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Ziagen vs. Trizivir

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

Key takeaways

Abacavir (Ziagen) and Trizivir (abacavir/lamivudine/zidovudine) are both medications used to treat HIV. They belong to the same drug class, nucleoside reverse transcriptase inhibitors (NRTIs), which work by stopping the HIV virus from making copies of itself. However, there are several differences between the two. Abacavir (Ziagen) is a single medication that can be taken as a tablet or oral solution, while Trizivir is a combination of three medications in one tablet. Abacavir (Ziagen) is typically taken once or twice daily, whereas Trizivir is taken twice daily. Both medications require a genetic test called HLA-B 5701 to prevent severe allergic reactions. Trizivir is not a full HIV regimen on its own and must be taken with at least one other HIV medication, while abacavir (Ziagen) is often used in combination with other HIV medications. Common side effects of abacavir (Ziagen) include headache, nausea, and fatigue, while Trizivir can cause nausea, vomiting, and headaches more frequently. Trizivir also has additional risks, such as blood and muscle problems, which are not associated with abacavir (Ziagen) alone. Both medications are available as generics, making them more affordable options.

Abacavir

(Ziagen)

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Trizivir

 

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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 Trizivir

Prescription only

Trizivir is a combination medication containing three HIV antiretrovirals (ARVs): abacavir (Ziagen), lamivudine (Epivir), and zidovudine (Retrovir). It's not used very commonly anymore.

Indications for Trizivir

  • HIV treatment

Pros and Cons for Trizivir

Pros

  • Can be taken with or without food
  • Combines 3 different HIV medications into 1 tablet
  • Available as a generic, which can be more affordable
  • Doesn't affect your kidneys or bone density like some other NRTIs
  • Contains lamivudine, which also works against hepatitis B

Cons

  • Contains 3 HIV ARVs but isn't a full HIV regimen
  • Can cause serious blood and muscle problems
  • 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

Common Side Effects for Trizivir

  • Nausea and vomiting (19%)
  • Headache (13%)
  • Tiredness and fatigue (12%)
  • Diarrhea (7%)
  • Fevers and/or chills (6%)
  • Depressed mood (6%)

Warnings for Trizivir

  • SEVERE ALLERGIC REACTION
  • BLOOD AND BONE MARROW PROBLEMS
  • MUSCLE PAIN AND WEAKNESS
  • LIVER PROBLEMS
  • WORSENING OF HEPATITIS B
  • IMMUNE RECONSTITUTION SYNDROME
  • HEART ATTACK
  • FAT REDISTRIBUTION

Prices with our coupons for Ziagen vs. Trizivir

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Abacavir60 tablets / 300mg
$52.46-
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Price Card Drug Icon
Abacavir/Lamivudine/Zidovudine30 tablets / 300mg/150mg/300mg
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