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Filspari vs. Tarpeyo

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

Filspari

(sparsentan)

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Tarpeyo

(budesonide)

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Summary for Filspari

Prescription only

Filspari (sparsentan) is a medication that works well to lower urine protein levels in people with immunoglobulin A nephropathy (IgAN). It's not known if this means Filspari (sparsentan) slows down worsening kidney function, but this is something that's currently being studied. Filspari (sparsentan) is taken by mouth, typically once daily. Some of the more common side effects it can cause include swelling in the arms and legs, low blood pressure, and dizziness.

Indications for Filspari

Pros and Cons for Filspari

Pros

  • Works better at lowering urine protein levels than irbesartan (Avapro), an existing IgAN treatment option
  • Taken by mouth
  • Taken once daily

Cons

  • More studies needed to show Filspari (sparsentan) can slow the worsening of kidney problems
  • Not a cure for IgAN
  • Can cause dangerously low blood pressure
  • Not studied in children

Common Side Effects for Filspari

  • Swelling in arms or legs (14%)
  • Low blood pressure (14%)
  • Dizziness (13%)
  • High blood potassium levels (13%)

Warnings for Filspari

  • Serious liver damage
  • Not for use during pregnancy
  • Dangerously low blood pressure
  • Serious kidney damage
  • High potassium levels
  • Too much fluid

Summary for Tarpeyo

Prescription only

Tarpeyo, the brand name for budesonide delayed-release capsules, is a corticosteroid. It helps lessen the worsening of kidney function in adults with a kidney condition called immunoglobulin A nephropathy (IgAN). Tarpeyo (budesonide) is taken by mouth once daily in the morning on an empty stomach. Some possible side effects include swelling in the arms and legs, high blood pressure, and weight gain.

Indications for Tarpeyo

Pros and Cons for Tarpeyo

Pros

  • A possible option for people who've already tried other therapies
  • Taken once per day
  • Taken by mouth

Cons

  • Must take 4 capsules for each dose
  • Should take in the morning on an empty stomach
  • Can cause unpleasant side effects (e.g., weight gain, muscle spasms)

Common Side Effects for Tarpeyo

  • Swelling in arms, legs, or feet (17%)
  • High blood pressure (12%)
  • Muscle spasms (12%)
  • Acne (11%)
  • Headache (10%)
  • Upper respiratory tract infection (8%)
  • Facial swelling (8%)
  • Weight gain (7%)
  • Indigestion (7%)

Warnings for Tarpeyo

  • Changes in stress hormone levels in the body
  • Higher risk of infections
  • Worsening of certain medical conditions

Prices with our coupons for Filspari vs. Tarpeyo

Price Card Drug Icon
Filspari30 tablets / 400mg
$13,951.06-
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Tarpeyo120 capsules / 4mg
$20,612.93-
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