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Odefsey vs. Complera

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

Key takeaways

Odefsey (emtricitabine/rilpivirine/tenofovir alafenamide) and Complera (emtricitabine/rilpivirine/tenofovir disoproxil fumarate) are both single-tablet regimens used to treat HIV. The main difference between the two is the form of tenofovir they contain. Odefsey has tenofovir alafenamide, which is newer and causes fewer harmful effects on your kidneys and bones compared to the tenofovir disoproxil fumarate in Complera. Both medications need to be taken with a meal at least 400 calories. Complera is no longer a first-choice treatment due to the availability of newer medications with fewer side effects, whereas Odefsey is considered safer for long-term use. Both medications have similar side effects, such as headaches and sleep problems, but Odefsey is noted to cause fewer abnormal dreams. Additionally, Complera has been used more often in pregnant individuals, although both can be taken during pregnancy.

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 Complera

Prescription only

Complera is a single-tablet regimen containing 3 HIV antiretrovirals (ARVs), rilpivirine (Edurant), emtricitabine (Emtriva), and tenofovir disoproxil fumarate (Viread). It's no longer a first-choice treatment option due to newer agents with fewer side effects.

Indications for Complera

  • HIV treatment

Pros and Cons for Complera

Pros

  • 1 tablet once a day is a full HIV regimen
  • Can be used in pregnancy at the same dose
  • Contains tenofovir, which is also a first-choice treatment option for hepatitis B
  • Causes less abnormal dreams when compared to a similar medication Atripla
  • Not associated with weight gain

Cons

  • Must be taken with food
  • Not recommended for people with kidney problems since the 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.
  • Can lead to kidney and bone problems

Common Side Effects for Complera

  • Change in mood, depression (2%)
  • Headache (2%)
  • Trouble sleeping, insomnia (2%)

Warnings for Complera

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

Prices with our coupons for Odefsey vs. Complera

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Odefsey30 tablets / 200mg/25mg/25mg
$3,870.23$4,929.58
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Emtricitabine/Rilpivirine/Tenofovir30 tablets / 200mg/25mg/300mg
$956.64$3,040.49
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