Truvada (emtricitabine / tenofovir disoproxil) vs Pifeltro (doravirine)

Truvada (emtricitabine / tenofovir disoproxil) vs Pifeltro (doravirine)

Truvada, containing emtricitabine and tenofovir disoproxil, is primarily used for pre-exposure prophylaxis (PrEP) to reduce the risk of sexually acquired HIV-1 in adults and adolescents, and also as part of HIV-1 treatment regimens. Pifeltro, which contains doravirine, is a newer medication used in combination with other antiretroviral agents for the treatment of HIV-1 infection in adults with no prior antiretroviral treatment history. When deciding between Truvada and Pifeltro, it is essential to consider the intended use—whether for prevention or treatment of HIV—as well as individual health factors and potential drug interactions, which should be evaluated by a healthcare provider.

Difference between Truvada and Pifeltro

Metric Truvada (emtricitabine / tenofovir disoproxil) Pifeltro (doravirine)
Generic name Emtricitabine / Tenofovir disoproxil Doravirine
Indications HIV-1 infection treatment and pre-exposure prophylaxis (PrEP) HIV-1 infection treatment
Mechanism of action Reverse transcriptase inhibitors Non-nucleoside reverse transcriptase inhibitor (NNRTI)
Brand names Truvada Pifeltro
Administrative route Oral Oral
Side effects Nausea, diarrhea, headache, fatigue, dizziness, depression, insomnia, abnormal dreams, rash Nausea, dizziness, headache, fatigue, diarrhea, abdominal pain, abnormal dreams
Contraindications Patients with prior hypersensitivity to active ingredients, severe renal impairment, co-administration with drugs that reduce renal function Patients with prior hypersensitivity to doravirine, co-administration with strong cytochrome P450 3A (CYP3A) enzyme inducers
Drug class Antiretroviral combination Non-nucleoside reverse transcriptase inhibitor (NNRTI)
Manufacturer Gilead Sciences Merck & Co.

Efficacy

Overview of Truvada for HIV/AIDS

Truvada, a combination of emtricitabine and tenofovir disoproxil, is an antiretroviral medication used in the treatment and prevention of HIV/AIDS. As part of a therapy regimen known as Highly Active Antiretroviral Therapy (HAART), Truvada works by inhibiting the action of reverse transcriptase, an enzyme crucial for the replication of HIV. This medication has demonstrated efficacy in reducing the viral load in individuals infected with HIV, thereby improving immune function and reducing the risk of HIV-related illnesses. Additionally, Truvada is approved for pre-exposure prophylaxis (PrEP) to prevent HIV infection in high-risk populations, showing a significant reduction in the risk of HIV acquisition when taken consistently.

Efficacy of Truvada in Clinical Trials

Clinical trials have played a pivotal role in establishing the efficacy of Truvada for the treatment of HIV/AIDS. Studies have shown that when used in combination with other antiretroviral agents, Truvada effectively suppresses viral replication, leading to sustained virological response and immunological improvement in patients. In the context of PrEP, randomized controlled trials have demonstrated that Truvada significantly decreases the incidence of HIV infection among negative individuals who are at high risk when adherence to the medication is high.

Overview of Pifeltro for HIV/AIDS

Pifeltro, which contains the active ingredient doravirine, is a newer antiretroviral medication indicated for the treatment of HIV-1 infection in adults. Doravirine is a non-nucleoside reverse transcriptase inhibitor (NNRTI) that works by binding to and altering the reverse transcriptase enzyme, thereby preventing HIV from multiplying. Pifeltro is typically prescribed in combination with other antiretroviral drugs, and has been shown to be effective in reducing viral loads and increasing CD4+ cell counts in individuals with HIV/AIDS, leading to improved immune system function.

Efficacy of Pifeltro in Clinical Trials

The efficacy of Pifeltro has been evaluated in several clinical trials involving patients with HIV-1. These studies have demonstrated that Pifeltro, when used as part of an antiretroviral treatment regimen, is effective in achieving and maintaining viral suppression. It has been found to be non-inferior to other standard NNRTIs when compared in randomized trials, with a favorable safety profile and a lower incidence of some side effects commonly associated with NNRTIs. The introduction of Pifeltro offers an additional therapeutic option for individuals living with HIV/AIDS, especially for those who may have experienced resistance or intolerance to other NNRTIs.

Regulatory Agency Approvals

Truvada
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Therapeutic Goods Administration (TGA), Australia
Pifeltro
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia

Access Truvada or Pifeltro today

If Truvada or Pifeltro are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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