Skip to main content

Compare
Ziagen vs. Epzicom

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

Key takeaways

Abacavir (Ziagen) and Epzicom (abacavir/lamivudine) are both used to treat HIV, but they have some key differences. Abacavir (Ziagen) is a single medication that belongs to the nucleoside reverse transcriptase inhibitor (NRTI) class and is available in both brand and generic forms. Epzicom, on the other hand, is a combination of two NRTIs, abacavir and lamivudine, and is also available in both brand and generic forms. Epzicom offers the convenience of once-daily dosing with a single tablet, while abacavir (Ziagen) can be taken either once or twice daily. Both medications should be used in combination with other HIV treatments. Both medications also require a genetic test before use due to the risk of a severe allergic reaction. However, Epzicom is not recommended for people with kidney or liver problems because its dose cannot be adjusted. Both medications share similar side effects and risks, including the potential for severe allergic reactions and heart problems. Additionally, Epzicom has a specific warning for people with hepatitis B, as stopping the medication can worsen the condition.

Abacavir

(Ziagen)

Get free coupons

Epzicom

 

Get free coupons

Summary for Ziagen

Prescription only

Abacavir (Ziagen) is a first choice HIV antiretroviral (ARV) used in combination with other HIV ARVs for the treatment of HIV. It requires a genetic test before you start taking it because it can cause a severe allergic reaction.

Indications for Ziagen

  • HIV treatment

Pros and Cons for Ziagen

Pros

  • It's the only NRTI that can be used safely at the same dose in people with severe kidney problems
  • Available in many other HIV ARV combination tablets
  • Not many drug interactions
  • Can be used in children aged 3 months and older
  • Available as a tablet and oral solution

Cons

  • Requires a genetic test called HLA-B 5701 because the allergic reaction can be fatal
  • Cannot be taken by anyone who has ever had an allergic reaction to abacavir (Ziagen)
  • Not a good option for people with heart problems
  • Can't be used in people with severe liver problems
  • People taking methadone might need a higher dose of methadone after starting abacavir (Ziagen)

Common Side Effects for Ziagen

  • Headache (7%)
  • Nausea (7%)
  • Fatigue/tireness (7%)
  • Diarrhea (7%)
  • Rash (6%)
  • Stomach pain (6%)
  • Dizziness (6%)
  • Muscle Pain (6%)

Warnings for Ziagen

  • SEVERE ALLERGIC REACTION
  • LIVER PROBLEMS
  • IMMUNE RECONSTITUTION SYNDROME
  • HEART ATTACK

Summary for Epzicom

Prescription only

Epzicom is a combination medication containing two HIV antiretrovirals (ARVs), abacavir (Ziagen) and lamivudine (Epivir). It's used with other HIV ARVs for the treatment of HIV.

Indications for Epzicom

  • HIV treatment

Pros and Cons for Epzicom

Pros

  • Contains 2 first choice HIV ARV options
  • Convenient dosing (1 tablet, once a day, with or without food)
  • Same dose for everyone weighing more than 55 lbs (25 kg)
  • Contains lamivudine, which also works against hepatitis B
  • Available as a generic, which can be more affordable

Cons

  • Dose can't be adjusted so it's not recommended for people with kidney or liver problems
  • Requires a genetic test called HLA-B 5701 because the allergic reaction can be fatal
  • Not a good option for people with heart problems
  • People taking methadone might need a higher dose of methadone after starting Epzicom
  • People with hepatitis B can have worsened hepatitis B if they suddenly stop taking Epzicom

Common Side Effects for Epzicom

  • Headache (7%)
  • Tiredness and fatigue (6%)
  • Dizziness (6%)
  • Nausea (5%)
  • Diarrhea (5%)
  • Rash (5%)
  • Fever (5%)

Warnings for Epzicom

  • SEVERE ALLERGIC REACTION
  • WORSENING OF HEPATITIS B
  • LIVER PROBLEMS
  • IMMUNE RECONSTITUTION SYNDROME
  • HEART ATTACK

Prices with our coupons for Ziagen vs. Epzicom

Price Card Drug Icon
Abacavir60 tablets / 300mg
$52.46-
Get free coupons
More Information
Price Card Drug Icon
Abacavir/Lamivudine90 tablets / 600mg/300mg
$108.53$2,921.98
Get free coupons
More Information

Browse medications by letter

Show All

Browse prescription and over-the-counter medications from A to Z, compare drug prices, and start saving.