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Evotaz vs. Stribild

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

Key takeaways

Evotaz (atazanavir/cobicistat) and Stribild (elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate) are both medications used to treat HIV, but they have some key differences. Evotaz is a combination of two drugs: atazanavir, a protease inhibitor, and cobicistat, a booster. It must be taken with other HIV medications to form a complete treatment regimen. On the other hand, Stribild is a single-tablet regimen that includes four drugs: elvitegravir, an integrase inhibitor, emtricitabine and tenofovir, both nucleoside reverse transcriptase inhibitors (NRTIs), and cobicistat. This means you can take Stribild alone for HIV treatment. Both medications need to be taken with food, but Stribild is not recommended for people with kidney or liver problems, while Evotaz can be used with caution in these cases. Additionally, Stribild can cause bone problems and is not a good option for pregnant individuals, whereas Evotaz can cause jaundice and is also not recommended during pregnancy. Both medications interact with many other drugs, so it's important to discuss all your medications with your healthcare provider.

Evotaz

(atazanavir / cobicistat)

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Stribild

 

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Summary for Evotaz

Prescription only

Evotaz (atazanavir / cobicistat) is a combination medication that's taken as part of an antiretroviral (ARV) regimen to treat HIV (human immunodeficiency virus). It's approved for people with HIV who weigh at least 77 pounds. Evotaz (atazanavir / cobicistat) is a tablet that's taken once a day with food. It must be taken along with other HIV ARV medications. Evotaz (atazanavir / cobicistat) can cause side effects, including rash and jaundice (yellowing of the skin or eyes).

Indications for Evotaz

  • Treatment of HIV

Pros and Cons for Evotaz

Pros

  • Taken once a day
  • Combination tablet, so there are fewer pills to take
  • Same dose for adults and children who weigh at least 77 pounds
  • Can take if you have a sulfa allergy

Cons

Common Side Effects for Evotaz

  • Jaundice (yellowing of the skin or eyes; up to 6%)
  • Rash (5%)

Warnings for Evotaz

  • Heart rhythm problems
  • Rash and other severe skin reactions
  • Kidney problems
  • Kidney stones or gallstones
  • Liver problems
  • High bilirubin levels
  • Interactions with other medications (including certain HIV ARVs)
  • Overactive immune system
  • High blood sugar
  • Changes in body fat
  • Risk of bleeding in people with hemophilia

Summary for Stribild

Prescription only

Stribild is a single-tablet-regimen containing 3 HIV antiretrovirals (ARVs), elvitegravir (Vitekta), emtricitabine (Emtriva), and tenofovir DF (Viread), and one booster medication, cobicistat (Tybost).

Indications for Stribild

  • HIV treatment

Pros and Cons for Stribild

Pros

  • 1 tablet once a day is a full HIV regimen
  • Contains tenofovir, which is also a first-choice treatment option for hepatitis B
  • One of the few single-tablet-regimens that contains an integrase inhibitor (a preferred HIV ARV subclass)
  • In clinical trials, caused less abnormal dreams than Atripla
  • Gilead copay card available for people with commercial health plans (not for use with Medicaid and Medicare plans)

Cons

  • Must be taken with food
  • Dose can't be adjusted, so it's not recommended for people with kidney or liver problems
  • Can cause kidney and bone problems
  • Interacts with a lot of medications
  • Not a good option for people who are pregnant, or plan to become pregnant

Common Side Effects for Stribild

  • Nausea (16%)
  • Diarrhea (12%)
  • Abnormal, strange dreams (9%)
  • Headache (7%)

Warnings for Stribild

  • WORSENING OF HEPATITIS B
  • CHANGES IN KIDNEY FUNCTION
  • LIVER PROBLEMS
  • DRUG INTERACTIONS
  • BONE PROBLEMS
  • IMMUNE RECONSTITUTION SYNDROME

Prices with our coupons for Evotaz vs. Stribild

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Evotaz30 tablets / 300mg/150mg
$1,547.50-
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Stribild30 tablets / 150mg/150mg/200mg/300mg
$4,460.07-
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