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Prezista vs. Aptivus

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

Key takeaways

Prezista (darunavir) and Aptivus (tipranavir) are both protease inhibitors used to treat HIV, but they have some key differences. Prezista (darunavir) is often preferred because it is taken once a day and is available as an oral suspension, making it easier to use. In contrast, Aptivus (tipranavir) requires multiple capsules daily and must be taken twice a day, which can be less convenient. Prezista (darunavir) is generally safe during pregnancy, while Aptivus (tipranavir) is not commonly used due to its side effects and interactions with other medications. Both medications need to be taken with a booster like ritonavir (Norvir) to work effectively. However, Aptivus (tipranavir) has a higher risk of causing liver problems, bleeding in the brain, and raising cholesterol and blood sugar levels. Additionally, both medications should be used cautiously if you have a sulfa allergy.

Prezista

(darunavir)

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Aptivus

(tipranavir)

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Summary for Prezista

Prescription only

Prezista (darunavir) is an oral tablet or suspension that's used as part of an antiretroviral (ARV) regimen to treat human immunodeficiency virus (HIV) infections. It's often taken in combination with a "booster," like ritonavir (Norvir), to help Prezista (darunavir) work better against the virus. Rarely, this medication can cause a skin rash within the first month of treatment, but it typically goes away on its own. Lastly, let your provider know if you have a history of sulfa allergy since Prezista (darunavir) contains a "sulfa" component.

Indications for Prezista

  • Treatment of HIV infection in people aged 3 years and older

Pros and Cons for Prezista

Pros

  • Taken once a day by mouth
  • Available as an oral suspension, so it's convenient if you have trouble swallowing pills
  • Safe to take during pregnancy

Cons

  • Requires regular blood work and lab tests
  • Interacts with many medications
  • Must be used carefully in people with sulfa allergies

Common Side Effects for Prezista

  • Diarrhea (9-14%)
  • Rash (6-7%)
  • Nausea (4-7%)
  • Headache (3-7%)
  • Stomach pain (6%)
  • Vomiting (2-5%)

Side effects above were reported in adults taking this medication with ritonavir (Norvir). Side effects might differ in children.

Warnings for Prezista

  • Liver problems
  • Severe skin and allergic reactions
  • Changes in body fat
  • Overactive immune system
  • Bleeding
  • Interactions with other medications

Summary for Aptivus

Prescription only

Aptivus (tipranavir) is an HIV antiretroviral (ARV) medication used in combination with other HIV ARVs for the treatment of HIV. It's not used very often anymore because of side effects, interactions with other medications, and daily doses requiring multiple capsules.

Indications for Aptivus

  • HIV treatment

Pros and Cons for Aptivus

Pros

  • Available as an oral solution if you have a hard time swallowing capsules
  • Can be taken with or without food
  • Can be used in children aged 2 years and older
  • Oral solution contains vitamin E

Cons

  • Must be taken with a booster called ritonavir (Norvir)
  • Not a good option for people with sulfa allergies or moderate to severe liver problems
  • Typical adult doses require 4 capsules a day
  • Can cause higher cholesterol and blood sugar

Common Side Effects for Aptivus

  • Diarrhea (15%)
  • Nausea (9%)
  • Fever (8%)
  • Vomiting (6%)
  • Fatigue (6%)
  • Headache (5%)

Warnings for Aptivus

  • LIVER PROBLEMS
  • BLEEDING IN THE BRAIN
  • DRUG INTERACTIONS
  • SULFA ALLERGY
  • DIABETES
  • IMMUNE RECONSTITUTION SYNDROME
  • FAT REDISTRIBUTION
  • HIGHER CHOLESTEROL

Prices with our coupons for Prezista vs. Aptivus

Price Card Drug Icon
Darunavir30 tablets / 800mg
$69.96$2,036.11
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Aptivus120 capsules / 250mg
$2,051.71$2,385.51
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