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Keytruda vs. Opdivo

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

Key takeaways

Keytruda (pembrolizumab) and Opdivo (nivolumab) are both medications used to treat various types of cancer, including melanoma and non-small cell lung cancer. They belong to the same drug class, known as programmed death-1 (PD-1) pathway inhibitors, which are a type of immunotherapy. Both medications work by blocking the PD-1 pathway, helping your immune system recognize and attack cancer cells. However, there are some differences between them. Keytruda is FDA-approved for a wider range of cancers compared to Opdivo. Keytruda is typically given as an intravenous infusion every 3 or 6 weeks, while Opdivo is usually administered every 2 or 4 weeks. Both medications can cause immune-related side effects like rash, diarrhea, and trouble breathing, but the frequency and severity of these side effects can vary. Additionally, Opdivo can be used in combination with another immunotherapy medication, Yervoy (ipilimumab), for certain cancers, whereas Keytruda is not typically combined with other immune checkpoint inhibitors.

Keytruda

(pembrolizumab)

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Opdivo

(nivolumab)

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Summary for Keytruda

Prescription only

Keytruda (pembrolizumab) is an immunotherapy medication. It helps treat many different kinds of cancer. This can include lung cancer, breast cancer, and melanoma. It works as a PD-1 inhibitor to turn on your immune system and help it attack the cancer better. Keytruda (pembrolizumab) is given as an infusion through the vein at a medical center or clinic. It's given either every 3 weeks or every 6 weeks, depending on your treatment plan. Side effects can include tiredness, diarrhea, rash, and trouble breathing. Your cancer treatment might be just Keytruda (pembrolizumab), or it might be given with other cancer therapies.

Indications for Keytruda

Pros and Cons for Keytruda

Pros

  • Recommended first-choice treatment for many types of cancers under certain situations
  • Given every 3 or 6 weeks, depending on the treatment plan
  • Less likely to cause nausea, vomiting, and hair loss than traditional chemotherapy

Cons

  • Given as an injection through the vein
  • Might cause immune-related side effects like diarrhea, rash, and lung problems
  • Might need to take a break from treatment and take a corticosteroid to manage some side effects

Common Side Effects for Keytruda

Warnings for Keytruda

  • Immune-related side effects
  • Infusion-related reactions
  • Complications from stem cell transplants
  • Harm to an unborn baby

Summary for Opdivo

Prescription only

Opdivo (nivolumab) is a type of immunotherapy medication used to treat many types of cancer. They can include melanoma, lung cancer, kidney cancer, colon cancer, and others. Opdivo (nivolumab) is given as infusion through the vein (IV) every few weeks at an infusion center. This medication can cause side effects, like rash, diarrhea, and breathing problems. Depending on the cancer treated, Opdivo (nivolumab) can be used by itself or with other therapies.

Indications for Opdivo

Pros and Cons for Opdivo

Pros

  • Less common to have nausea, vomiting, and hair loss than traditional chemotherapy
  • Recommended first-choice treatment for certain people with melanoma and esophageal cancer
  • Given every few weeks

Cons

  • Given as an infusion through the vein that takes at least 30 minutes
  • Might cause immune-related side effects like diarrhea, rash, and lung problems
  • Might need to take breaks from treatment and take a steroid to manage some side effects

Common Side Effects for Opdivo

Warnings for Opdivo

  • Immune-related side effects
  • Infusion-related reactions
  • Complications from stem cell transplants
  • Harm to an unborn baby

Prices with our coupons for Keytruda vs. Opdivo

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Keytruda4 cartons / 2 vials of 100mg/4ml
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Opdivo2 vials / 24ml of 240mg/24ml
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