provider image
Welcome! You’re in GoodRx for healthcare professionals. Now, you’ll enjoy a streamlined experience created specifically for healthcare professionals.
Skip to main content
Aptivus Coupon - Aptivus 250mg capsule

Aptivus

tipranavir
Used for HIV Treatment
Used for HIV Treatment

Aptivus (tipranavir) is an HIV antiretroviral (ARV) medication used in combination with other HIV ARVs for the treatment of HIV. It's not used very often anymore because of side effects, interactions with other medications, and daily doses requiring multiple capsules.

Last reviewed on April 1, 2021
basics-icon

What is Aptivus (tipranavir)?

What is Aptivus (tipranavir) used for?

  • HIV treatment

How Aptivus (tipranavir) works

Aptivus (tipranavir) is a protease (an enzyme) inhibitor (PI). Normally, protease helps process viral proteins so the HIV virus can infect healthy cells. When protease is stopped by PI medications, the HIV virus cannot make copies of itself and infect your cells.

Drug Facts

Common BrandsAptivus
Drug ClassHIV ARV
Controlled Substance ClassificationNot a controlled medication
Generic StatusNo lower-cost generic available
AvailabilityPrescription only
coupon-save-icon

Get your GoodRx coupon

Avg retail price
$2385.51(save 74.14%)
GoodRx discount
$616.90
See prices
basics-icon

What are the side effects of Aptivus (tipranavir)?

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

  • Diarrhea (15%)
  • Nausea (9%)
  • Fever (8%)
  • Vomiting (6%)
  • Fatigue (6%)
  • Headache (5%)

Other Side Effects

  • Upset stomach
  • Muscle pain
  • Nerve pain
  • Rash
  • Shortness of breath
  • Difficulty sleeping (insomnia)

Source: FDA

The following 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:

Less common

Bleeding gums

confusion

cough producing mucus

coughing up blood

difficulty with breathing or swallowing

dizziness

fever

general feeling of tiredness or weakness

headache

increased menstrual flow or vaginal bleeding

loss of appetite

nausea or vomiting

nosebleeds

paralysis

prolonged bleeding from cuts

red or black, tarry, or light-colored stools

red or dark brown urine

sudden severe weakness

tightness in the chest

unusual bleeding

upper right abdominal or stomach pain

yellow eyes and skin

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

Less common

Abdominal or stomach pain

cough

discouragement

fat redistribution

feeling sad or empty

irritability

lack of appetite

lack or loss of strength

loss of interest or pleasure

rash

trouble concentrating

trouble sleeping

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.

pros-and-cons

Pros and cons of Aptivus (tipranavir)

thumbs-up

Pros

Available as an oral solution if you have a hard time swallowing capsules

Can be taken with or without food

Can be used in children aged 2 years and older

Oral solution contains vitamin E

thumbs-down

Cons

Must be taken with a booster called ritonavir (Norvir)

Not a good option for people with sulfa allergies or moderate to severe liver problems

Typical adult doses require 4 capsules a day

Can cause higher cholesterol and blood sugar

pharmacist-tips

Pharmacist tips for Aptivus (tipranavir)

pharmacist
  • Always take this medication with the booster ritonavir (Norvir). If Aptivus (tipranavir) is taken alone without the booster the medication level won't be high enough and the virus can become resistant to the medication.

    • Swallow the capsules whole. They should never be opened or chewed. If you or your child have a hard time swallowing them whole, talk to your provider about the oral solution.

      • Store unopened bottles of the capsules in the fridge. Once you open the bottle store it at room tempterature. Never freeze this medication.

        • The capsules and oral solution expire 60 days after the bottle is opened. Any remaining medication should be thrown out. It can be helpful to write the expiration date on the bottle once you open it.

          • Aptivus (tipranavir) interacts with a lot of medications, including birth control pills. Your hormonal birth control pills might not work as well when you are taking Aptivus (tipranavir). You may want to use another form of birth control like a barrier method (condoms).

            faqs

            Frequently asked questions about Aptivus (tipranavir)

            Do Aptivus (tipranavir) capsules need to be stored in the fridge?
            Unopened bottles of Aptivus (tipranavir) should be stored in the fridge. Once you open the bottle, you can keep it at room temperature.
            Can I open my Aptivus (tipranavir) capsules or mix them with food?
            No, the Aptivus (tipranavir) capsules should be swallowed whole. If you or your child have a hard time swallowing the capsules, ask your provider about the oral solution.
            What should I do if I forget to take my dose of Aptivus (tipranavir)?
            You should take your dose of Aptivus (tipranavir) as soon as you realize you missed it. Don't double up at your next scheduled dose.
            What if I miss a dose of Aptivus (tipranavir)?
            If you miss a dose of Aptivus (tipranavir), the level of Aptivus (tipranavir) might become too low and the HIV virus can start to grow and make copies of itself. If many doses are missed every month there's a chance that the virus can become resistant to the medication.
            Can I take Aptivus (tipranavir) if I have diabetes?
            Aptivus (tipranavir) can worsen diabetes, but it can still be used in people who have diabetes. If there are other HIV ARV options available for you that don't raise blood sugar levels, your provider might choose to change your regimen. If you and your provider choose to continue Aptivus (tipranavir) and your blood sugar goes up, you might have to make dietary and lifestyle changes, or add more medications to your diabetes regimen.
            GoodRxEducationalIcon

            How to save using GoodRx

            Compare Prices
            1. Compare PricesSpecify your dosage and quantity to find out exactly how much you can save.
            Select your free coupon
            2. Select your free couponYou can use the displayed coupon, or compare prices at other pharmacies near you.
            Show coupon to your pharmacist
            3. Show coupon to your pharmacistPresent your printed or electronic coupon when you pick up your prescription.
            Get free couponLearn more
            warings-icon

            What are the risks and warnings for Aptivus (tipranavir)?

            Aptivus (tipranavir) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

            risk-warning

            LIVER PROBLEMS

            • Risk factors: History of liver damage | Hepatitis B or C | Having advanced HIV

              There have been cases of people having liver problems afer taking Aptivus (tipranavir). It's more common in people who have more advanced HIV who are taking a lot of other medications. The risk is also higher in people who already have liver damage or a chronic hepatitis B or C infection. Your provider will order lab tests before and during treatment to monitor your liver. Talk to your provider if you notice any yellowing of the skin or eyes, dark urine, or pale stools. These can be signs of liver damage.

              risk-warning

              BLEEDING IN THE BRAIN

              It's rare, but there have been cases of people having bleeding in their brain while taking Aptivus (tipranavir). Most of these people had other conditions or were taking other medications that may have caused this as well. It's unknown if Aptivus (tipranavir) played a factor in these events. Talk to your provider if this is a concern for you.

              risk-warning

              DRUG INTERACTIONS

              • Risk factors: Taking other medications or supplements

                Aptivus (tipranavir) interacts with many other medications. This might require adjusting the dose of Aptivus (tipranavir) or your other medications. If the medication doses are not adjusted for interactions, the dose may be too low for it to work properly, or the dose might end up being too high, which can cause unwanted side effects. Talk to your healthcare provider or pharmacist before starting or stopping any medications.

                risk-warning

                SULFA ALLERGY

                Risk factors: Allergic reaction to other sulfa medications

                Aptivus (tipranavir) should be used with caution in people who have a sulfa allergy. Make sure your healthcare provider and pharmacist have an updated list of your medication allergies.

                risk-warning

                DIABETES

                • Risk factors: Use of protease inhibitors

                  Aptivus (tipranavir) and other HIV ARVs in the same protease inhibitor (PI) subclass can raise your blood sugar levels and lead to diabetes. If you already have diabetes, this medication can make it worse. Be sure to keep your regularly scheduled appointments and check your blood sugar at home if your provider tells you to.

                  risk-warning

                  IMMUNE RECONSTITUTION SYNDROME

                  • Risk factors: Weakened immune system | Current untreated infection

                    HIV attacks your immune system. Over time, if the virus isn't treated your body may become defenseless against bacterial and fungal infections. Your HIV medications are very good at killing the virus, and when the number of viruses goes down, your immune system gets started making more cells. Once your immune system gets better, it will start to fight off any infections you might have, which can lead to a lot of inflammation. Even though it's a good thing that your immune system is getting better, too much inflammation can be bad. Your healthcare provider might check for underlying infections (sometimes called opportunistic infections) before starting Aptivus (tipranavir) especially if it is your first time taking HIV medications. Call your provider if you experience fever, difficulty breathing, or sudden changes to your health after starting Aptivus (tipranavir).

                    risk-warning

                    FAT REDISTRIBUTION

                    • Risk factors: Taking HIV ARVs

                      Some people taking HIV ARVs, including Aptivus (tipranavir) have noticed changes to the way fat is located in the body. There might be more fat in the abdomen and upper back, and less fat in the face, arms, and legs. Scientists and healthcare providers don't really know why this happens.

                      risk-warning

                      HIGHER CHOLESTEROL

                      Aptivus (tipranavir) can raise the amount of fat and cholesterol in your body. High cholesterol and fat in your blood increases your risk of a heart attack or stroke. Your healthcare provider might need to start you on a statin medication to help with this. Make sure all your providers know your full list of medications. Many statin medications cannot be taken with Aptivus (tipranavir) or can only be taken at a very low dose.

                      dosage

                      Aptivus (tipranavir) dosage forms

                      The average cost for 120 capsules of 250mg of Aptivus (tipranavir) is $2033.31 with a free GoodRx coupon. This is 14.76% off the average retail price of $2385.51.
                      bottle of oral solution
                      Bottle of oral solution
                      DosageQuantityPrice as low asPrice per unit
                      95ml of 100mg/ml1 bottle$616.90$616.90
                      capsule
                      Capsule
                      DosageQuantityPrice as low asPrice per unit
                      250mg120 capsules$2033.31$16.94

                      Typical dosing for Aptivus (tipranavir)

                      Adults: The typical dose is 500 mg with ritonavir 200 mg twice daily

                      Children: The typical dose is based on the child's weight, but won't be more than the adult dose

                      interactions

                      Interactions between Aptivus (tipranavir) and other drugs

                      Aptivus (tipranavir) may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Aptivus (tipranavir). Please note that only the generic name of each medication is listed below.

                      Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

                      Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                      Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                      drug-cost

                      How much does Aptivus (tipranavir) cost?

                      To access savings, use a GoodRx coupon and pay just a fraction of the retail price.View prices & coupons
                      alternatives

                      What are alternatives to Aptivus (tipranavir)?

                      There are a number of medications that your doctor can prescribe in place of Aptivus (tipranavir). Compare a few possible alternatives below.
                      Aptivus (tipranavir)
                      Used for:
                      • HIV treatment

                      $616.90 Lowest GoodRx priceView Prices
                      Used for:
                      • Treatment of HIV infection

                      $946.89 Lowest GoodRx priceView Prices
                      Used for:
                      • Treatment of HIV infection in people aged 3 years and older

                      $71.72 Lowest GoodRx priceView Prices
                      images

                      Aptivus (tipranavir) images

                      Pink Tpv 250 - Aptivus 250mg Capsule
                      This medicine is Pink Capsule Imprinted With "Tpv 250".Pink Tpv 250 - Aptivus 250mg Capsule

                      Get savings updates for Aptivus (tipranavir)

                      Receive price alerts, news, and other messages from GoodRx about Aptivus (tipranavir) and other healthcare topics and relevant savings offers.

                      By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx.

                      Browse medications

                      View All

                      Research prescriptions and over-the-counter medications from A to Z, compare drug prices, and start saving.