Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Atazanavir (Reyataz) and tipranavir (Aptivus) are both antiretroviral (ARV) medications used to treat HIV infections when taken with other HIV antiretrovirals. They belong to the same class of medications called protease inhibitors, which work by blocking a protein that the HIV virus needs to make copies of itself. However, there are several differences between the two. Atazanavir (Reyataz) is available as an oral tablet or powder and is typically taken once daily, often with a booster like ritonavir (Norvir). It is available as a generic medication and can be used in children as young as 3 months old. Common side effects include nausea, headache, and jaundice. On the other hand, tipranavir (Aptivus) is usually taken as 500 mg with ritonavir 200 mg twice daily, requiring multiple capsules per day. It is available as an oral solution for those who have trouble swallowing capsules. Tipranavir (Aptivus) is not recommended for people with sulfa allergies or moderate to severe liver problems. Common side effects include diarrhea, nausea, and fatigue. Both medications interact with many other drugs, but tipranavir (Aptivus) is known for more severe interactions, including with birth control pills.
Atazanavir (Reyataz)
Aptivus (tipranavir)
Atazanavir (Reyataz)
Aptivus (tipranavir)
Summary of Reyataz vs. Aptivus
Summary for HIV ARV
Prescription only
Atazanavir (Reyataz) is an oral tablet or powder 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 atazanavir (Reyataz) work better against the virus. Some common side effects of this medication include nausea, vomiting, and headache. Rarely, this medication can also cause jaundice, which is a health condition that causes the skin or whites of the eyes to turn yellow.
Summary for HIV ARV
Prescription only
Aptivus (tipranavir) is an HIV antiretroviral (ARV) medication used in combination with other HIV ARVs for the treatment of HIV. It's not used very often anymore because of side effects, interactions with other medications, and daily doses requiring multiple capsules.
Indications of Reyataz vs. Aptivus
Indications for
•Treatment of HIV infection
Indications for
•HIV treatment
Pros and Cons of Reyataz vs. Aptivus
Pros and Const for HIV ARV
Pros
•Powder form can be mixed with soft food or liquid, such as applesauce or milk, so convenient for people with difficulty swallowing pills
•Available as a lower-cost generic medication
•Can be used in young children 3 months and older who weigh over 5 kg (powder form)
•Only taken once a day
Cons
•Interacts with a lot of medications
•Requires regular blood work and lab tests
•Not safe for use for people with serious kidney problems
•Needs to be taken with food
Pros and Const for HIV ARV
Pros
•Available as an oral solution if you have a hard time swallowing capsules
•Can be taken with or without food
•Can be used in children aged 2 years and older
•Oral solution contains vitamin E
Cons
•Must be taken with a booster called ritonavir (Norvir)
•Not a good option for people with sulfa allergies or moderate to severe liver problems