PlainMeds provides educational information only. This is not medical advice. Always consult your doctor or pharmacist.

remdesivir

Verify with FDA → · CMS NADAC pricing →

Brand names: Veklury

Nucleotide Analog (Antiviral) Rx

Remdesivir (Veklury) is an antiviral medicine used to treat COVID-19. It helps stop the virus from multiplying in your body.

What it does

Remdesivir is used to treat COVID-19 in adults and children who weigh at least 3.

Common side effects

Nausea, Increased ALT (a liver enzyme), Increased AST (a liver enzyme)

Key warnings

Remdesivir can cause serious side effects, including allergic reactions and liver problems.

How It Works

Remdesivir is a type of medicine called a nucleotide analog RNA polymerase inhibitor. This means it blocks the virus from making copies of itself. By stopping the virus from multiplying, it can help you recover from COVID-19.

How to Take It

Remdesivir is given through a vein (IV) for 30 to 120 minutes. You will receive a 200 mg dose on the first day. After that, you will receive 100 mg once a day. The length of treatment depends on whether you are in the hospital or not. Your doctor will decide how long you need to receive remdesivir.

Pregnancy & Breastfeeding

If you are pregnant, talk to your doctor about the risks and benefits of taking remdesivir. Studies have not shown an increased risk of birth defects or miscarriage when taken during the second or third trimester. It is not known if it is safe to take during the first trimester.

Missed Dose

If you miss a dose of remdesivir, talk to your doctor or nurse right away to reschedule it. It is important to get all your doses on time.

Storage

Store unopened vials of remdesivir below 86°F (30°C).

Side Effects (from patient reports)

Based on 8,456 FDA adverse event reports.

Off Label Use
2,208
Alanine Aminotransferase Increased
933
Covid-19
896
Drug Ineffective
762
Death
751
Bradycardia
651
Aspartate Aminotransferase Increased
627
Acute Kidney Injury
622
Respiratory Failure
526
Covid-19 Pneumonia
480

FDA Adverse Event Report Analysis

Detailed analysis of 13,113 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2018–2025.

Total Reports

13,113

Death-Related Reports

3,250

Hospitalization Reports

4,426

Top Indication

Covid-19

Gender Distribution

Female 4,881 (40%)
Male 7,235 (60%)

Age Distribution

0–17 657
18–44 1,877
45–64 3,630
65–74 2,485
75+ 2,673

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 OFF LABEL USE 2,208
2 ALANINE AMINOTRANSFERASE INCREASED 933
3 COVID-19 896
4 DRUG INEFFECTIVE 762
5 DEATH 751
6 BRADYCARDIA 651
7 ASPARTATE AMINOTRANSFERASE INCREASED 627
8 ACUTE KIDNEY INJURY 622
9 RESPIRATORY FAILURE 526
10 COVID-19 PNEUMONIA 480
11 LIVER FUNCTION TEST INCREASED 420
12 CONDITION AGGRAVATED 378
13 DRUG INEFFECTIVE FOR UNAPPROVED INDICATION 328
14 PNEUMONIA 325
15 BLOOD CREATININE INCREASED 320

Reactions in Death Reports

DEATH 747
COVID-19 397
OFF LABEL USE 384
DRUG INEFFECTIVE 359
RESPIRATORY FAILURE 334
ACUTE KIDNEY INJURY 253
CARDIAC ARREST 220
MULTIPLE ORGAN DYSFUNCTION SYNDROME 214
COVID-19 PNEUMONIA 203
SEPTIC SHOCK 194

Reactions in Hospitalization Reports

OFF LABEL USE 1,163
COVID-19 557
DRUG INEFFECTIVE 488
COVID-19 PNEUMONIA 314
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION 283
RESPIRATORY FAILURE 241
ACUTE KIDNEY INJURY 228
PNEUMONIA 175
BRADYCARDIA 164
SEPTIC SHOCK 148

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

Serious Warnings

Remdesivir can cause serious side effects, including allergic reactions and liver problems. Allergic reactions can happen during or after the infusion. Tell your doctor right away if you have signs like low or high blood pressure, fast or slow heart rate, fever, trouble breathing, wheezing, swelling, rash, nausea, sweating, or shaking. Your doctor will do blood tests to check your liver before and during treatment. Tell your doctor if you have any signs of liver problems like yellowing of the skin or eyes.

Known Drug Interactions

7 DRUG INTERACTIONS 7.1 Effects of Other Drugs on VEKLURY Due to potential antagonism based on data from cell culture experiments, concomitant use of VEKLURY with chloroquine phosphate or hydroxychloroquine sulfate is not recommended [see Warnings and Precautions (5.3) and Microbiology (12.4) ].

Mechanism: Hydroxychloroquine can interfere with how remdesivir works against the virus. This means the antiviral treatment might not be able to fight the infection effectively.

What to do: This combination is not recommended. Your healthcare provider should avoid giving you these two drugs at the same time.

moderate chloroquine

7 DRUG INTERACTIONS 7.1 Effects of Other Drugs on VEKLURY Due to potential antagonism based on data from cell culture experiments, concomitant use of VEKLURY with chloroquine phosphate or hydroxychloroquine sulfate is not recommended [see Warnings and Precautions (5.3) and Microbiology (12.4) ].

Mechanism: Chloroquine can block the antiviral effects of remdesivir, making it less powerful at treating the virus. This interaction was discovered in laboratory tests.

What to do: You should not use these medications together. Your doctor will choose the most effective single treatment for your condition.

Common Questions

What should I tell my doctor before taking remdesivir?
Tell your doctor if you are allergic to remdesivir or any of its ingredients. Also, tell them about any other medical conditions you have, especially liver problems.
Can remdesivir be given at home?
Yes, remdesivir can be given to non-hospitalized patients.
How long will I need to take remdesivir?
The length of treatment depends on whether you are in the hospital or not, and how well you are responding to the medicine. Your doctor will decide how long you need to receive remdesivir.
What if I feel sick after getting remdesivir?
Tell your doctor or nurse right away if you feel sick after getting remdesivir. They can help manage any side effects you may be experiencing.
Can remdesivir interact with other medicines?
Remdesivir may interact with some other medicines, like chloroquine or hydroxychloroquine. Tell your doctor about all the medicines you take, including prescription and over-the-counter drugs, vitamins, and herbal supplements.
Will remdesivir cure my COVID-19?
Remdesivir helps to fight the virus and may help you recover faster. It is not a cure for COVID-19.
What tests will I need before starting remdesivir?
Your doctor will do blood tests to check your liver function and prothrombin time before you start remdesivir.
Can I breastfeed while taking remdesivir?
Talk to your doctor about whether it is safe to breastfeed while taking remdesivir.
What if I have kidney problems?
You can still take remdesivir if you have kidney problems. No dose changes are needed.
What does 'hypersensitivity' mean?
Hypersensitivity is another word for an allergic reaction.
What are the common side effects of remdesivir?
The most commonly reported side effects of remdesivir include Nausea, Increased ALT (a liver enzyme), Increased AST (a liver enzyme). Based on 8,456 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does remdesivir interact with other medications?
Yes, remdesivir has 2 known drug interactions. Notable interactions include hydroxychloroquine, chloroquine. Always inform your doctor about all medications you are taking.
What drug class is remdesivir?
remdesivir belongs to the Nucleotide Analog (Antiviral) drug class. It requires a prescription (Rx). Remdesivir is used to treat COVID-19 in adults and children who weigh at least 3.
Is remdesivir safe during pregnancy?
If you are pregnant, talk to your doctor about the risks and benefits of taking remdesivir. Studies have not shown an increased risk of birth defects or miscarriage when taken during the second or third trimester. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

Related Medications in Nucleotide Analog (Antiviral)

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

Compare remdesivir vs acyclovir side-by-side →

Medication Guides

Related Health & Safety Data

Save on remdesivir

Compare prices and find discounts at pharmacies near you. Free coupons can save up to 80% on prescriptions.

Disclosure: This link may earn us a commission at no extra cost to you. See our terms.

What the FDA Data Shows for remdesivir

The FDA label for remdesivir (sold under brand names such as Veklury) classifies it as a prescription-only medication in the Nucleotide Analog (Antiviral) class. Remdesivir is used to treat COVID-19 in adults and children who weigh at least 3. Official labeling lists 3 commonly reported side effects, including Nausea, Increased ALT (a liver enzyme), Increased AST (a liver enzyme).

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 8,456 voluntary reports. The database also lists 2 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated moderate severity. Acquisition-cost data is surveyed weekly by CMS and updated as manufacturers report changes.

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, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: October 13, 2025

All federal data sources used on this page