Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Tenofovir disoproxil fumarate (Viread) and Descovy (emtricitabine/tenofovir alafenamide) are both antiretroviral medications used to treat HIV, but they have some key differences. Viread is also approved to treat hepatitis B, while Descovy is not. Viread can be used in combination with other medications for HIV pre-exposure prophylaxis (PrEP), whereas Descovy is a complete regimen for PrEP but is not effective for females at risk through receptive vaginal sex. Viread is available as a generic, making it a lower-cost option, while Descovy does not have a generic form. Descovy is considered safer for your kidneys and bones compared to Viread. Both medications are taken once daily and require regular blood tests to monitor your health. Common side effects for Viread include rash, diarrhea, and headache, while Descovy commonly causes nausea and diarrhea.
Tenofovir disoproxil fumarate (Viread)
Entecavir (Baraclude)
Tenofovir disoproxil fumarate (Viread)
Entecavir (Baraclude)
Summary of Viread vs. Baraclude
Summary for Antiretroviral (ARV)
Prescription only
Tenofovir disoproxil fumarate (Viread), also known as TDF, is a first-choice medication that's used as part of an antiretroviral (ARV) regimen for treating human immunodeficiency virus (HIV) infections. It's also a preferred medication used for treating hepatitis B virus (HBV). Tenofovir disoproxil fumarate, the active ingredient in Viread, is also found in Truvada, a combination medication commonly used for HIV PrEP. Tenofovir disoproxil fumarate (Viread) is available as both an oral tablet and a powder that's mixed with soft food. Common side effects include rash, diarrhea, and headache.
Summary for Antiviral
Prescription only
Entecavir (Baraclude) is a first-choice antiviral medication used for the treatment of hepatitis B. Some side effects of the medication can include headache and fatigue. Entecavir (Baraclude) is available as a tablet and a liquid solution that are typically taken once daily. While both forms of the medication have a brand name, only the tablet has a generic version available as well.
Indications of Viread vs. Baraclude
Indications for
•Treatment of HIV infection - people ages 2 years and older
•Treatment of chronic (long-term) hepatitis B - Brand Viread for people ages 2 years and older; generic for people ages 12 years and older
Indications for
•Hepatitis B virus (HBV)
Pros and Cons of Viread vs. Baraclude
Pros and Const for Antiretroviral (ARV)
Pros
•Can treat both HIV and HBV infections
•Only taken once a day
•Available in a powder form that can be mixed with soft foods for people who have difficulty swallowing pills
•Tablet form is available as a lower-cost generic medication
Cons
•Requires regular blood work and lab tests to make sure your liver and kidneys are healthy
•Can worsen hepatitis B if stopped all of a sudden
•More likely to cause bone problems compared to similar medications