Ritonavir-boosted nirmatrelvir: Difference between revisions

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==Comments==
==Comments==
*treatment of mild-to-moderate coronavirus disease (COVID-19) in adults and pediatric patients (12 years of age and older weighing at least 40 kilograms) that are high risk
*initiate within 5 days of symptom onset
* 300 mg nirmatrelvir with 100 mg ritonavir, twice daily for 5 days
* renally dosed eGFR 30-60 then 150 mg/100 mg dosing
* renally dosed eGFR 30-60 then 150 mg/100 mg dosing
*89% reduction in hospitalization or death in high risk population, and 70% reduction in hospitalizations with no deaths in standard risk population.  
*89% reduction in hospitalization or death in high risk population, and 70% reduction in hospitalizations with no deaths in standard risk population.  

Revision as of 20:21, 18 January 2022

Administration

  • Type:
  • Dosage Forms:
  • Routes of Administration:
  • Common Trade Names: Paxlovid

Adult Dosing

COVID

Pediatric Dosing

Special Populations

Pregnancy Rating

Lactation risk

Renal Dosing

  • Adult:
  • Pediatric:

Hepatic Dosing

  • Adult:
  • Pediatric:

Contraindications

  • Allergy to class/drug

Adverse Reactions

Serious

Common

Pharmacology

  • Half-life:
  • Metabolism:
  • Excretion:

Mechanism of Action

Comments

  • renally dosed eGFR 30-60 then 150 mg/100 mg dosing
  • 89% reduction in hospitalization or death in high risk population, and 70% reduction in hospitalizations with no deaths in standard risk population.
  • Many drug interactions
    • E.g. Plavix, Phenytoin, Tacrolimus, Tramadol, Statins, Hydro/oxycodone/Codeine, Diazepam/Clonazepam/Alprazolam, Fentanyl, Tamsulosin

See Also

References