphocytic LeukaemiaAlanine Aminotransferase IncreasedAlcohol AbuseAlopeciaAlpha 1 Foetoprotein AbnormalAltered State Of ConsciousnessAnaemiaAntiretroviral TherapyAntiviral ProphylaxisAntiviral TreatmentAnxiety

Showing 15 of 324 indications

Sofosbuvir brand names and reporting trend

Sofosbuvir is sold under the brand name Harvoni.

Brand names

Harvoni8,964

Quarterly reports (20132025)

20132016202020242025

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

Taking sofosbuvir with another medication?

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