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Retrovir vs. Combivir

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

Key takeaways

Zidovudine (Retrovir) and Combivir (lamivudine/zidovudine) are both medications used to treat HIV. They belong to the same drug class, nucleoside reverse transcriptase inhibitors (NRTIs), which work by stopping the virus from making copies of itself. Zidovudine is also used to prevent mother-to-child HIV transmission, which is not an indication for Combivir. Zidovudine is available as a standalone medication in various forms, including capsules, oral solution, and IV, while Combivir is a combination tablet taken orally. Zidovudine is typically taken multiple times a day, whereas Combivir is taken as one tablet twice daily. Both medications can cause serious blood and muscle problems, but Combivir also includes lamivudine, which can help treat hepatitis B. Zidovudine is available as a generic and is one of the most affordable options, while Combivir is also available as a generic, making it more affordable. Common side effects of zidovudine include headache and nausea, while Combivir can cause headaches, nausea, and fatigue. Both medications require regular blood tests to monitor for side effects and effectiveness.

Zidovudine

(Retrovir)

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Combivir

 

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Summary for Retrovir

Prescription only

Zidovudine (Retrovir) is an HIV antiretroviral (ARV) used in combination with other HIV ARVs for the treatment of HIV and prevention of mother-to-child HIV transmission. It's not a first-choice option for most people due to side effects.

Indications for Retrovir

  • HIV treatment
  • Prevention of mother-to-child HIV transmission (PMTCT)

Pros and Cons for Retrovir

Pros

  • Passes through the placenta of pregnant women to protect the baby from HIV
  • Safe and effective for children and infants
  • Available as capsule, oral solution, and IV
  • Available in many other HIV ARV combination tablets
  • One of the most affordable generic HIV ARVs currently available

Cons

  • Can cause serious blood, muscle, and liver problems
  • Needs to be taken multiple times a day
  • Dose needs to be adjusted for people with kidney problems
  • Some people experience fat loss in their face, limbs, and butt
  • Not a good HIV ARV option if you are going to be treated with ribavirin for hepatitis C

Common Side Effects for Retrovir

  • Headache (63%)
  • Fatigue and discomfort (53%)
  • Nausea (51%)
  • Anorexia (20%)
  • Vomiting (17%)

Warnings for Retrovir

  • BLOOD AND BONE MARROW PROBLEMS
  • MUSCLE PAIN AND WEAKNESS
  • LIVER PROBLEMS
  • IMMUNE RECONSTITUTION SYNDROME
  • FAT REDISTRIBUTION

Summary for Combivir

Prescription only

Combivir is a combination medication containing two HIV antiretrovirals (ARVs), lamivudine (Epivir) and zidovudine (Retrovir). It's used with other HIV ARVs for the treatment of HIV.

Indications for Combivir

  • HIV treatment

Pros and Cons for Combivir

Pros

  • Two HIV ARVs in one tablet so you don't have to take as many pills
  • Contains lamivudine, which also works against hepatitis B
  • Can be taken with or without food
  • Available as a generic, which can be more affordable
  • The recommended dose is the same for everyone who weighs at least 30 kg

Cons

  • Needs to be taken twice daily
  • Contains zidovudine, which can cause serious blood and muscle problems
  • Not a good option if you have kidney or liver problems since the dose can't be adjusted
  • Some people experience fat loss in their face, limbs, and buttocks
  • Not a good HIV ARV option if you are going to be treated with ribavirin for hepatitis C

Common Side Effects for Combivir

  • Headache (35%)
  • Nausea (33%)
  • Fatigue/tiredness (27%)
  • Runny nose and congestion (20%)
  • Cough (18%)
  • Diarrhea (18%)
  • Nausea and vomiting (13%)
  • Muscle and nerve pain (12%)
  • Insomnia/difficulty sleeping (11%)

Warnings for Combivir

  • BLOOD AND BONE MARROW PROBLEMS
  • MUSCLE PAIN AND WEAKNESS
  • LIVER PROBLEMS
  • WORSENING OF HEPATITIS B
  • PANCREATITIS
  • IMMUNE RECONSTITUTION SYNDROME
  • FAT REDISTRIBUTION

Prices with our coupons for Retrovir vs. Combivir

Price Card Drug Icon
Zidovudine60 tablets / 300mg
$34.40$156.47
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Lamivudine/Zidovudine60 tablets / 150mg/300mg
$43.44$661.19
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