Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Efavirenz (Sustiva) and rilpivirine (Edurant) are both antiretroviral medications used to treat HIV, but they have some key differences. Efavirenz (Sustiva) is available in both brand-name and generic forms, while rilpivirine (Edurant) is only available as a brand-name medication. Efavirenz (Sustiva) is taken on an empty stomach at bedtime to reduce side effects, whereas rilpivirine (Edurant) must be taken with a meal. Efavirenz (Sustiva) is approved for use in children as young as 3 months old, while rilpivirine (Edurant) is only approved for children 12 years and older who weigh at least 77 pounds. Efavirenz (Sustiva) is not recommended during pregnancy due to the risk of birth defects, but rilpivirine (Edurant) is considered safe to use during pregnancy. Both medications can cause serious side effects, but efavirenz (Sustiva) has a higher risk of nerve and mental health issues, while rilpivirine (Edurant) has a higher risk of severe skin reactions.
Efavirenz (Sustiva)
Edurant (rilpivirine)
Efavirenz (Sustiva)
Edurant (rilpivirine)
Summary of Sustiva vs. Edurant
Summary for HIV ARV
Prescription only
Efavirenz (Sustiva) is a medication that's used in combination with other antiretroviral (ARV) therapy to treat human immunodeficiency virus (HIV) infections. It comes as oral tablets and capsules that are swallowed whole. The capsules can also be opened up and sprinkled in liquid for people who have trouble swallowing. Some side effects of this medication are rash, diarrhea, and nausea. Efavirenz (Sustiva) is available as both a brand-name and generic medication.
Summary for HIV ARV
Prescription only
Edurant (rilpivirine) is a once-daily antiretroviral medication that's taken by mouth and is used to treat human immunodeficiency virus (HIV) infection. It's approved for use in adults and children. Edurant (rilpivirine) is taken with other antiretroviral medications when it's used for certain people who've never had HIV treatment before. Edurant (rilpivirine) can also be used for a short period of time before starting Cabenuva (cabotegravir / rilpivirine). Side effects of Edurant (rilpivirine) can include depression, headache, and trouble sleeping.
Indications of Sustiva vs. Edurant
Indications for
•Treatment of HIV infection in people ages 3 months and older
Indications for
•Treatment of HIV-1 infection in people 2 years and older, weighing at least 30 pounds, with an HIV viral load of less than 100,000 copies/mL and who haven't taken HIV medications before
•Short-term treatment of HIV-1 infection in certain people ages 12 years and older, weighing at least 77 pounds, who are planning to start or planning to miss a dose of Cabenuva (cabotegravir / rilpivirine)
Pros and Cons of Sustiva vs. Edurant
Pros and Const for HIV ARV
Pros
•Only taken once a day
•Capsule form can be opened and sprinkled on 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 7.7 lbs
Cons
•Has many potentially serious side effects and risks (e.g., nerve issues, irregular heartbeat)
•Needs to be taken on an empty stomach
•Not recommended during pregnancy
•Interacts with a lot of medications
Pros and Const for HIV ARV
Pros
•Taken by mouth once a day, so it's convenient for people with a busy schedule
•Can use in people with mild-to-moderate kidney and liver problems
•Safe to use during pregnancy
Cons
•Can cause some allergic skin reactions
•Must take with a meal
•Only available as a brand-name medication
Common Side Effects of Sustiva vs. Edurant
Common Side Effects for
The following side effects were reported in adults taking this medication with other HIV ARVs. Side effects might differ in children.