Letter to the Editor
Copyright ©The Author(s) 2025.
World J Gastroenterol. Mar 14, 2025; 31(10): 102580
Published online Mar 14, 2025. doi: 10.3748/wjg.v31.i10.102580
Table 1 Comparison of drug characteristics between tenofovir amibufenamide and tenofovir alafenamide

TMF
TAF
SafetySafe, well-tolerated long-termSafe, effective, tolerable long-term
EfficacySuperior long-term efficacy to TAFBetter than TDF, not as good as TMF
Cost-effectivenessResearch data lackingCost-effective vs tenofovir, entecavir in wealthier regions
Lipid profilesMinimal impact on blood lipids, no increased ASCVD riskMay cause dyslipidemia, monitor blood lipids
Special populationsSafe for ages 65+, data lacking for pregnant women, childrenSuitable for pregnant women, children aged 12 and older