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Lexiva vs. Aptivus

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

Key takeaways

Fosamprenavir (Lexiva) and tipranavir (Aptivus) are both antiretroviral (ARV) medications used to treat HIV in combination with other antiretrovirals. They belong to the same class of medications called protease inhibitors, which work by blocking a protein that helps the HIV virus infect healthy cells. However, there are several differences between the two. Fosamprenavir (Lexiva) is available as an oral tablet or suspension and is typically taken twice daily, often with a booster like ritonavir (Norvir). Tipranavir (Aptivus) is also taken with ritonavir but requires multiple capsules daily. Fosamprenavir can be used in children as young as 4 weeks, while tipranavir is approved for children aged 2 years and older. Both medications can cause high cholesterol and blood sugar levels, but fosamprenavir is more likely to cause serious side effects like severe skin reactions and liver problems. Tipranavir has a risk of bleeding in the brain, which is rare. Both medications interact with many other drugs, so it's important to tell your healthcare provider about all the medications you are taking.

Fosamprenavir

(Lexiva)

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Aptivus

(tipranavir)

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Summary for Lexiva

Prescription only

Fosamprenavir (Lexiva) is an oral tablet or suspension that's used as part of an antiretroviral (ARV) regimen to treat human immunodeficiency virus (HIV) infections. It's typically taken twice daily, usually in combination with a "booster," like ritonavir (Norvir), to help fosamprenavir (Lexiva) work better against the virus. Fosamprenavir (Lexiva) isn't a first-choice option for HIV anymore because it can cause serious side effects (e.g., rash, diarrhea, and nausea) and can interact with many other medications.

Indications for Lexiva

  • Treatment of HIV infection

Pros and Cons for Lexiva

Pros

  • Available in a liquid form for people who have difficulty swallowing pills
  • Can be used in children age 4 weeks and older
  • Tablets can be taken with or without food

Cons

  • Interacts with many medications
  • Requires regular blood work and lab tests to make sure your liver is healthy
  • Likely to cause high blood sugar and cholesterol levels

Common Side Effects for Lexiva

  • Diarrhea (5-13%)
  • Higher levels of fats in the body (up to 11%)
  • Higher liver labs (6-8%)
  • Rash (3-8%)
  • Nausea (3-7%)

Please note: The side effects above include those reported by people who also took ritonavir (Norvir) with fosamprenavir (Lexiva) during clinical trials.

Warnings for Lexiva

  • Interactions with other medications
  • Severe skin and allergic reactions
  • Liver problems
  • High blood sugar
  • Overactive immune system
  • Changes in body fat
  • Higher cholesterol levels
  • Risk of bleeding
  • Risk of kidney stone

Summary for Aptivus

Prescription only

Aptivus (tipranavir) is an HIV antiretroviral (ARV) medication used in combination with other HIV ARVs for the treatment of HIV. It's not used very often anymore because of side effects, interactions with other medications, and daily doses requiring multiple capsules.

Indications for Aptivus

  • HIV treatment

Pros and Cons for Aptivus

Pros

  • Available as an oral solution if you have a hard time swallowing capsules
  • Can be taken with or without food
  • Can be used in children aged 2 years and older
  • Oral solution contains vitamin E

Cons

  • Must be taken with a booster called ritonavir (Norvir)
  • Not a good option for people with sulfa allergies or moderate to severe liver problems
  • Typical adult doses require 4 capsules a day
  • Can cause higher cholesterol and blood sugar

Common Side Effects for Aptivus

  • Diarrhea (15%)
  • Nausea (9%)
  • Fever (8%)
  • Vomiting (6%)
  • Fatigue (6%)
  • Headache (5%)

Warnings for Aptivus

  • LIVER PROBLEMS
  • BLEEDING IN THE BRAIN
  • DRUG INTERACTIONS
  • SULFA ALLERGY
  • DIABETES
  • IMMUNE RECONSTITUTION SYNDROME
  • FAT REDISTRIBUTION
  • HIGHER CHOLESTEROL

Prices with our coupons for Lexiva vs. Aptivus

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Fosamprenavir180 tablets / 700mg
$943.64-
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Aptivus120 capsules / 250mg
$2,058.37-
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