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Prezista vs. Evotaz

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)

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Evotaz

(atazanavir / cobicistat)

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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 Evotaz

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 for Evotaz

  • Treatment of HIV

Pros and Cons for Evotaz

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
  • Can take if you have a sulfa allergy

Cons

Common Side Effects for Evotaz

  • Jaundice (yellowing of the skin or eyes; up to 6%)
  • Rash (5%)

Warnings for Evotaz

  • Heart rhythm problems
  • Rash and other severe skin reactions
  • Kidney problems
  • Kidney stones or gallstones
  • Liver problems
  • High bilirubin levels
  • Interactions with other medications (including certain HIV ARVs)
  • Overactive immune system
  • High blood sugar
  • Changes in body fat
  • Risk of bleeding in people with hemophilia

Prices with our coupons for Prezista vs. Evotaz

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Darunavir30 tablets / 800mg
$69.96$2,039.29
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Evotaz30 tablets / 300mg/150mg
$1,547.50-
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