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Prezcobix vs. Genvoya

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

Key takeaways

Prezcobix (darunavir/cobicistat) and Genvoya (elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide) are both antiretroviral medications used to treat HIV infections, but they have some key differences. Prezcobix combines a protease inhibitor (darunavir) and a booster (cobicistat), while Genvoya includes an integrase strand transfer inhibitor (elvitegravir), two nucleoside reverse transcriptase inhibitors (emtricitabine and tenofovir alafenamide), and a booster (cobicistat). Prezcobix is typically taken with other HIV medications, whereas Genvoya is a complete regimen on its own. Both medications are available only as a brand-name medication. Both medications need to be taken with food and are taken once daily. However, Genvoya has the risk of worsening hepatitis B if the medication is stopped suddenly. Prezcobix, on the other hand, has specific interactions with other medications and must be used carefully in people with sulfa allergies.

Prezcobix

(darunavir / cobicistat)

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Genvoya

 

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Summary for Prezcobix

Prescription only

Prezcobix (darunavir / cobicistat), also known as DRV/COBI, is an antiretroviral (ARV) medication that treats HIV (human immunodeficiency virus) infections in people who weigh at least 88 pounds. It's typically taken with other HIV ARVs to make up a complete treatment regimen. Prezcobix (darunavir / cobicistat) is an oral tablet that's taken once daily. It's important to take the medication every day to prevent HIV drug resistance (when HIV medications no longer work). A side effect of Prezcobix (darunavir / cobicistat) is a skin rash that appears within the first month of treatment, but it typically goes away on its own.

Indications for Prezcobix

  • Treatment of HIV infection in adults and children weighing at least 88 pounds

Pros and Cons for Prezcobix

Pros

  • Taken once a day by mouth
  • Combines two medications into one pill for convenience
  • Safe to use in adults and children weighing at least 88 pounds

Cons

  • Interacts with many medications, such as certain statins and blood thinners
  • Must be used carefully in people with sulfa allergies
  • Not recommended during pregnancy (being pregnant can cause the medication to work less well)

Common Side Effects for Prezcobix

Side effects below were reported in at least 5% of adults taking Prezista (darunavir) with ritonavir (Norvir) during clinical studies.

  • Diarrhea
  • Nausea
  • Stomach pain
  • Vomiting
  • Headache
  • Rash

Side effects below were reported in at least 5% of adults taking Tybost (cobicistat) with other HIV medications in clinical studies.

Warnings for Prezcobix

  • Liver problems
  • Severe skin and allergic reactions
  • Changes to blood test results for kidney function
  • Kidney problems when used with tenofovir disoproxil fumarate (TDF)
  • High blood sugar
  • Changes in body fat
  • Overactive immune system
  • Risk of bleeding in people with hemophilia
  • Interactions with other medications

Summary for Genvoya

Prescription only

Genvoya (elvitegravir / cobicistat / emtricitabine / tenofovir alafenamide) is a combination antiretroviral therapy (ART) that treats human immunodeficiency virus (HIV) infections in adults and children. It's made up of two nucleoside reverse transcriptase inhibitors (NRTIs), emtricitabine and tenofovir alafenamide; an integrase strand transfer inhibitor (INSTI) called elvitegravir; and a "booster" medication known as cobicistat. Genvoya is taken by mouth, typically once daily. Some common side effects of this medication include nausea and diarrhea. It's not available as a generic medication.

Indications for Genvoya

Pros and Cons for Genvoya

Pros

  • Is a complete regimen for HIV treatment
  • Only taken once a day
  • Taken by mouth

Cons

  • Needs to be taken with food
  • Can’t take while pregnant
  • Can worsen hepatitis B if you stop taking the medication all of a sudden

Common Side Effects for Genvoya

  • Nausea (11%)
  • Diarrhea (7%)
  • Headache (6%)
  • Feeling tired (5%)

Warnings for Genvoya

  • Worsening of hepatitis B infection
  • Kidney problems
  • Liver problems and lactic acidosis
  • Overactive immune system
  • Interaction with other medications

Prices with our coupons for Prezcobix vs. Genvoya

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Prezcobix30 tablets / 800mg/150mg
$2,406.26$2,838.11
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Genvoya30 tablets / 150mg/150mg/200mg/10mg
$4,306.75$5,474.00
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