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Ziagen vs. Tivicay

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

Key takeaways

Abacavir (Ziagen) and dolutegravir (Tivicay) are both antiretroviral (ARV) medications used to treat HIV. They are often used together in combination therapies, but they belong to different medication classes. Abacavir is a nucleoside reverse transcriptase inhibitor (NRTI), while dolutegravir is an integrase inhibitor. Abacavir is available as a generic and can be taken as a tablet or oral solution, whereas dolutegravir is only available as a brand-name medication and comes in tablet form, including a version that can be dissolved in water for those who have trouble swallowing. Abacavir requires a genetic test before starting due to the risk of severe allergic reactions, while dolutegravir can cause liver problems and should not be taken with certain medications like dofetilide. Common side effects of abacavir include headache and nausea, while dolutegravir may cause trouble sleeping and headaches. Both medications can cause serious allergic reactions, so it's important to be aware of the symptoms and seek medical help if needed.

Abacavir

(Ziagen)

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Tivicay

(dolutegravir)

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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 Tivicay

Prescription only

Tivicay (dolutegravir) is a medication that's used as part of an antiretroviral (ARV) regimen for treating human immunodeficiency virus (HIV) infections. Some side effects can include trouble sleeping, tiredness, and headache, but they aren't very common with this medication. Tivicay (dolutegravir) comes as two different formulations: a tablet that you swallow whole and a tablet that you mix in water to make into a liquid solution. Tivicay (dolutegravir) is only available as a brand-name medication; there's no generic at this time.

Indications for Tivicay

  • Treatment of HIV infection in people aged 4 weeks and older

Pros and Cons for Tivicay

Pros

  • Can take with or without food
  • Available for adults and children at least 4 weeks old and weighing at least 7 pounds
  • Has an oral tablet formulation that can be dissolved in water and taken as a solution (Tivicay PD), so it's convenient if you have trouble swallowing pills

Cons

  • Interacts with a lot of medications, such as some other HIV medications, anti-seizure medications (e.g., oxcarbazepine (Trileptal)), and antacids
  • Can't take with dofetilide (Tikosyn) because of risk of serious side events
  • Not recommended for use if you have severe liver problems

Common Side Effects for Tivicay

The following side effects were reported in adults taking this medication with other HIV ARVs. Side effects might differ in children.

Warnings for Tivicay

  • Allergic reaction
  • Liver problems
  • Overactive immune system
  • Interactions with other medications
  • Harm to unborn baby

Prices with our coupons for Ziagen vs. Tivicay

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Abacavir60 tablets / 300mg of
$52.46-
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Tivicay30 tablets / 50mg
$2,336.13$2,990.84
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