Epivir Alternatives

(Lamivudine)

  • Pill
  • Liquid
  • HIV infection
  • Chronic Hepatitis B Virus
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Compare Epivir (Lamivudine) to alternatives

These medications are comparable to Epivir (Lamivudine) or used for similar purposes.

Epivir
(Lamivudine)

Emtriva
(Emtricitabine)

Viread
(Tenofovir)

Ziagen
(Abacavir)

Retrovir
(Zidovudine, Azt, Or Zdv)

Zerit
(Stavudine)

Videx
(Didanosine Or Ddl)

Works with other medicines to treat HIV infection. lamivudine is currently one of the most popular drugs within the Nucleoside Reverse Transcriptase Inhibitor (NRTI) drug class.Works with other medicines to treat HIV infection. emtricitabine is currently one of the most popular drugs within the Nucleoside Reverse Transcriptase Inhibitor (NRTI) drug class.Works with other medicines to treat HIV infection. Also treats Hepatitis B Virus. tenofovir can be a good choice to take within the Nucleoside Reverse Transcriptase Inhibitor (NRTI) drug class. It may not be the best choice though for people with kidney problems.Works with other medicines to treat HIV infection. If you don't have an allergic reaction to the drug and have good liver function, then this drug is a decent option within within the Nucleoside Reverse Transcriptase Inhibitor (NRTI) drug class.Works with other medicines to treat HIV infection. Also prevents mother-to-child sharing of HIV. AZT can be a good second-line choice to take within the Nucleoside Reverse Transcriptase Inhibitor (NRTI) drug class. AZT can have a number of serious side effects, but if you don't have prior blood, kidney, or liver problems, you should consider it.Works with other medicines to treat HIV infection. Within the Nucleoside Reverse Transcriptase Inhibitor (NRTI) drug class, stavudine can be a difficult drug to take. stavudine has numerous serious side effects and probably won't be your first choice.Works with other medicines to treat HIV infection. Within the Nucleoside Reverse Transcriptase Inhibitor (NRTI) drug class, Videx can be a difficult drug to take. Videx has numerous serious side effects. It is also difficult taking Videx twice a day on an empty stomach.
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Side effects
EpivirEmtrivaVireadZiagenRetrovirZeritVidex

We haven’t found good data for Epivir side effects.

FDA side effect reports for Epivir »

We haven’t found good data for Emtriva side effects.

FDA side effect reports for Emtriva »

We haven’t found good data for Viread side effects.

FDA side effect reports for Viread »

We haven’t found good data for Ziagen side effects.

FDA side effect reports for Ziagen »

We haven’t found good data for Retrovir side effects.

FDA side effect reports for Retrovir »

We haven’t found good data for Zerit side effects.

FDA side effect reports for Zerit »

We haven’t found good data for Videx side effects.

FDA side effect reports for Videx »
How it works
EpivirEmtrivaVireadZiagenRetrovirZeritVidex
lamivudine stops the replication of the human immunodeficiency virus (HIV) within important cells of the body by preventing the virus from taking over normal functions of the cell for its own purposes.emtricitabine stops the replication of the human immunodeficiency virus (HIV) within important cells of the body by preventing the virus from taking over normal functions of the cell for its own purposes.tenofovir stops the replication of the human immunodeficiency virus (HIV) within important cells of the body by preventing the virus from taking over normal functions of the cell for its own purposes.abacavir stops the replication of the human immunodeficiency virus (HIV) within important cells of the body by preventing the virus from taking over normal functions of the cell for its own purposes.AZT stops the replication of the human immunodeficiency virus (HIV) within important cells of the body by preventing the virus from taking over normal functions of the cell for its own purposes.stavudine stops the replication of the human immunodeficiency virus (HIV) within important cells of the body by preventing the virus from taking over normal functions of the cell for its own purposes.Videx stops the replication of the human immunodeficiency virus (HIV) within important cells of the body by preventing the virus from taking over normal functions of the cell for its own purposes.
Type of medication
EpivirEmtrivaVireadZiagenRetrovirZeritVidex
Coming soon.
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Coming soon.Prescription only
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Coming soon.Prescription only
Available as
EpivirEmtrivaVireadZiagenRetrovirZeritVidex
  • Pill
  • Liquid
  • Pill
  • Liquid
  • Pill
  • Liquid
  • Pill
  • Liquid
  • Pill
  • Liquid
  • Pill
  • Liquid
  • Extended release
  • Liquid
  • Pill
Used for (click to learn more)
EpivirEmtrivaVireadZiagenRetrovirZeritVidex
  • HIV infection
  • HIV infection
  • HIV infection
  • HIV infection
  • HIV infection
  • HIV infection
  • HIV infection
Risk factors for serious side effects
EpivirEmtrivaVireadZiagenRetrovirZeritVidex
  • Women
  • Obesity
  • Liver disease
        • HIV
        • Exposure to other infections
        • Start of a new HIV medication
        • Change in HIV therapy
        • HIV treatment
        Detailed Epivir (Lamivudine) risks & warnings »
        Coming soon.Coming soon.Coming soon.Coming soon.Coming soon.Coming soon.
        Pregnancy category
        EpivirEmtrivaVireadZiagenRetrovirZeritVidex
        CFDA pregnancy category (Weigh risks vs. benefits)

        Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

        See the FDA package insert
        BFDA pregnancy category (Probably safe)

        Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

        See the FDA package insert
        BFDA pregnancy category (Probably safe)

        Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

        See the FDA package insert
        CFDA pregnancy category (Weigh risks vs. benefits)

        Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

        See the FDA package insert
        CFDA pregnancy category (Weigh risks vs. benefits)

        Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

        See the FDA package insert
        CFDA pregnancy category (Weigh risks vs. benefits)

        Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

        See the FDA package insert
        BFDA pregnancy category (Probably safe)

        Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

        See the FDA package insert
        Alcohol
        No specific alcohol-related info.No specific alcohol-related info.No specific alcohol-related info.No specific alcohol-related info.No specific alcohol-related info.No specific alcohol-related info.No specific alcohol-related info.
        Food
        No specific food-related info.
        • Take with or without food once a day.
        • The tenofovir powder can't be mixed in a liquid, so mix into soft food like applesauce and yogurt.
        • Take tenofovir once a day, with or without food.
        No specific food-related info.
        • Take AZT with or without food.
        • Take with or without food.
        No specific food-related info.
        Kidneys and liver
        • The dose of lamivudine needs to be lowered if you have kidney problems.
        • lamivudine can cause this rare but life-threatening condition. Symptoms include deep and rapid breathing, nausea, vomiting, and stomach pain. This is a medical emergency and you should get help right away. Baseline blood work for kidney and liver function are helpful to see if you can use lamivudine. It may not be a good choice for people with liver problems.
        • emtricitabine is removed from the body by the kidneys, so the dose of emtricitabine needs to be lowered if you have any kidney problems.
        • The dose of tenofovir depends on how your kidneys work. It is really important to consistently monitor them with your doctor.
        • Don't take other drugs that can hurt your kidneys while taking tenofovir without talking to your doctor. That sadly includes non-steroidal anti-inflammatory drugs (NSAIDs), like aspirin, Advil, and Aleve.
        • Work with your doctor to monitor your kidney function and bone mineral density regularly.
        No specific kidneys and liver-related info.
        • Poor kidney function will affect how much AZT you can take.
        • The amount of stavudine you will take is based on your body weight, kidney, and liver function.
        • May cause serious side effects in your liver, kidneys, and pancreas.
        • The amount of Videx you will take is based on your body weight, kidney, and liver function.
        • May cause serious side effects in your liver, kidneys, and pancreas.
        Sex
        No specific sex-related info.No specific sex-related info.No specific sex-related info.No specific sex-related info.No specific sex-related info.No specific sex-related info.No specific sex-related info.
        Sleep
        No specific sleep-related info.No specific sleep-related info.No specific sleep-related info.
        • To best deal with stomach upset and other side effects, either take abacavir twice a day for lower effects throughout the day, or once a day at night to sleep through the bulk of effects.
        No specific sleep-related info.No specific sleep-related info.No specific sleep-related info.
        Weight
        No specific weight-related info.No specific weight-related info.No specific weight-related info.No specific weight-related info.No specific weight-related info.
        • The amount of stavudine you will take is based on your body weight, kidney, and liver function.
        • The amount of Videx you will take is based on your body weight, kidney, and liver function.
        Upsides and benefits
        EpivirEmtrivaVireadZiagenRetrovirZeritVidex
        • lamivudine is available as a tablet and oral solution.
        • Can be taken once or twice a day.
        • One of the more popular drugs in its class.
        • lamivudine is contained in the following combination products: Combivir, Epzicom, and Trizivir.
        • Take with or without food once a day.
        • emtricitabine can be taken as a capsule or liquid.
        • The emtricitabine oral solution can be stored for up to 3 months in the refrigerator.
        • emtricitabine is contained in the following combination products: Atripla, Complera, Stribild, and Truvada.
        • Take tenofovir once a day, with or without food.
        • For people who can't swallow the tablet, take the powder instead.
        • tenofovir is used for HIV in kids 2 years and older, and chronic hepatitis B in kids 12 years and older.
        • Can take one tablet twice a day, or two tablets once a day.
        • abacavir is in a number of other combination meds, so you may be able to find a single drug that has abacavir and other HIV medicines you are taking in a single product.
        • Can be used for kids 3 months and older.
        • AZT is provided as capsules, tablets, and syrup.
        • Used in kids and babies.
        • Take AZT with or without food.
        • AZT is included in the combination drugs Trizivir (AZT, Epivir, and Ziagen) and Combivir (AZT and Epivir), both of which are taken twice a day.
        • stavudine is provided as both capsules and an oral solution.
        • Take with or without food.
        • Can be used by patients on dialysis.
        • While stavudine doesn’t cure HIV, it does reduce the number of viral copies being made in your blood, giving your healthy immune cells (CD4 cells) a better chance to do their job.
        • The oral solution can be stored in the refrigerator for up to 30 days.
        • While Videx doesn’t cure HIV, it does reduce the number of viral copies being made in your blood, giving your healthy immune cells (CD4 cells) a better chance to do their job.
        Downsides and risks
        EpivirEmtrivaVireadZiagenRetrovirZeritVidex
        • lamivudine should not be used with any other drugs containing Emtriva (emtricitabine) since both are so similar to each other.
        • Use with caution in kids with a history of pancreatitis (pancreas infection).
        • Most common side effects are headache, nausea, tiredness, congestion, diarrhea, and cough.
        • The dose of lamivudine needs to be lowered if you have kidney problems.
        • Can't be taken with any drugs containing lamivudine since both are so similar to each other.
        • emtricitabine is removed from the body by the kidneys, so the dose of emtricitabine needs to be lowered if you have any kidney problems.
        • Kids have a higher chance than adults of skin color changes on their hands and feet while taking emtricitabine.
        • The tenofovir powder can't be mixed in a liquid, so mix into soft food like applesauce and yogurt.
        • The dose of tenofovir depends on how your kidneys work. It is really important to consistently monitor them with your doctor.
        • This is not a great medication to take if you have liver problems.
        • Severe allergic reactions to abacavir are possible. Genetic testing may help identify if you are likely to react poorly to abacavir.
        • Once someone has an allergic reaction to abacavir, they can't take any other medications containing abacavir in the future.
        • AZT may cause serious blood, muscle, and liver problems.
        • Poor kidney function will affect how much AZT you can take.
        • Allergies to AZT are rare, but very serious.
        • Need to get regular blood tests.
        • Must take twice a day, every 12 hours.
        • The amount of stavudine you will take is based on your body weight, kidney, and liver function.
        • Interacts with many different medications.
        • May cause serious side effects in your liver, kidneys, and pancreas.
        • Can cause significant tingling in your hands or feet.
        • Must take on an empty stomach at least 30 minutes before, or 2 hours after eating.
        • Take twice a day.
        • The amount of Videx you will take is based on your body weight, kidney, and liver function.
        • May cause serious side effects in your liver, kidneys, and pancreas.
        • Can cause significant tingling in your hands or feet.
        Tips from our pharmacists for people taking the medication
        EpivirEmtrivaVireadZiagenRetrovirZeritVidex
        • The doses for lamivudine are different for HIV and Hepatitis B.
        • If being used for kids, the dose of lamivudine will continue to change as they grow, so keep in touch with their doctor.
        • Keep an eye out for any new symptoms or side effects you may start to feel while taking lamivudine and report them to your doctor.
        • Since emtricitabine is only taken once a day, take it at the same time as your other HIV medications.
        • If being used for kids, the dose of emtricitabine will continue to change as they grow, so keep in touch with their doctor.
        • Keep an eye out for any new symptoms or side effects you may start to feel while taking emtricitabine and report them to your doctor.
        • Don't take other drugs that can hurt your kidneys while taking tenofovir without talking to your doctor. That sadly includes non-steroidal anti-inflammatory drugs (NSAIDs), like aspirin, Advil, and Aleve.
        • People with HIV should be tested for Hepatitis B virus (HBV) before starting tenofovir.
        • Similarly, patients with chronic hepatitis B, should be tested for HIV before starting tenofovir.
        • Decreases in bone mineral density can happen while taking tenofovir.
        • Work with your doctor to monitor your kidney function and bone mineral density regularly.
        • To best deal with stomach upset and other side effects, either take abacavir twice a day for lower effects throughout the day, or once a day at night to sleep through the bulk of effects.
        • Work with your healthcare provider to get regular blood tests. The goal is to make sure the drug is working well and safely.
        • If being used for kids, the dose of abacavir will continue to change as they grow, so keep in touch with their doctor.
        • Don't take AZT with stavudine, another HIV drug.
        • Keep an eye out for any new symptoms or side effects you may start to feel while taking AZT and report them to your doctor.
        • Read the Medication Guide given to you at the pharmacy about AZT since it contains helpful information.
        • Work with your doctor to get regular blood tests. The goal is to make sure the drug is working well and safely.
        • Set a timer on your phone to make sure you don't forget to take stavudine at the right time.
        • Talk with your doctor about all other medications you are taking since stavudine interacts with many other drugs.
        • Keep an eye out for any new symptoms or side effects you may start to feel while taking stavudine and report them to your doctor.
        • Work with your doctor to get regular blood tests. The goal is to make sure the drug is working well and safely.
        • Talk with your doctor about all other medications you are taking since Videx interacts with many other drugs.
        • Keep an eye out for any new symptoms or side effects you may start to feel while taking Videx and report them to your doctor.
        • Read the Medication Guide given to you at the pharmacy about Videx since it contains helpful information.
        • Work with your doctor to get regular blood tests. The goal is to make sure the drug is working well and safely.
        Learn more
        More about EpivirSide effectsAlternativesFDA package insert
        More about EmtrivaSide effectsFDA package insert
        More about VireadSide effectsFDA package insert
        More about ZiagenSide effectsFDA package insert
        More about RetrovirSide effectsFDA package insert
        More about ZeritSide effectsFDA package insert
        More about VidexSide effectsFDA package insert