Prescription medication · Nucleoside Analog (HBV)

entecavir

Also sold as Baraclude. Entecavir treats chronic hepatitis B virus (HBV) infection.

Data updated 2026-05-15

11,247
FDA reportsModerately reported
1
InteractionFew interactions
99% less
Generic vs brandHuge savings
3
Recall records

What the data shows

entecavir (Baraclude) is a prescription Nucleoside Analog (HBV), reported less often than most tracked drugs (11,247 FDA reports), whose generic costs a fraction of the brand (about 99% less).

Reporting volume reflects how widely a drug is used and studied, not how dangerous it is, a FAERS report documents a temporal association, never proof of cause.

entecavir (Baraclude) is a prescription Nucleoside Analog (HBV). Entecavir treats chronic hepatitis B virus (HBV) infection.

Entecavir is a medicine used to treat chronic hepatitis B infection. It helps to lower the amount of the virus in your body.

Drug Pricing (NADAC)

Brand Price

$44.09/unit

Generic Price

$0.29/unit

Generic Savings

99%

Generic Available

Yes (10 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

NADAC price trail: ENTECAVIR 0.5 MG TABLET

Same CMS presentation as the headline generic unit price above (2 effective dates). Adjacent % compares consecutive NADAC releases for this description only, not a patient out-of-pocket quote. Latest step: -7.5% vs prior release.

Effective NADAC / unit vs prior NDCs
April 17, 2024 $0.3132/EA - 2
December 18, 2024 $0.2897/EA -7.5% 13
Compare with Another Drug → Full Side Effects Report →

What it does

Entecavir treats chronic hepatitis B virus (HBV) infection.

Common side effects

Headache, Tiredness, Dizziness

Key warnings

Entecavir has the following warnings: * Stopping entecavir can cause a severe return of hepatitis B.

The sections below are summarized in plain English from entecavir's FDA-approved prescribing information. They describe what the official label says, and are not personal medical advice.

How It Works

Entecavir belongs to a class of drugs called nucleoside analogs. It works by blocking an enzyme that the hepatitis B virus needs to multiply. This helps to lower the amount of virus in your body and improve your liver health.

Side Effects (from patient reports)

Based on 11,247 FDA adverse event reports.

Most-reported reactions

Adverse reactions in FAERS for entecavir, by number of reports

reports

What this shows Bars show how often each reaction was reported, not how likely it is to happen, a report records a temporal association, never proof that the drug caused it.

Source FDA Adverse Event Reporting System (FAERS) As of 2025

Reports over time

Adverse-event reports filed for entecavir each year to the FDA Adverse Event Reporting System (FAERS).

02004006008001,000 20042007201020132016201920222025 739

Year-to-year volume tracks usage, prescribing, and scrutiny, not a change in per-patient risk. Source: FDA FAERS.

Where entecavir sits

entecavir has more FDA adverse-event reports than 42% of the drugs FAERS tracks. A high position reflects how widely a drug is used and watched, not how dangerous it is.

fewest reports most reports

Percentile across all drugs PlainMeds tracks by FAERS report volume. The dot is entecavir; the line is the median (50th percentile).

FDA Adverse Event Report Analysis

Detailed analysis of 11,247 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

11,247

Reports Mentioning Death

1,842

16.4% of reports — not proof of cause

Hospitalization Reports

4,285

Top Indication

Hepatitis B

Gender Distribution

Female 3,417 (35%)
Male 6,385 (65%)

Age Distribution

0–17 250
18–44 1,327
45–64 3,582
65–74 1,845
75+ 857

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DEATH 539
4 DRUG RESISTANCE 401
5 DIARRHOEA 363
6 FATIGUE 353
7 PYREXIA 348
8 HEPATITIS B 327
9 NAUSEA 313
10 PLATELET COUNT DECREASED 289
11 PNEUMONIA 286
12 ANAEMIA 229
13 RENAL IMPAIRMENT 225
14 HEPATIC FAILURE 221
15 WHITE BLOOD CELL COUNT DECREASED 221
16 NEUTROPENIA 218
17 ASTHENIA 217

Reactions in Death Reports

DEATH 530
HEPATIC FAILURE 173
HEPATITIS B 99
SEPSIS 94
PNEUMONIA 81
HEPATOCELLULAR CARCINOMA 78
PYREXIA 75
SEPTIC SHOCK 64
DIARRHOEA 51
RENAL FAILURE 50

Reactions in Hospitalization Reports

PYREXIA 237
DIARRHOEA 206
PNEUMONIA 205
PLATELET COUNT DECREASED 157
NAUSEA 148
FEBRILE NEUTROPENIA 133
ANAEMIA 126
ACUTE KIDNEY INJURY 122
DECREASED APPETITE 116
FATIGUE 112

Source: FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Entecavir has the following warnings: * Stopping entecavir can cause a severe return of hepatitis B. Your liver function should be checked for several months after stopping. * If you have both HIV and hepatitis B, entecavir may make your HIV medicine less effective. Entecavir is not recommended if you have HIV and are not taking HIV medicine. * Entecavir can cause lactic acidosis (a buildup of acid in the blood) and severe liver problems. These can be fatal.

Known Drug Interactions

Co-administration of entecavir with lamivudine, adefovir dipivoxil, or tenofovir disoproxil fumarate did not result in significant drug interactions.

Mechanism: These two medications do not have a significant effect on each other when taken at the same time.

This is a plain-language summary of FDA-label interaction records and does not provide individual medication-combination directions.

Common Questions

What should I do if I feel sick while taking entecavir?
Contact your doctor if you experience any concerning side effects.
Can I take entecavir with other medications?
Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
How long will I need to take entecavir?
You will likely need to take entecavir for a long time, even if you feel better. Do not stop taking entecavir without talking to your doctor.
Will entecavir cure my hepatitis B?
Entecavir can help control hepatitis B, but it may not cure it.
Can I drink alcohol while taking entecavir?
Talk to your doctor about drinking alcohol while taking entecavir.
What tests will I need while taking entecavir?
Your doctor will do regular blood tests to check your liver function and the amount of hepatitis B virus in your body.
Can I spread hepatitis B to others while taking entecavir?
Entecavir can lower the amount of virus in your body, but you may still be able to spread hepatitis B to others. Talk to your doctor about how to prevent spreading the virus.
Is there a generic version of entecavir available?
Yes, entecavir is available as a generic medication.
What do the numbers on the tablet mean?
The numbers are codes to identify the tablet.
Can children take entecavir?
Yes, children 2 years of age and older can take entecavir.
What are the common side effects of entecavir?
The registry lists Headache, Tiredness, Dizziness, Nausea among the most-reported FAERS reaction terms for entecavir. The compiled record contains 11,247 FDA adverse-event reports. These counts are not an individual symptom assessment.
Does entecavir interact with other medications?
The registry has 1 documented interaction rows for entecavir. Notable source-record pairings include tenofovir disoproxil. These rows are not a complete medication review.
What drug class is entecavir?
entecavir belongs to the Nucleoside Analog (HBV) drug class. It requires a prescription (Rx). Entecavir treats chronic hepatitis B virus (HBV) infection.
Is there a generic version of entecavir?
Yes, generic entecavir is available from 10 manufacturers. The generic costs $0.29 per unit compared to $44.09 for the brand version, saving approximately 99%. Pricing is based on NADAC (National Average Drug Acquisition Cost) data from CMS.
What pregnancy or breastfeeding source fields are listed for entecavir?
The FDA label for entecavir contains product-specific pregnancy or breastfeeding language. PlainMeds does not apply that source text to an individual.
Has entecavir been recalled?
There are 3 recalls associated with entecavir products. Failed impurity/degradation specifications:Out of Specification result for an individual organic impurity. Check the recalls section below for full details and affected products.

Active Recalls

Class II September 24, 2025

Failed impurity/degradation specifications:Out of Specification result for an individual organic impurity

Zydus Pharmaceuticals (USA) Inc

Class II September 24, 2025

Failed impurity/degradation specifications:Out of Specification result for an individual organic impurity

Zydus Pharmaceuticals (USA) Inc

Class II September 4, 2025

Failed Impurity/Degradation Specifications

Zydus Pharmaceuticals (USA) Inc

Other drugs grouped near entecavir - same-class peers and common alternatives.

Compare entecavir vs acyclovir side-by-side →

Compare beyond drug class

Nationwide peers by FAERS volume & death-report share

Two PlainMeds-derived comparison paths for entecavir: nearest FDA FAERS report volume and nearest death-report share among drugs with at least 1,000 logged reports, excluding same-class neighbors listed above. Counts reflect reporting volume, not proven individual harm.

Medication Guides

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What the FDA Data Shows for entecavir

The FDA label for entecavir (sold under brand names such as Baraclude) classifies it as a prescription-only medication in the Nucleoside Analog (HBV) class. Entecavir treats chronic hepatitis B virus (HBV) infection. Official labeling lists 4 commonly reported side effects, including Headache, Tiredness, Dizziness.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 11,247 voluntary reports. The database also lists 1 documented drug interaction derived from FDA labeling, with the top-flagged interaction rated minor severity. NADAC pricing from CMS shows a generic unit cost of $0.29 versus $44.09 for the brand - a 99% generic savings.

Report counts do not establish causation, a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history (currently 3 recall records on file), and patent information are separate source-record fields. This page is a public FDA/CMS registry and does not provide medical, treatment, substitution, or medication-change directions.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. This registry does not provide medication decisions.

Last updated: November 24, 2019

PlainMeds is rendered directly from FDA openFDA/FAERS extracts, DailyMed labels, and CMS drug-pricing files, no number is typed in by an editor. FAERS counts, recalls, shortages, and price figures on this page are queried live from those federal extracts. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026-05-15. Primary sources: openFDA / FAERS, DailyMed and CMS Part B ASP.

Data currency: FDA FAERS adverse-event reports through 2025, CMS NADAC acquisition-cost pricing effective December 2024, compiled from the source snapshot dated . See our methodology for per-source dates and refresh cadence. Spot a figure that looks wrong? Report a data issue.

All federal data sources used on this page