Ritonavir-boosted nirmatrelvir: Difference between revisions

Line 52: Line 52:
* Many [https://www.covid19treatmentguidelines.nih.gov/therapies/statement-on-paxlovid-drug-drug-interactions/ drug interactions]
* Many [https://www.covid19treatmentguidelines.nih.gov/therapies/statement-on-paxlovid-drug-drug-interactions/ drug interactions]
**E.g. Plavix, Phenytoin, Tacrolimus, Tramadol, Statins, Hydro/oxycodone/Codeine, Diazepam/Clonazepam/Alprazolam, Fentanyl, Tamsulosin
**E.g. Plavix, Phenytoin, Tacrolimus, Tramadol, Statins, Hydro/oxycodone/Codeine, Diazepam/Clonazepam/Alprazolam, Fentanyl, Tamsulosin
* [https://lacounty.sharepoint.com/:x:/r/sites/dhs-Pharmacy/_layouts/15/doc2.aspx?sourcedoc=%7B6e13753f-6036-40ed-9f08-a566c6e215dd%7D&action=view&wdLOR=cEEBD2538-3432-4503-A554-5045C08AAE8A&activeCell=%27Inventory%27!C19&wdinitialsession=568aeaba-de75-4d27-856a-99f34a708416&wdrldsc=2&wdrldc=1&wdrldr=AccessTokenExpiredWarning%2CRefreshingExpiredAccessT DHS daily supply of COVID oral therapies]
*[https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Antiviral-Therapeutics.aspx List of community pharmacies that might have COVID antivirals]
**Printable list for patients [[File:COVID-19 Antiviral Providers.pdf|thumb|COVID-19 Antiviral Providers]]


==See Also==
==See Also==

Revision as of 20:20, 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

  • 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
  • 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