Descovy (emtricitabine/tenofovir alafenamide) vs Cabenuva (cabotegravir + rilpivirine)

Descovy (emtricitabine/tenofovir alafenamide) vs Cabenuva (cabotegravir + rilpivirine)

Descovy (emtricitabine/tenofovir alafenamide) is an oral medication taken daily for HIV-1 pre-exposure prophylaxis (PrEP) to reduce the risk of HIV infection, and it is also used in combination with other antiretroviral agents for the treatment of HIV-1 infection. Cabenuva (cabotegravir and rilpivirine) is a long-acting injectable regimen administered once monthly or every two months, indicated for the treatment of HIV-1 infection in adults who are virologically suppressed on a stable antiretroviral regimen. When deciding between the two, patients should consider factors such as the frequency of dosing, mode of administration, and their own lifestyle and treatment preferences, in consultation with their healthcare provider.

Difference between Descovy and Cabenuva

Metric Descovy (emtricitabine/tenofovir alafenamide) Cabenuva (cabotegravir + rilpivirine)
Generic name Emtricitabine/tenofovir alafenamide Cabotegravir + rilpivirine
Indications HIV-1 infection in combination with other antiretroviral agents Treatment of HIV-1 infection in adults to replace the current antiretroviral regimen in those who are virologically suppressed
Mechanism of action Reverse transcriptase inhibitors Integrase inhibitor (cabotegravir) and non-nucleoside reverse transcriptase inhibitor (rilpivirine)
Brand names Descovy Cabenuva
Administrative route Oral Intramuscular injection
Side effects Nausea, diarrhea, headache, fatigue Injection site reactions, fever, fatigue, headache, musculoskeletal pain
Contraindications Patients with a history of hypersensitivity to any component Patients with known hypersensitivity to cabotegravir or rilpivirine
Drug class Nucleoside and nucleotide reverse transcriptase inhibitors (NRTIs) Integrase strand transfer inhibitor (INSTI) and non-nucleoside reverse transcriptase inhibitor (NNRTI)
Manufacturer Gilead Sciences ViiV Healthcare

Efficacy

Descovy (emtricitabine/tenofovir alafenamide) for HIV/AIDS

Descovy, which is a combination of emtricitabine and tenofovir alafenamide, is an antiretroviral medication used in the treatment and prevention of HIV/AIDS. It is designed to inhibit the action of the reverse transcriptase enzyme, which is crucial for the replication of HIV. Clinical trials have demonstrated that Descovy is effective in reducing the viral load in individuals with HIV to undetectable levels when used in combination with other antiretroviral medications. This suppression of viral replication helps in preserving the immune system and reducing the risk of HIV-related complications.

Moreover, Descovy has been approved for use as pre-exposure prophylaxis (PrEP) to prevent HIV infection in at-risk populations. Studies have shown that when taken consistently, Descovy can significantly reduce the risk of acquiring HIV from sex by more than 90%. Its efficacy as PrEP has made it a valuable tool in the efforts to prevent the spread of HIV among high-risk groups.

Cabenuva (cabotegravir + rilpivirine) for HIV/AIDS

Cabenuva is a combination of two long-acting injectable antiretroviral drugs, cabotegravir and rilpivirine. It is indicated for the treatment of HIV-1 infection in adults who are virologically suppressed on a stable antiretroviral regimen. The efficacy of Cabenuva as a maintenance therapy has been evaluated in clinical trials, where it has been shown to maintain viral suppression with a comparable efficacy to daily oral antiretroviral regimens. The advantage of Cabenuva lies in its once-monthly or once-every-two-months dosing schedule, which can improve adherence and quality of life for some patients by reducing the pill burden associated with daily oral therapy.

The development of Cabenuva represents a significant advancement in the management of HIV/AIDS, offering an alternative to daily oral medication. Its efficacy in maintaining viral suppression has been confirmed in the ATLAS and FLAIR studies, which reported that a majority of participants successfully maintained an undetectable viral load with the long-acting injectable regimen. The long-acting nature of Cabenuva provides a new option for individuals seeking a different approach to managing their HIV treatment.

Regulatory Agency Approvals

Descovy
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)
Cabenuva
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia

Access Descovy or Cabenuva today

If Descovy or Cabenuva 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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