The invention provides a double-layer tablet and a preparation method thereof. The double-layer tablet comprises a first layer and a second layer, the first layer is prepared from 50 parts of dotegravir or pharmaceutically acceptable salt (based on dotegravir), 30 to 60 parts of modified mesoporous
silicon dioxide, 60 to 80 parts of first filling agent, 30 to 50 parts of first disintegrating agent, 300 parts of
lamivudine, 80 to 120 parts of second filling agent, 20 to 30 parts of second flow aid, 400 to 700 parts of third filling agent, 100 to 150 parts of third disintegrating agent, 150 to 200 parts of first
sweetening agent and 40 to 60 parts of third flow aid; and the second layer comprises 600 parts of
abacavir or pharmaceutically acceptable salt (based on
abacavir), 950-1200 parts of a fourth filling agent, 120-150 parts of a fourth disintegrating agent, 30-50 parts of a fourth flow aid and 30-40 parts of a second
sweetening agent. The first layer is prepared by adopting a direct
powder compression method, and then the raw materials of the second layer are mixed and compressed onto the first layer to obtain the double-layer tablet. The operation is simplified, the production efficiency of the medicinal preparation is improved, and industrial large-scale production and manufacturing are facilitated.