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Vtama vs. Zoryve

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

Vtama

(tapinarof)

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Zoryve

(roflumilast)

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Summary for Vtama

Prescription only

Vtama (tapinarof) is a topical cream that's used to treat plaque psoriasis in adults. It can also treat eczema (atopic dermatitis) in people 2 years of age and older. Unlike other topical treatments for skin conditions, Vtama (tapinarof) isn't a steroid. Instead, it's an aryl hydrocarbon receptor (AhR) agonist. It's thought to boost the activity of AhR, leading to less inflammation in the skin cells and healthier skin. Vtama (tapinarof) is applied to the affected areas once daily. But it can cause side effects on the skin like irritated hair follicles or a rash.

Indications for Vtama

Pros and Cons for Vtama

Pros

  • Only applied onto the affected areas once daily
  • Can apply to sensitive areas, including the face and skin folds
  • A different kind of medication that isn't a steroid

Cons

  • Can cause side effects on the skin, like red bumps and itchy rash
  • Not FDA approved for all types of inflammatory skin conditions
  • Not known whether it's safe to use during pregnancy or while breastfeeding

Common Side Effects for Vtama

Plaque psoriasis:

  • Red, raised bumps around the hair pores (20%)
  • Symptoms of the common cold (11%)
  • Rash (7%)

Eczema:

Summary for Zoryve

Prescription only

Zoryve (roflumilast) is a cream and foam that's approved for treating certain skin conditions in adults and children. Both can be used for plaque psoriasis. The cream is also used for atopic dermatitis (eczema), and the foam can also be used for seborrheic dermatitis. Zoryve (roflumilast) is a phosphodiesterase 4 (PDE4) inhibitor. It works to lessen inflammation on the skin. You apply Zoryve (roflumilast) to the affected area(s) of the skin once a day. Side effects can include headache and nausea.

Indications for Zoryve

  • Zoryve (roflumilast) cream

    • Plaque psoriasis in people 6 years and older - 0.3% cream
    • Mild-to-moderate eczema in people 6 years and older - 0.15% cream
    • Mild-to-moderate eczema in children 2 to 5 years old - 0.05% cream
  • Zoryve (roflumilast) 0.3% foam

    • Plaque psoriasis on the scalp and body in people 12 years and older
    • Seborrheic dermatitis in people 9 years and older

Pros and Cons for Zoryve

Pros

  • Steroid-free topical medication
  • Only applied once a day
  • Few side effects
  • Generally safe to use for a long time

Cons

  • Cream not approved for children under 2 years old with eczema
  • Foam not approved for children under 9 years old with seborrheic dermatitis
  • Not safe for people with moderate or severe liver conditions
  • Not known if it's safe to use during pregnancy or while breastfeeding

Common Side Effects for Zoryve

Zoryve (roflumilast) 0.05% cream:

Zoryve (roflumilast) 0.15% cream:

  • Headache (3%)
  • Nausea (2%)

Zoryve (roflumilast) 0.30% cream:

  • Diarrhea (3%)
  • Headache (2%)

Zoryve (roflumilast) 0.30% foam:

  • Headache (3%)
  • Diarrhea (3%)
  • Nausea (2%)

Warnings for Zoryve

  • Flammable (foam only)

Prices with our coupons for Vtama vs. Zoryve

Price Card Drug Icon
Vtama1 tube / 60g of 1%
$1,463.18$1,914.39
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Price Card Drug Icon
Zoryve1 tube / 60g of 0.3%
$871.97$1,144.28
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