
When working with HIV medication comparison, a systematic review of antiretroviral drugs that weighs efficacy, safety, dosing and cost. Also known as HIV drug comparison, it helps clinicians and patients pick the right regimen. Effective assessment starts with Antiretroviral therapy (ART), the combination of medicines that suppress HIV replication, which includes classes such as Protease inhibitors, drugs that block viral protease enzymes to prevent new virus formation, Integrase strand transfer inhibitors, agents that stop viral DNA from integrating into host cells, and Nucleoside reverse transcriptase inhibitors (NRTIs), the backbone drugs that mimic viral nucleotides and halt reverse transcription.
The core of a HIV medication comparison is weighing how well each drug lowers viral load against how tolerable it is for the patient. Resistance patterns shape the choice; a drug that the virus has already learned to evade is useless no matter how cheap it is. Side‑effect profiles differ widely—some protease inhibitors cause lipid spikes, while certain integrase inhibitors may lead to weight gain. Cost and insurance coverage also play a big role, especially in low‑resource settings where a single, affordable pill can mean the difference between adherence and dropout.
When you line up two or more HIV drugs, you’re really looking at several intersecting factors. Efficacy measures like the reduction in copies per milliliter over 24 weeks tell you how fast the virus is being suppressed. Safety speaks to the frequency and severity of adverse events such as nausea, insomnia, or renal issues. Dosing convenience—once‑daily versus twice‑daily, pills versus tablets—directly impacts patient adherence. Drug‑drug interactions matter too; many HIV meds affect cytochrome P450 enzymes, so co‑prescribed treatments for hepatitis, tuberculosis, or mental health need careful review. Finally, long‑term outcomes such as cardiovascular risk or bone density loss help decide which regimen fits a patient’s life stage.
Start by checking the clinical trial data for each medication. Look for the primary endpoint (usually viral suppression below 50 copies/mL) and the secondary outcomes that matter to you, like CD4 count recovery or quality‑of‑life scores. Next, scan the safety table for the most common Grade 2 or higher adverse events. If a drug shows a higher incidence of kidney toxicity, it may be unsuitable for patients with pre‑existing renal disease. Cost analysis should include not only the wholesale price but also co‑pay tiers and the need for additional monitoring labs. Finally, consider the pill burden: a single‑tablet regimen simplifies life, while multi‑tablet combos can be tailored for resistant strains.
Below you’ll find a curated collection of detailed drug comparisons that walk through these exact points. Whether you’re a clinician searching for the best regimen for a new patient, or a person living with HIV wanting to understand why your doctor chose a particular combo, the articles ahead break down efficacy, side effects, dosing, resistance data, and cost in plain language. Dive in to see how each medication stacks up against the others and get the practical insights you need to make an informed choice.
A 2025 guide comparing Retrovir (Zidovudine) with newer HIV drugs, covering efficacy, side effects, costs, and when each option is best.