Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Prezista (darunavir) and Evotaz (atazanavir/cobicistat) are both oral antiretroviral medications used to treat HIV. They are both protease inhibitors, but there are several differences between them. Prezista is taken with a booster like ritonavir, while Evotaz already contains cobicistat as a booster. Prezista is available as a tablet or oral suspension, whereas Evotaz is only available as a tablet. Prezista can be used in children as young as 3 years old, while Evotaz is approved for those weighing at least 77 pounds. Prezista is safe during pregnancy, but Evotaz is not recommended because it may not work as well during pregnancy. Common side effects of Prezista include diarrhea, rash, and nausea, while Evotaz can cause jaundice and rash. Both medications interact with many other drugs, but Evotaz must be separated from heartburn medications.
Prezista (darunavir)
Evotaz (atazanavir / cobicistat)
Prezista (darunavir)
Evotaz (atazanavir / cobicistat)
Summary of Prezista vs. Evotaz
Summary for HIV ARV
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.
Summary for Antiretroviral
Prescription only
Evotaz (atazanavir / cobicistat) is a combination medication that's taken as part of an antiretroviral (ARV) regimen to treat HIV (human immunodeficiency virus). It's approved for people with HIV who weigh at least 77 pounds. Evotaz (atazanavir / cobicistat) is a tablet that's taken once a day with food. It must be taken along with other HIV ARV medications. Evotaz (atazanavir / cobicistat) can cause side effects, including rash and jaundice (yellowing of the skin or eyes).
Indications of Prezista vs. Evotaz
Indications for
•Treatment of HIV infection in people aged 3 years and older
Indications for
•Treatment of HIV
Pros and Cons of Prezista vs. Evotaz
Pros and Const for HIV ARV
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
Pros and Const for Antiretroviral
Pros
•Taken once a day
•Combination tablet, so there are fewer pills to take
•Same dose for adults and children who weigh at least 77 pounds