Skip to main content

Compare
Prezista vs. Kaletra

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

Key takeaways

Prezista (darunavir) and Kaletra (lopinavir/ritonavir) are both antiretroviral medications used to treat HIV infections. They belong to the same drug class, protease inhibitors, which work by blocking a protein called protease to prevent the virus from making copies of itself. However, there are several differences between the two. Prezista is typically taken once a day with ritonavir and food, while Kaletra can be taken once or twice daily, with or without food. Both medications are available as a tablet or an oral liquid. Prezista is safe to take during pregnancy, but Kaletra's oral solution is not recommended during pregnancy because it contains alcohol. Common side effects of Prezista include diarrhea, rash, and nausea, while Kaletra may cause diarrhea, nausea, and high cholesterol levels. Both medications interact with many other drugs, so it's important to discuss all medications you're taking with your prescriber and pharmacist. Prezista contains a sulfa component, so talk to your prescriber if you have a sulfa allergy.

Prezista

(darunavir)

Get free coupons

Kaletra

(lopinavir / ritonavir)

Get free coupons

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 Kaletra

Prescription only

Kaletra (lopinavir / ritonavir) is a combination medication that's used as part of an antiretroviral (ARV) regimen to treat human immunodeficiency virus (HIV) infections. This medication comes in two different formulations (oral solution and tablets), both of which are taken by mouth. The dosage for Kaletra (lopinavir / ritonavir) depends on your age, the other medications that you're taking (including other medications for HIV), and your other health conditions. Some common side effects include diarrhea and nausea.

Indications for Kaletra

Pros and Cons for Kaletra

Pros

  • Can use in young children aged 2 weeks or older
  • Can take once or twice daily, depending on your medical history
  • Tablets can be taken with or without food
  • Available in a liquid form for people who have difficulty swallowing pills

Cons

  • Requires regular blood work and lab tests
  • Might need to take up to 4 tablets for one dose
  • Might raise blood sugar, body fat, and cholesterol levels
  • Interacts with a lot of medications (e.g., statins, heart rhythm medications, erectile dysfunction medications)

Common Side Effects for Kaletra

Adults:

  • Diarrhea (20%)
  • Respiratory tract infection (8-14%)
  • Nausea (10%)
  • Feeling weak (8%)
  • High cholesterol levels (7%)
  • Vomiting (7%)
  • Belly pain (6%)
  • Muscle, joint, or back pain (6%)
  • Headache or migraine (6%)

Children:

  • Changes in taste (21%)
  • Vomiting (21%)
  • Diarrhea (12%)

Warnings for Kaletra

  • Interactions with other medications
  • Pancreas problems
  • Liver problems
  • Heart rhythm problems
  • High blood sugar
  • Overactive immune system
  • Higher cholesterol levels
  • Changes in body fat
  • Risk of bleeding in people with a genetic bleeding problem called hemophilia
  • Potential harm to premature newborns (oral solution only)

Prices with our coupons for Prezista vs. Kaletra

Price Card Drug Icon
Darunavir30 tablets / 800mg
$69.96$2,036.11
Get free coupons
More Information
Price Card Drug Icon
Lopinavir/Ritonavir120 tablets / 200mg/50mg
$251.28$1,012.36
Get free coupons
More Information

Browse medications by letter

Show All

Browse prescription and over-the-counter medications from A to Z, compare drug prices, and start saving.