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Efavirenz

Efavirenz Side Effects

Ally Tsai, PharmDConnie Zheng, PharmD
Reviewed by Ally Tsai, PharmD, Connie Zheng, PharmD
Last reviewed on June 15, 2023

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

The following side effects were reported in adults taking this medication with other HIV ARVs. Side effects might differ in children.

  • Rash (5-16%)
  • Diarrhea (3-14%)
  • Pain (1-13%)
  • Higher triglyceride (fat) levels (6-11%)
  • Low white blood cell count (2-10%)
  • Nausea (2-10%)
  • Dizziness (2-9%)
  • Feeling tired (2-8%)
  • Higher liver enzymes (5-8%)
  • Headache (2-8%)
  • Difficulty sleeping (7%)
  • Vomiting (3-6%)
  • Trouble concentrating (3-5%)

Less Common Side Effects

  • Abnormal dreams
  • Indigestion
  • Belly pain
  • Feeling nervous
  • Weight loss
  • Feeling weak
  • Itching

Efavirenz serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Severe allergic reactions and skin reactions: fever, rash, general discomfort, muscle or joint pain, mouth sores, blisters, facial swelling
  • Liver problems: nausea, vomiting, not feeling hungry, pain in the right side of the stomach, yellowing of the whites of the eyes or skin, dark-colored urine, light-colored stool
  • Abnormal heart rhythm: chest pounding, trouble breathing, chest pain, feeling faint or lightheaded
  • Mood problems: anxiety, confusion, agitated, restlessness, depressed, hallucination(s)
  • Thoughts of self-harm

Source: DailyMed

The following Efavirenz side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Depression

skin rash or itching

Less common

Blood in the urine

difficult or painful urination

pain in the lower back or side

Rare

Abdominal or stomach pain

blistering

changes in vision

clumsiness or unsteadiness

confusion

convulsions (seizures)

cough

dark urine

delusions

double vision

fainting

fast or pounding heartbeat

fever or chills

headache (severe and throbbing)

hives

inappropriate behavior

loss of appetite

mood or mental changes (severe)

muscle cramps or pain

nausea or vomiting

nerve pain

open sores

pain, tenderness, bluish color, or swelling of the leg or foot

rapid weight gain

seeing, hearing, or feeling things that are not there

sense of constant movement of self or surroundings

sores, ulcers, or white spots in the mouth or on the lips

speech disorder

swelling or tenderness in the upper abdominal or stomach area

swelling of the hands, arms, feet, or legs

thoughts of suicide or attempts at suicide

tightness in the chest

tingling, burning, numbness, or pain in the hands, arms, feet, or legs

tingling, burning, or prickling sensations

tremor

troubled breathing

unusual tiredness

weight loss

yellow eyes or skin

Incidence not known

Actions that are out of control

attack, assault, or force

continuing vomiting

decreased awareness or responsiveness

delusions of persecution, mistrust, suspiciousness, or combativeness

difficult or labored breathing

early appearance of redness or swelling of the skin

general feeling of tiredness or weakness

irregular heartbeat recurrent

irritability

late appearance of rash with or without weeping blisters that become crusted, especially in sun-exposed areas of the skin, may extend to unexposed areas

light-colored stools

mimicry of speech or movements

mutism

negativism

nervousness

peculiar postures or movements, mannerisms, or grimacing

severe sleepiness

talking, feeling, and acting with excitement

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Diarrhea

dizziness

drowsiness

headache

increased sweating

poor concentration

trouble sleeping

Less common or rare

Abnormally decreased sensitivity, particularly to touch

agitation or anxiety

belching

change in sense of taste or smell

dry mouth

excessive gas

false sense of well-being

flaking and falling off of the skin

flushing

general feeling of discomfort

heartburn

indigestion

joint pain

lack of feeling or emotion

loss of hair

loss of memory

loss of sense of reality

mood changes

pain

painful, red, hot, or irritated hair follicles

ringing in the ears

stomach discomfort

unusual dreams

weakness

Incidence not known

Difficulty having a bowel movement (stool)

discoloration of the fingernails or toenails

dizziness or lightheadedness

feeling of constant movement of self or surroundings

increased amount of fat in the upper back and neck, or around the chest and stomach area

lose fat from the legs, arms, and face

sensation of spinning

swelling of the breasts or breast soreness in both females and males

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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Why trust our experts?

Ally Tsai, PharmD
Reviewed by:
Ally Tsai, PharmD
Ally Tsai, PharmD, is a medication therapy management (MTM) pharmacist with 6 years of experience. As an MTM pharmacist, she helps people with complex medication regimens get the best results by conducting comprehensive medication reviews.
Connie Zheng, PharmD, is a drug information pharmacist at GoodRx and a licensed pharmacist in California. She has over 6 years of experience working in independent pharmacies.

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