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Odefsey vs. Atripla

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

Key takeaways

Odefsey (emtricitabine/rilpivirine/tenofovir alafenamide) and Atripla (efavirenz/emtricitabine/tenofovir disoproxil fumarate) are both single-tablet regimens used to treat HIV. Odefsey contains a newer form of tenofovir, which is safer for your kidneys and bones compared to the tenofovir in Atripla. Odefsey must be taken with a meal, while Atripla should be taken on an empty stomach, preferably at bedtime to avoid side effects like dizziness and headache. Atripla is available as a generic, making it more affordable, but it is no longer a first-choice treatment due to its side effects. Both medications can cause kidney and bone problems, but Odefsey is considered safer in these aspects. Additionally, Atripla has more common side effects like mood changes and abnormal dreams, whereas Odefsey has fewer side effects overall.

Summary for Odefsey

Prescription only

Odefsey is a single-tablet-regimen containing 3 HIV antiretrovirals (ARVs), rilpivirine (Edurant), emtricitabine (Emtriva), and tenofovir AF (Vemlidy). It's similar to Complera, but contains a newer version of tenofovir which causes less harmful effects on your kidneys and bones.

Indications for Odefsey

  • HIV treatment

Pros and Cons for Odefsey

Pros

  • 1 tablet once a day is a full HIV regimen
  • Safer for your kidneys and bones when compared to Complera
  • Can be used in pregnancy at the same dose
  • Contains tenofovir, which is also a first-choice treatment option for hepatitis B
  • Not too many side effects

Cons

  • Must be taken with a light meal
  • Dose can't be adjusted
  • Can't be used if the amount of virus (viral load) is too high
  • There are many medication interactions and it can't be taken with some medications used to treat tuberculosis, seizures, and stomach acid.
  • Not a first-choice treatment option for people new to HIV medications

Common Side Effects for Odefsey

  • Headache (2%)
  • Sleep problems (2%)

Warnings for Odefsey

  • WORSENING OF HEPATITIS B
  • LIVER PROBLEMS AND TOXICITY
  • DEPRESSION AND CHANGES IN MOOD
  • KIDNEY PROBLEMS
  • BONE PROBLEMS
  • IMMUNE RECONSTITUTION SYNDROME

Summary for Atripla

Prescription only

Atripla is a combination antiviral medication used to treat human immunodeficiency virus (HIV). It's a tablet that has three active ingredients: efavirenz, emtricitabine, and tenofovir disoproxil fumarate (TDF). Atripla is for adults and children who weigh at least 88 lbs. You take it once a day by mouth on an empty stomach. Some side effects include diarrhea, nausea, and depression. The brand name Atripla isn't sold anymore, but you can still get this medication as a generic.

Indications for Atripla

  • HIV treatment

Pros and Cons for Atripla

Pros

  • Is a full HIV treatment regimen
  • Combines 3 HIV medications into 1 tablet for convenience
  • Taken once a day
  • Not likely to cause weight gain
  • Okay for children weighing at least 88 lbs to take

Cons

  • Must take on an empty stomach, preferably at bedtime
  • Might have strange dreams while taking
  • Interacts with other medications, including some other HIV medications and hepatitis C medications
  • Risk of kidney and bone problems
  • Not recommended for people with moderate or severe kidney or liver problems

Common Side Effects for Atripla

Warnings for Atripla

  • Worsening of hepatitis B infection in people with HIV and hepatitis B
  • Liver problems
  • Effects on mental health
  • Side effects related to the nervous system (e.g., dizziness, trouble sleeping)
  • Kidney problems
  • Bone problems
  • Lactic acidosis
  • Overactive immune system
  • Changes in body fat
  • Interactions with other medications
  • Harm to an unborn baby

Prices with our coupons for Odefsey vs. Atripla

Price Card Drug Icon
Odefsey30 tablets / 200mg/25mg/25mg
$3,524.00$4,929.58
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Efavirenz/Emtricitabine/Tenofovir90 tablets / 600mg/200mg/300mg
$91.79$8,736.01
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