Drug factorsOseltamivir (Tamiflu)Zanamivir (Relenza)
Generic availabilityNoNo
Dosage formsLiquid and capsulePowder for oral inhalation
Treatment of influenza types A and B in adultsYesYes
Treatment of influenza types A and B in childrenYes, in children > one year of ageYes, in children seven years of age
Prevention of influenza types A and B in adultsYesFDA approval pending
Prevention of influenza types A and B in childrenYes, in children 13 years of ageFDA approval pending
Dosage for treatment of influenza types A and B*Adults and children 13 years: 75 mg twice daily for five daysTwo inhalations (10 mg) twice daily for five days
Children one to 12 years (following doses are given twice daily for five days):
15 kg (33 lb) or less: 30 mg
15 kg to 23 kg (51 lb): 45 mg
23 kg to 40 kg (88 lb): 60 mg
> 40 kg: 75 mg
Dosage for prevention of influenza types A and BAdults and children 13 years: 75 mg once daily for at least seven days†Approval pending. Two inhalations (10 mg) once daily for at least seven days†
Dosage reduction in renal impairmentYes (creatinine clearance 30 mL per minute [0.5 mL per second])No
Side effectsGIMinimal
Cost‡
Five-day treatment (adult dosage)$63$50
42-day treatment (adult dosage in community outbreaks)$265$212 (approval pending)
PrecautionsTake with food to improve toleranceNot recommended in patients with asthma or COPD
Suspension should be shaken before each use and is stable at room temperature for 10 days
May cause bronchospasm