Table 1: Currently available DAA
agents, common adverse events, renal and hepatic function considerations.
Drug |
Brand Name |
HCV genotype |
Adverse Event Reported > 10% |
Renal function |
Hepatic function |
Simeprevir |
Olysio® |
1 when combined with sofosbuvir |
Photosensitivity, fatigue, headache, dizziness,
insomnia, nausea, increased bilirubin, diarrhea, myalgia, dyspnea |
None |
Avoid in decompensated cirrhosis or Child-Pugh B or
C |
Sofosbuvir |
Sovaldi® |
1 when combined with ledipasvir,
3 when combined with daclatasvir |
Fatigue, nausea, headache, insomnia, weakness |
Not recommended |
None |
Ledipasvir/Sofosbuvir |
Harvoni® |
1 and 4 |
Headache, fatigue, insomnia |
Not recommended |
None |
Ombitasvir/Paritaprevir |
Viekira Pak™ |
1 |
Fatigue, headache, insomnia, rash, pruritis, diarrhea, nausea, anemia, increased bilirubin, |
None |
Avoid in decompensated cirrhosis or Child-Pugh B or
C |
Daclatasvir |
Daklinza™ |
3 when combined with sofosbuvir |
Fatigue, nausea, headache, anemia |
None |
None |
Ombitasvir/Paritaprevir |
Technivie™ |
4 |
Fatigue, insomnia, rash, pruritis, nausea, increased ALT, anemia |
None |
Avoid in decompensated cirrhosis or Child-Pugh B or
C |
Elbasvir/Grazoprevir |
Zepatier™ |
1 & 4 |
Fatigue, headache, nausea |
None |
Avoid in decompensated cirrhosis or Child-Pugh B or
C |
Sofosbuvir/Velpatasvir |
Epclusa® |
1,2,3,4,5 & 6 |
Headache, fatigue |
Not recommended |
None |
Data obtained from product package insert [27,33,34,46-51]. |