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Odefsey vs. Descovy

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

Key takeaways

Odefsey (emtricitabine/rilpivirine/tenofovir alafenamide) and Descovy (emtricitabine/tenofovir alafenamide) are both combination medications used to treat HIV, but they have some key differences. Odefsey includes three antiretrovirals: rilpivirine, emtricitabine, and tenofovir alafenamide, making it a complete single-tablet regimen for HIV treatment. In contrast, Descovy contains only two antiretrovirals: emtricitabine and tenofovir alafenamide, and must be taken with another medication to fully treat HIV. Additionally, Descovy is also approved for HIV pre-exposure prophylaxis (PrEP), while Odefsey is not. Odefsey must be taken with a meal, whereas Descovy can be taken with or without food. Both medications are safer for your kidneys and bones compared to older treatments, but Odefsey has more potential interactions with other medications. Common side effects for Odefsey include headaches and sleep problems, while Descovy commonly causes nausea and diarrhea.

Odefsey

 

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Descovy

(emtricitabine / tenofovir alafenamide)

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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 Descovy

Prescription only

Descovy (emtricitabine / tenofovir alafenamide) is a prescription antiretroviral pill used to treat and prevent human immunodeficiency virus (HIV) infection. It's FDA approved for use with other HIV medications to treat HIV in adults and children. It's also approved for pre-exposure prophylaxis (PrEP) to help reduce the risk of getting HIV in adults and teens. You take it once a day by mouth, with or without food. Some common side effects include nausea and diarrhea.

Indications for Descovy

  • HIV treatment, in combination with other HIV medications - adults and children
  • Prevention of HIV infection (PrEP) - adults and teens

Pros and Cons for Descovy

Pros

Cons

  • Not approved for PrEP in people at risk from vaginal sex
  • Common side effects are diarrhea and nausea
  • Requires regular lab tests

Common Side Effects for Descovy

  • Diarrhea (5%)
  • Nausea (4%)

Note: Side effects were reported by people who took Descovy (emtricitabine / tenofovir alafenamide) alone for PrEP.

Warnings for Descovy

  • Worsening of hepatitis B infection
  • Take extra steps to prevent HIV when used for PrEP
  • Overactive immune system
  • Kidney problems
  • Liver problems and lactic acidosis

Prices with our coupons for Odefsey vs. Descovy

Price Card Drug Icon
Odefsey30 tablets / 200mg/25mg/25mg
$3,870.23$4,929.58
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Price Card Drug Icon
Descovy30 tablets / 200mg/25mg
$2,157.90$2,809.99
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