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Viread vs. Complera

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

Key takeaways

Tenofovir disoproxil fumarate (Viread) and emtricitabine/rilpivirine/tenofovir disoproxil fumarate (Complera) are both medications used to treat HIV. They both contain tenofovir disoproxil fumarate, which is a nucleoside reverse transcriptase inhibitor (NRTI) that helps prevent the virus from making copies of itself. Viread is also FDA-approved for treating chronic hepatitis B, while Complera is not. Viread can be taken as a single medication for treatment of hepatits B or as part of a combination therapy for treatment of HIV, whereas Complera is a single-tablet regimen for treatment of HIV that combines three medications: emtricitabine, rilpivirine, and tenofovir disoproxil fumarate. Viread is available as a tablet and a powder, while Complera is only available as a tablet. Viread is typically taken once daily, and its dosage can be adjusted for children based on weight, while Complera is taken once daily with food and is not recommended for people with kidney problems. Common side effects of Viread include rash, diarrhea, and headache, while Complera may cause mood changes, depression, and trouble sleeping. Both medications can lead to kidney and bone problems, so regular monitoring is important.

Tenofovir disoproxil fumarate

(Viread)

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Complera

 

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Summary for Viread

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.

Indications for Viread

  • 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

Pros and Cons for Viread

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
  • Interacts with certain medications for hepatitis C and HIV, such as atazanavir (Reyataz) and Harvoni (ledipasvir / sofosbuvir)

Common Side Effects for Viread

  • Higher cholesterol levels (19-22%)
  • Rash (5-18%)
  • Diarrhea (9-16%)
  • Headache (5-14%)
  • Pain (3-13%)
  • Higher creatine kinase (CK) levels, suggesting muscle damage (9-12%)
  • Feeling depressed (4-11%)
  • Nausea (8-11%)
  • Lack of energy (6-11%)

Please note: The side effects above were reported by people taking this medication for HIV infection.

Warnings for Viread

  • Worsening of hepatitis B infection
  • Kidney problems
  • Overactive immune system
  • Bone problems
  • Liver problems and lactic acidosis
  • Interaction with other medications

Summary for Complera

Prescription only

Complera is a single-tablet regimen containing 3 HIV antiretrovirals (ARVs), rilpivirine (Edurant), emtricitabine (Emtriva), and tenofovir disoproxil fumarate (Viread). It's no longer a first-choice treatment option due to newer agents with fewer side effects.

Indications for Complera

  • HIV treatment

Pros and Cons for Complera

Pros

  • 1 tablet once a day is a full HIV regimen
  • Can be used in pregnancy at the same dose
  • Contains tenofovir, which is also a first-choice treatment option for hepatitis B
  • Causes less abnormal dreams when compared to a similar medication Atripla
  • Not associated with weight gain

Cons

  • Must be taken with food
  • Not recommended for people with kidney problems since the dose can't be adjusted
  • Can't be used if the amount of virus (viral load) is too high
  • There are many medication interactions and it can't be taken with some medications used to treat tuberculosis, seizures, and stomach acid.
  • Can lead to kidney and bone problems

Common Side Effects for Complera

  • Change in mood, depression (2%)
  • Headache (2%)
  • Trouble sleeping, insomnia (2%)

Warnings for Complera

  • WORSENING OF HEPATITIS B
  • LIVER PROBLEMS AND TOXICITY
  • DEPRESSION AND CHANGES IN MOOD
  • KIDNEY PROBLEMS
  • BONE PROBLEMS
  • IMMUNE RECONSTITUTION SYNDROME

Prices with our coupons for Viread vs. Complera

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Tenofovir90 tablets / 300mg
$44.51$2,384.99
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Emtricitabine/Rilpivirine/Tenofovir30 tablets / 200mg/25mg/300mg
$956.64$3,040.49
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