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Prezista vs. Triumeq

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

Key takeaways

Prezista (darunavir) and Triumeq (abacavir/dolutegravir/lamivudine) are both medications used to treat HIV infections, but they belong to different classes and have distinct characteristics. Prezista is a protease inhibitor, which works by blocking a protein called protease to prevent the virus from making copies of itself. It is typically taken with a booster like ritonavir to enhance its effectiveness. Triumeq, on the other hand, is a combination of three antiretrovirals: abacavir and lamivudine, which are nucleoside reverse transcriptase inhibitors (NRTIs), and dolutegravir, an integrase inhibitor. This combination blocks enzymes that the virus needs to replicate. Prezista is available as an oral tablet or suspension and is taken once daily with food, while Triumeq is a single-tablet regimen taken once daily, with or without food. Triumeq requires genetic testing before starting to check for a risk of serious allergic reactions. Common side effects of Prezista include diarrhea and rash, while Triumeq can cause higher blood sugar levels and trouble sleeping. 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)

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Triumeq

 

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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 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 Prezista vs. Triumeq

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Darunavir30 tablets / 800mg
$69.96$2,039.29
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Triumeq30 tablets / 600mg/50mg/300mg
$3,906.39$5,011.89
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