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Tivicay vs. Epivir

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

Key takeaways

Tivicay (dolutegravir) and Epivir (lamivudine) are both medications used to treat HIV, but they work differently and have some distinct features. They are taken with other HIV antiretrovirals to make up a complete treatment regimen.Tivicay is an integrase inhibitor that blocks an enzyme HIV uses to insert its genetic material into your cells, while Epivir is a nucleoside reverse transcriptase inhibitor (NRTI) that blocks a different enzyme called reverse transcriptase. Tivicay is only available as a brand-name medication, whereas Epivir has both brand and generic forms. Tivicay can be used for people as young as 4 weeks old, while Epivir is approved for children 3 months and older. Additionally, Epivir is also used to treat hepatitis B, but Tivicay is not. Common side effects of Tivicay include trouble sleeping and headaches, while Epivir often causes headaches, nausea, and tiredness. Both medications require regular blood tests to monitor their effectiveness and safety.

Tivicay

(dolutegravir)

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Lamivudine

(Epivir)

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Summary for Tivicay

Prescription only

Tivicay (dolutegravir) is a medication that's used as part of an antiretroviral (ARV) regimen for treating human immunodeficiency virus (HIV) infections. Some side effects can include trouble sleeping, tiredness, and headache, but they aren't very common with this medication. Tivicay (dolutegravir) comes as two different formulations: a tablet that you swallow whole and a tablet that you mix in water to make into a liquid solution. Tivicay (dolutegravir) is only available as a brand-name medication; there's no generic at this time.

Indications for Tivicay

  • Treatment of HIV infection in people aged 4 weeks and older

Pros and Cons for Tivicay

Pros

  • Can take with or without food
  • Available for adults and children at least 4 weeks old and weighing at least 7 pounds
  • Has an oral tablet formulation that can be dissolved in water and taken as a solution (Tivicay PD), so it's convenient if you have trouble swallowing pills

Cons

  • Interacts with a lot of medications, such as some other HIV medications, anti-seizure medications (e.g., oxcarbazepine (Trileptal)), and antacids
  • Can't take with dofetilide (Tikosyn) because of risk of serious side events
  • Not recommended for use if you have severe liver problems

Common Side Effects for Tivicay

The following side effects were reported in adults taking this medication with other HIV ARVs. Side effects might differ in children.

Warnings for Tivicay

  • Allergic reaction
  • Liver problems
  • Overactive immune system
  • Interactions with other medications
  • Harm to unborn baby

Summary for Epivir

Prescription only

Lamivudine (Epivir), also known as 3TC, is a nucleoside reverse transcriptase inhibitor (NRTI). It's available as Epivir to treat human immunodeficiency virus (HIV) infections and Epivir HBV to treat hepatitis B virus (HBV). Both brands and their generic formulations can be used in adults and children. But they're not interchangeable so you can't take one brand in place of another. Lamivudine (Epivir) is taken by mouth, typically once or twice daily. Some common side effects of this medication include headache, nausea, and feeling tired.

Indications for Epivir

  • Treatment of HIV infection for people ages 3 months and older - brand and generic Epivir only
  • Treatment of chronic (long-term) hepatitis B for people ages 2 years and older - brand and generic Epivir HBV only

Pros and Cons for Epivir

Pros

  • Epivir HBV is considered a complete HBV treatment
  • Can take with or without food
  • Few interactions with other medications or supplements
  • Available in an oral solution form

Cons

  • Requires regular blood work and lab tests to make sure your liver and kidneys are healthy
  • Can worsen hepatitis B if you stop it all of a sudden
  • Oral solution contains sucrose (a sweetener), which shouldn't be used for people with diabetes
  • Epivir needs to be used with other ARVs to treat HIV

Common Side Effects for Epivir

  • Headache (35%)
  • Nausea (33%)
  • Feeling tired (27%)
  • Runny nose and congestion (20%)
  • Cough (18%)
  • Diarrhea (18%)
  • Nausea and vomiting (13%)
  • Nerve pain (12%)
  • Muscle pain (12%)
  • Trouble sleeping (11%)
  • Fever or chills (10%)
  • Lack of appetite (10%)
  • Dizziness (10%)

Warnings for Epivir

  • Worsening of infection if you have HIV and hepatitis B
  • Liver problems and lactic acidosis
  • Pancreas problems
  • Overactive immune system - Epivir only
  • Interaction with sorbitol - Epivir oral solution only

Prices with our coupons for Tivicay vs. Epivir

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Tivicay30 tablets / 50mg
$2,336.13$2,990.84
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Lamivudine30 tablets / 100mg
$101.39-
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