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Zepatier vs. Olysio

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

Key takeaways

Zepatier (elbasvir/grazoprevir) and Olysio (simeprevir) are both antiviral medications used to treat hepatitis C. However, they differ in several ways. Zepatier is a combination medication containing two antiviral agents, elbasvir and grazoprevir, and is FDA-approved for treating hepatitis C genotypes 1 and 4. It is taken as one tablet once a day and is still available by prescription. In contrast, Olysio (simeprevir) was used in combination with peginterferon and ribavirin, but it has been discontinued and is no longer available in the U.S. Zepatier can be used by people with kidney problems and usually has mild side effects like fatigue and headache. It also doesn't interact with stomach acid medications. On the other hand, Olysio required additional medications that had many side effects, which contributed to its discontinuation. Zepatier can interact with other medications, so it's important to inform your healthcare provider about all the medications you are taking.

Zepatier

(elbasvir / grazoprevir)

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Olysio

(simeprevir)

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Summary for Zepatier

Prescription only

Zepatier (elbasvir / grazoprevir) is a combination medication containing two antiviral medications, elbasvir and grazoprevir. It's one of the first choice treatment options for hepatitis C genotypes 1 and 4.

Indications for Zepatier

  • Hepatitis C infection genotype 1 and 4

Pros and Cons for Zepatier

Pros

  • 1 tablet once a day is a full regimen for some people and can cure hepatitis C
  • Doesn't interact with stomach acid medications like Epclusa and Harvoni
  • Can be taken by people with kidney problems, even those on hemodialysis
  • Usually has mild side effects
  • Good option for people taking amiodarone, since it doesn't contain sofosbuvir which can cause slow heartbeat

Cons

  • Doesn't treat all the types of hepatitis C like other antiviral combos such as Epclusa or Mavyret
  • People with hepatitis C type 1 need to have resistance testing before starting therapy
  • Can't be used in people with cirrhosis or moderate to severe liver problems
  • Some people who have hepatitis B and C have had their hepatitis B come back after taking hepatitis C treatment
  • Some people need to take Zepatier (elbasvir / grazoprevir) with an antiviral medication called ribavirin, which can have a lot of side effects

Common Side Effects for Zepatier

  • Fatigue (11%)
  • Headache (10%)

Warnings for Zepatier

  • HEPATITIS B REACTIVATION
  • CHANGE IN LIVER TESTS
  • RIBAVIRIN RISKS
  • MEDICATION INTERACTIONS

Summary for Olysio

Discontinued

Olysio (simeprevir) is an oral medication that was used with other medications to treat hepatitis C. It is no longer available and has been replaced by newer antiviral medications.

Pros and Cons for Olysio

Pros

Cons

Prices with our coupons for Zepatier vs. Olysio

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Zepatier30 tablets / 50mg/100mg of
$7,682.60-
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Olysio1 bottle / 28 capsules of 150mg
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