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Triumeq vs. Juluca

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

Key takeaways

Triumeq (abacavir/dolutegravir/lamivudine) and Juluca (dolutegravir/rilpivirine) are both HIV antiretroviral (ARV) medications, but they have some key differences. Triumeq is a three-drug combination that includes abacavir, dolutegravir, and lamivudine, and is used for treating HIV in people who weigh at least 13 pounds. It requires a genetic test before starting to check for a risk of serious allergic reactions. Juluca, on the other hand, is a two-drug combination of dolutegravir and rilpivirine, and is only for people who are already well-controlled on their current HIV regimen and want to switch. Unlike Triumeq, Juluca must be taken with a meal and cannot be used with proton pump inhibitors like omeprazole. Both medications can cause serious allergic reactions and liver problems, but Juluca also has a risk of mood changes and depression. Triumeq is available as both a regular tablet and dissolvable tablet for children, while Juluca is only available as a regular tablet.

Triumeq

 

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Juluca

(dolutegravir / rilpivirine)

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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

Summary for Juluca

Prescription only

Juluca (dolutegravir / rilpivirine) is an HIV antiretroviral (ARV) tablet that contains two medications. It's not meant for people who have never taken HIV ARVs. Still, it's a good option for people who are well controlled on their current HIV regimen and want to switch to different regimen.

Indications for Juluca

  • HIV treatment for people who are well controlled on an HIV ARV regimen already and want to switch regimens

Pros and Cons for Juluca

Pros

  • Convenient; one tablet once a day
  • Two medications is a full HIV regimen; less risk for side effects
  • No dose adjustments needed for people with mild kidney or liver problems

Cons

  • Must be taken with food
  • Not meant for people first starting HIV ARVs
  • Can interact with a lot of medications, including over-the-counter (OTC) heartburn products

Common Side Effects for Juluca

  • Diarrhea (2%)
  • Headache (2%)

Warnings for Juluca

  • Severe rash and allergic reactions
  • Liver toxicity
  • Birth defects
  • Depression and changes in mood
  • Serious interactions with other medications

Prices with our coupons for Triumeq vs. Juluca

Price Card Drug Icon
Triumeq30 tablets / 600mg/50mg/300mg
$3,803.13$4,940.63
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Price Card Drug Icon
Juluca30 tablets / 50mg/25mg
$3,562.28$4,384.17
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