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Viramune vs. Intelence

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

Key takeaways

Nevirapine (Viramune) and etravirine (Intelence) are both medications used to treat HIV infections when taken in combination with other antiretrovirals. They both belong to the same drug class, non-nucleoside reverse transcriptase inhibitors (NNRTIs). However, they have several differences. Nevirapine is available in both immediate-release and extended-release forms, as well as an oral suspension, while etravirine is available as tablets that can be dissolved in liquid. Nevirapine is typically started at a lower dose to minimize the risk of rash, which is a common side effect, and then increased after two weeks. Etravirine is taken twice daily after meals, and it is often used for people who have developed resistance to other HIV medications. Nevirapine is available as a generic, making it a lower-cost option, whereas etravirine is available as both a brand-name and generic medication. Both medications can cause severe skin and liver reactions, but etravirine is more likely to cause changes in cholesterol and blood sugar levels. Additionally, both medications interact with many other drugs, so it's important to discuss all medications you are taking with your healthcare provider.

Nevirapine

(Viramune)

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Etravirine

(Intelence)

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Summary for Viramune

Prescription only

Nevirapine (Viramune) is a medication that's used as part of an antiretroviral (ARV) regimen to treat human immunodeficiency virus (HIV) infections. It's available in both immediate-release and extended-release formulations. Nevirapine (Viramune) also comes as an oral suspension for people who have trouble swallowing and children. Rarely, this medication can cause severe rash in the first 4 months of treatment. Get medical attention right away if rash happens.

Indications for Viramune

  • HIV infection

Pros and Cons for Viramune

Pros

  • Available as a lower-cost generic medication
  • Available in short-acting and long-acting forms, so options to take once or twice daily
  • Available as an oral solution, so it's convenient for people who has trouble swallowing
  • Can be used in children 15 days or older (short-acting tablets and oral solution only)

Cons

  • Interacts with many medications, including some other HIV medications (e.g., atazanavir (Reyataz))
  • Immediate-release formulation needs to be taken twice daily after the first 2 weeks of treatment
  • Can cause severe rash or liver problems
  • Not a good option for pregnancy

Common Side Effects for Viramune

  • Rash (5-7%)
  • Nausea (1-9%)

Warnings for Viramune

  • Liver problems
  • Severe skin and allergic reactions
  • Overactive immune system
  • Changes in body fat
  • Interactions with other medications

Summary for Intelence

Prescription only

Etravirine (Intelence) is a medication that's used as part of an antiretroviral (ARV) therapy to treat human immunodeficiency virus (HIV) infections. It's typically given to people who might've developed resistance to other HIV medications. Etravirine (Intelence) comes as tablets that are swallowed whole or dissolved in liquid for people who have trouble swallowing. Some side effects of this medication are changes in cholesterol levels and rash. Etravirine (Intelence) is available as both a brand-name and generic medication.

Indications for Intelence

  • Treatment of HIV infection in people 2 years of age and older

Pros and Cons for Intelence

Pros

  • Available for people 2 years of age and older who weigh at least 22 lbs
  • Can dissolve tablet with liquid to make it easier for people who have trouble swallowing pills to take
  • No need for dose changes if you're pregnant
  • Might work well for people who didn’t see benefits with other HIV medications in the same class

Cons

  • Need to take twice daily after meals
  • Interacts with many medications, including some other HIV medications (e.g., Tivicay (dolutegravir), atazanavir (Reyataz))
  • Not an option for people who are just starting HIV treatment
  • Doesn't come in a combination pill

Common Side Effects for Intelence

Note: The side effects listed above are from clinical studies with adults taking etravirine (Intelence) and other HIV medications. Side effects might differ in children.

Warnings for Intelence

  • Severe skin and allergic reactions
  • Overactive immune system
  • Changes in body fat
  • Interactions with other medications

Prices with our coupons for Viramune vs. Intelence

Price Card Drug Icon
Nevirapine180 tablets / 200mg of
$35.14$1,267.97
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Etravirine60 tablets / 200mg
$371.14$1,373.86
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