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Trifluridine vs. Zirgan

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

Trifluridine

(Viroptic)

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Zirgan

(ganciclovir)

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Summary for Trifluridine

Prescription only

Trifluridine (Viroptic) is an antiviral eye drop that treats inflammation caused by herpes infections in the eye. It's FDA approved for people 6 years and older. When you first start, the eye drops need to be used frequently, every 2 hours while you're awake, with a maximum of 9 drops per day. This medication comes in both brand-name and generic versions. The most common side effects include temporary burning or stinging when you apply the eye drops to your eye(s).

Indications for Trifluridine

Pros and Cons for Trifluridine

Pros

  • Works well to treat a herpes eye infection by helping the eye heal
  • Most side effects are mild and temporary
  • Proven safe and effective in children as young as 6 years old

Cons

  • Must be used multiple times a day
  • Can't be used long-term since doing so can cause eye injury
  • Doesn't treat infections caused by bacteria, fungi, or other viruses

Common Side Effects for Trifluridine

  • Mild, temporary burning or stinging (5%)
  • Eyelid swelling (3%)

Warnings for Trifluridine

  • Damage to eyes from long-term use
  • Only for herpes eye infection
  • Eye irritation

Summary for Zirgan

Prescription only

Zirgan, also known by its generic name ganciclovir, is an antiviral eye drop medication. It's used to treat herpetic keratitis or dendritic ulcer, which is an eye infection due to herpes simplex virus (HSV). Zirgan (ganciclovir) is approved for adults and children 2 years and older. It comes as a gel that's placed as a drop directly into the affected eye(s). The dosage is typically taken every 3 hours while awake, then 3 times per day for a week after the eye heals. The most common side effects are blurry vision and eye irritation.

Indications for Zirgan

  • Eye infection due to herpes simplex virus (herpetic keratitis) in people ages 2 years and older

Pros and Cons for Zirgan

Pros

  • Few side effects
  • Approved for children as young as 2 years old

Cons

  • Need to use every 3 hours while awake until the eye heals
  • Not known whether it's safe to use while pregnant or breastfeeding

Common Side Effects for Zirgan

  • Blurry vision (60%)
  • Eye irritation (20%)

Warnings for Zirgan

  • Only for use on the surface of the eye
  • Don't wear contact lenses while you're using the medication

Prices with our coupons for Trifluridine vs. Zirgan

Price Card Drug Icon
Trifluridine1 eye dropper / 7.5ml of 1%
$61.64$339.06
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Price Card Drug Icon
Zirgan1 bottle / 5g of 0.15%
$465.94$570.23
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