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Prezcobix vs. Triumeq

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

Key takeaways

Prezcobix (darunavir/cobicistat) and Triumeq (abacavir/dolutegravir/lamivudine) are both medications used to treat HIV, but they have some key differences. Prezcobix combines two drugs: darunavir, a protease inhibitor, and cobicistat, a booster that helps darunavir work better. It's taken once daily with food and is suitable for adults and children weighing at least 88 pounds. Triumeq, on the other hand, is a single-tablet regimen that includes three drugs: abacavir and lamivudine, both nucleoside reverse transcriptase inhibitors (NRTIs), and dolutegravir, an integrase inhibitor. Triumeq can be taken with or without food and is available for adults and children weighing at least 22 pounds. Before starting Triumeq, you need a genetic test to check for a specific trait that could cause a severe allergic reaction, which is not required for Prezcobix. Additionally, Triumeq is not recommended for people with severe liver problems, while Prezcobix must be used carefully in people with sulfa allergies and is not recommended during pregnancy. Both medications interact with many other drugs, so it's important to discuss all your medications with your healthcare provider.

Prezcobix

(darunavir / cobicistat)

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Triumeq

 

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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 Triumeq

Prescription only

Triumeq is a single-tablet regimen used to treat human immunodeficiency virus (HIV) infections. It contains 3 antiretrovirals (ARVs): abacavir, dolutegravir, and lamivudine. Triumeq is available as either a tablet or a dissolvable tablet for oral suspension (Triumeq PD), but the two are not the same. Before starting treatment, your provider will require you to get a genetic test to see if you're at risk for developing a serious allergic reaction to this medication.

Indications for Triumeq

  • Treatment of HIV infection (in people who weigh at least 13 pounds)

Pros and Cons for Triumeq

Pros

  • Only taken once a day for complete HIV treatment
  • Combines three medications into one pill for convenience
  • Can be taken with or without food
  • Available for adults and children at or over 22 lbs

Cons

  • Dose can't be adjusted so it's not recommended for people with kidney or liver problems
  • Not safe to use in severe liver problems
  • Requires a genetic test before starting
  • Interacts with a lot of medications such as St. John’s wort and oxcarbazepine (Trileptal)

Common Side Effects for Triumeq

  • Higher lipase levels (suggesting irritated pancreas) (up to 11%)
  • Higher blood sugar levels (up to 9%)
  • Higher creatine kinase levels in the blood (suggesting muscle damage) (up to 7%)
  • Higher fat levels in the blood (up to 6%)
  • Higher white blood cell count (up to 4%)
  • Abnormal liver labs (up to 3%)
  • Trouble sleeping (3%)
  • Headache (2%)
  • Feeling tired (2%)

Please note: The side effects listed above are from clinical trials with Tivicay (dolutegravir) and Epzicom (abacavir / lamivudine), which are all active ingredients in Triumeq and Triumeq PD

Warnings for Triumeq

  • Serious allergic reaction
  • Worsening of hepatitis B virus (HBV) infection
  • Liver problems
  • Overactive immune system
  • Interaction with other medications

Prices with our coupons for Prezcobix vs. Triumeq

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Prezcobix30 tablets / 800mg/150mg
$2,404.58$2,838.11
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Triumeq30 tablets / 600mg/50mg/300mg
$3,644.18$4,940.63
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