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Emtriva vs. Trizivir

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Emtriva (emtricitabine) and Trizivir (abacavir/lamivudine/zidovudine) are both medications used to treat HIV. They belong to the same class of medications called nucleoside reverse transcriptase inhibitors (NRTIs), which work by stopping the virus from making copies of itself. However, they have several differences. Emtriva is a single medication that must be used with other HIV medications, while Trizivir combines three HIV medications into one tablet. Emtriva is taken once a day, either as a capsule or an oral solution, while Trizivir is taken as a tablet twice a day. Emtriva is available as a generic, but Trizivir is no longer available in the US. Common side effects of Emtriva include nausea and fatigue, while Trizivir can cause nausea, vomiting, and headaches. Trizivir requires a genetic test before use due to the risk of a severe allergic reaction, and it is not recommended for people with heart problems. Emtriva requires dose adjustments for people with kidney problems. Both medications can cause liver problems and should not be stopped without consulting a healthcare provider.

Emtricitabine

(Emtriva)

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Trizivir

 

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Summary for Emtriva

Prescription only

Emtricitabine (Emtriva) is a first choice HIV antiretroviral (ARV) used in combination with other HIV ARVs for the treatment and prevention of HIV. It is one of the most common HIV ARVs used around the world.

Indications for Emtriva

  • HIV treatment

Pros and Cons for Emtriva

Pros

  • Very effective against HIV, with few side effects
  • Taken only once a day with or without food
  • Available in many combination tablets with other HIV ARVs
  • Available as a capsule and oral solution
  • Can be used in pregnancy and in children right after they are born

Cons

  • Dose must be adjusted if you have kidney problems
  • Must be used in combination with other HIV ARVs
  • The oral solution is absorbed less than the capsule, so the dose is higher
  • Some people with hepatitis B virus (HBV) have worsening of the liver after stopping emtricitabine (Emtriva)
  • Requires regular labs to make sure the medication is working against HIV and to check your kidney and liver

Common Side Effects for Emtriva

  • Changes in labs (30%)
  • Nausea (9%)
  • Fatigue (9%)
  • Diarrhea (9%)
  • Dizziness (8%)
  • Flu/cold (8%)
  • Runny nose (8%)
  • Rash (7%)

Warnings for Emtriva

  • WORSENING OF HEPATITIS B
  • IMMUNE RECONSTITUTION SYNDROME
  • LIVER PROBLEMS

Summary for Trizivir

Prescription only

Trizivir is a combination medication containing three HIV antiretrovirals (ARVs): abacavir (Ziagen), lamivudine (Epivir), and zidovudine (Retrovir). It's not used very commonly anymore.

Indications for Trizivir

  • HIV treatment

Pros and Cons for Trizivir

Pros

  • Can be taken with or without food
  • Combines 3 different HIV medications into 1 tablet
  • Available as a generic, which can be more affordable
  • Doesn't affect your kidneys or bone density like some other NRTIs
  • Contains lamivudine, which also works against hepatitis B

Cons

  • Contains 3 HIV ARVs but isn't a full HIV regimen
  • Can cause serious blood and muscle problems
  • Dose can't be adjusted so it's not recommended for people with kidney or liver problems
  • Requires a genetic test called HLA-B 5701 because the allergic reaction can be fatal
  • Not a good option for people with heart problems

Common Side Effects for Trizivir

  • Nausea and vomiting (19%)
  • Headache (13%)
  • Tiredness and fatigue (12%)
  • Diarrhea (7%)
  • Fevers and/or chills (6%)
  • Depressed mood (6%)

Warnings for Trizivir

  • SEVERE ALLERGIC REACTION
  • BLOOD AND BONE MARROW PROBLEMS
  • MUSCLE PAIN AND WEAKNESS
  • LIVER PROBLEMS
  • WORSENING OF HEPATITIS B
  • IMMUNE RECONSTITUTION SYNDROME
  • HEART ATTACK
  • FAT REDISTRIBUTION

Prices with our coupons for Emtriva vs. Trizivir

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Emtricitabine30 capsules / 200mg
$152.24-
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Abacavir/Lamivudine/Zidovudine30 tablets / 300mg/150mg/300mg
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