Paxlovid (Nirmatrelvir And Ritonavir)

Complete patient guide for uses, dosage, side effects, and safety information

Prescription Required

Quick Facts

Generic Name
Nirmatrelvir and Ritonavir
Drug Class
Antiviral
Used For
Treatment of COVID-19 in adults at increased risk of severe outcomes
How Taken
Oral tablets every 12 hours for 5 days

What Is Paxlovid Used For?

Paxlovid is a medication that combines two active ingredients, nirmatrelvir and ritonavir, to treat COVID-19 in adults who are at higher risk of hospitalization or death.

Primary Uses

Paxlovid is primarily used for treating COVID-19.

How It Works

Nirmatrelvir inhibits viral replication, while ritonavir enhances its effectiveness by slowing down its metabolism.

Good to know: Paxlovid is not addictive.

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How to Take Paxlovid

Follow your doctor's instructions on how to take Paxlovid, which involves specific dosing based on your health condition.

Dosage Instructions

The standard dosage is two 150 mg tablets of nirmatrelvir along with one 100 mg tablet of ritonavir every 12 hours for 5 days. If you have kidney issues, your doctor may adjust the dosage.

What If You Miss a Dose?

If you miss a dose within 8 hours, take it as soon as you remember. If it's been more than 8 hours, skip the missed dose and take the next dose at the regular time. Do not take two doses at once.

Important: Never double the dose if you miss one.

Available Tablet Strengths

150mg
150mg Tablet Pink, Oval • PFE on one side and 3CL on the other
100mg
100mg Tablet White to off-white, Oval • NK

Side Effects

Like all medications, this medicine can cause side effects. Most are mild and temporary, but some require medical attention.

Common Side Effects

These side effects occur relatively frequently and usually don’t require emergency care:

  • Diarrhea
  • Vomiting
  • Headache
  • High blood pressure
  • Changes in taste
  • Nausea
  • Abdominal pain
  • Generally feeling unwell

Seek immediate medical attention if you experience:

  • Severe allergic reactions including skin peeling, blisters, sore throat, or fever
  • Signs of an allergic reaction such as rash, swelling of the face, or difficulty breathing

Important Warnings

There are important considerations to keep in mind before taking Paxlovid.

Who Should Not Take Paxlovid

Do not take Paxlovid if you are allergic to nirmatrelvir, ritonavir, or any of the inactive ingredients.

Medical Conditions to Discuss

Discuss any history of liver or kidney problems with your doctor.

Pregnancy and Breastfeeding

Paxlovid should not be taken during pregnancy. Women of childbearing potential should use effective contraception during treatment and for 7 days after. Do not breastfeed while taking Paxlovid and for 48 hours after stopping.

Drug Interactions

Paxlovid may interact with several medications, which can affect its effectiveness or increase the risk of serious side effects.

  • Alfuzosin
  • Silodosin
  • Pethidine
  • Amiodarone
  • Simvastatin
  • Rifampicin
  • St. John's Wort

Alcohol & Driving

There are no specific warnings regarding alcohol consumption or driving while taking Paxlovid.

Alcohol

No specific information is available regarding alcohol consumption.

Driving and Operating Machinery

There is no specific information on how Paxlovid affects your ability to drive or operate machinery.

Storage

Store Paxlovid below 25°C in a cool, dry place away from moisture and sunlight. Keep it out of reach of children.

Overdose Information

If you suspect an overdose, seek immediate medical attention. Contact the Poisons Information Centre at 13 11 26 or go to the nearest hospital.

Frequently Asked Questions

Paxlovid is typically taken for 5 days, and its effectiveness may vary based on individual health conditions.

Paxlovid can be taken with or without food.

No, Paxlovid is not considered addictive.

Do not stop taking Paxlovid without consulting your doctor, as this may affect your treatment.

There is no specific information available regarding alcohol consumption while on Paxlovid.

There is no information indicating that Paxlovid causes weight gain.

Elderly patients should discuss their health conditions with their doctor before taking Paxlovid.

Important Disclaimer

This information is intended for general educational purposes only and should not be considered medical advice. Always consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.

If you think you may have a medical emergency, call your doctor or emergency services immediately.

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