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Epclusa vs. Olysio

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

Key takeaways

Epclusa (sofosbuvir/velpatasvir) and Olysio (simeprevir) are both antiviral medications used to treat hepatitis C. However, they differ in several ways. Epclusa is a combination medication that treats all six types of hepatitis C and is taken as a single oral tablet once a day. In contrast, Olysio was used in combination with peginterferon and ribavirin, which required multiple medications and had more side effects. Olysio is no longer available in the U.S. due to the availability of newer, more effective treatments like Epclusa. While Epclusa is still in use and available by prescription, Olysio has been discontinued. Epclusa can cause mild side effects like headache and fatigue, and it interacts with many medications, including those for heartburn. Olysio, on the other hand, was associated with the side effects of the additional medications it required.

Epclusa

(sofosbuvir / velpatasvir)

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Olysio

(simeprevir)

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Summary for Epclusa

Prescription only

Epclusa (sofosbuvir / velpatasvir) is a combination medication containing two antiviral medications, sofosbuvir and velpatasvir, that's used to treat chronic hepatitis C in adults and children.

Indications for Epclusa

  • Chronic hepatitis C infection

Pros and Cons for Epclusa

Pros

  • Treats all 6 types of hepatitis C
  • Most people only have to take one pill once a day for 12 weeks
  • Can be taken with or without food
  • Most common side effects are usually mild, such as fatigue and headache

Cons

  • Interacts with many medications including those used for heartburn
  • Not a good option for people taking amiodarone (Pacerone) because the combination can cause slow heart rate
  • Some people with severe liver problems who have chronic hepatitis C may need to take it with another antiviral medication called ribavirin
  • Can reactivate the hepatitis B virus if you have a history of hepatitis B infection

Common Side Effects for Epclusa

  • Headache
  • Fatigue

Warnings for Epclusa

  • Hepatitis B reactivation
  • Slow heart rate
  • Ribavirin risks
  • Interactions with other medications

Summary for Olysio

Discontinued

Olysio (simeprevir) is an oral medication that was used with other medications to treat hepatitis C. It is no longer available and has been replaced by newer antiviral medications.

Pros and Cons for Olysio

Pros

Cons

Prices with our coupons for Epclusa vs. Olysio

Price Card Drug Icon
Sofosbuvir/Velpatasvir1 dose pack / 28 tablets of 400mg/100mg
$7,689.00$9,176.07
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Price Card Drug Icon
Olysio1 bottle / 28 capsules of 150mg
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