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Retrovir vs. Triumeq

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

Key takeaways

Zidovudine (Retrovir) and Triumeq (abacavir/dolutegravir/lamivudine) are both antiretroviral medications used to treat HIV. They belong to the same drug class, HIV ARVs, and are used to prevent the virus from making copies of itself. However, they differ in several ways. Zidovudine is a nucleoside reverse transcriptase inhibitor (NRTI) and is often used in combination with other HIV medications, but it's not a first-choice option due to its side effects. It is available in capsule, oral solution, and IV forms and is taken multiple times a day. Triumeq, on the other hand, is a single-tablet regimen that combines three medications: abacavir, dolutegravir, and lamivudine. It is taken once daily and is available as a tablet or a dissolvable tablet for oral suspension. Zidovudine is available as a generic, while Triumeq is availible as a brand name only and requires a genetic test before starting due to the risk of a serious allergic reaction. Common side effects of zidovudine include headache and nausea, while Triumeq can cause higher blood sugar levels and trouble sleeping. Triumeq also has more drug interactions, such as with antacids and certain seizure medications.

Zidovudine

(Retrovir)

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Triumeq

 

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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 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 Retrovir vs. Triumeq

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Zidovudine60 tablets / 300mg of
$34.40$156.75
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Price Card Drug Icon
Triumeq30 tablets / 600mg/50mg/300mg
$3,906.39$5,011.89
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