Compare Harvoni vs. Zepatier

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

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Treats hepatitis C.

Harvoni (ledipasvir / sofosbuvir) is a combination pill for hepatitis C that you only need to take once a day. Depending on the amount of liver damage you have, it's sometimes taken together with another medicine called ribavirin.

Treats hepatitis C.

Zepatier (elbasvir / grazoprevir) is a combination pill that treats hepatitis C genotypes 1 and 4, but it can't be used if you have moderate to severe liver disease.

Upsides
  • Harvoni (ledipasvir / sofosbuvir) is a simple hepatitis C treatment that can cure 96% to 99% of those with genotype 1 who have had no prior treatment. Most people only have to take 1 pill a day for either 12 or 24 weeks.
  • The most common side effects are mild to moderate tiredness and headache.
  • Harvoni (ledipasvir / sofosbuvir) is also a good option for people taking HIV medications since it doesn't have drug interactions with most of these medicines.
  • Harvoni (ledipasvir / sofosbuvir) is approved for the treatment of hepatitis C in some people with severe liver disease and liver transplants.
  • Harvoni (ledipasvir / sofosbuvir) is also one of the first drugs approved to treat hepatitis C in children ages 12 to 17.
  • Zepatier (elbasvir / grazoprevir) can cure hepatitis C, which means the virus can't be detected in the blood 3 months after completing treatment.
  • If you only need to take Zepatier (elbasvir / grazoprevir), it’s just 1 pill once a day for 12 or 16 weeks.
  • Zepatier (elbasvir / grazoprevir) can be taken by people with kidney problems, even those on hemodialysis.
  • Zepatier (elbasvir / grazoprevir) usually has mild side effects.
Downsides
  • Harvoni (ledipasvir / sofosbuvir) needs an acidic stomach to be absorbed properly. This means that heartburn medications can affect how Harvoni (ledipasvir / sofosbuvir) works, so talk to you doctor or pharmacist before starting any.
  • Harvoni (ledipasvir / sofosbuvir) can cause serious drops in heart rate when it’s taken with amiodarone. If you have to take them together, your heart rate needs to be checked regularly.
  • You should be tested for hepatitis B before starting Harvoni (ledipasvir / sofosbuvir), since untreated hepatitis B can become active again with medications that treat hepatitis C.
  • If you have severe liver disease or have a liver transplant, you'll have to take Harvoni (ledipasvir / sofosbuvir) with another medicine called ribavirin.
  • Talk to your doctor if you're currently on rosuvastatin, as you shouldn’t take it with Harvoni (ledipasvir / sofosbuvir).
  • Zepatier (elbasvir / grazoprevir) doesn't work for all genotypes of hepatitis C. It should only be used for genotype 1 or 4.
  • Some people need to take Zepatier (elbasvir / grazoprevir) together with another medication called ribavirin. Ribavirin has its own set of side effects.
  • You shouldn’t take Zepatier (elbasvir / grazoprevir) if you have moderate to severe liver disease.
  • If you've ever had hepatitis B virus infection, the virus could become active again during or after treatment with Zepatier (elbasvir / grazoprevir). Before starting it, your doctor will do blood tests to check for hepatitis B virus.
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Used for
  • Hepatitis C infection genotype 1, 4, 5, and 6
  • Hepatitis C infection genotype 1 and 4
Dosage forms
  • Pill
  • Pill
Price
Lowest price
$23468.18
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Lowest price
$18081.15
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Reviews
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Side effects
8possible side effects
  • Weakness / lack of energy
    31%
  • Headache
    28%
  • Tiredness
    18%
  • Muscle pain
    9%
  • Irritability
    8%
  • Cough
    5%
  • Dizziness
    5%
  • Shortness of breath
    3%
See more detailed side effects
3possible side effects
  • Nausea
    11%
  • Headache
    11%
  • Tiredness
    5%
See more detailed side effects
Risks and risk factors
  • Hepatitis B reactivation
    • History of hepatitis B infection
  • Slow heart rate
    • Amiodarone
    • Beta blockers
    • Heart disease
    • Liver disease
  • Drug interactions
    • Taking rifampin
    • Taking St. John's wort
  • Ribavirin combination treatment
    • Taking ribavirin with Harvoni (ledipasvir / sofosbuvir)
See more detailed risks and warnings
  • Hepatitis B reactivation
    • History of hepatitis B infection
  • Risks and warnings of ribavirin
    • Taking ribavirin with Zepatier (elbasvir / grazoprevir)
  • Abnormally high liver test
    • Female
    • Asian
    • Age 65 or older
  • Drug interactions
See more detailed risks and warnings