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Ritonavir-Boosted Nirmatrelvir (Paxlovid)

COVID-19 treatment Guidelines 189 Ritonavir-Boosted Nirmatrelvir (Paxlovid)Last Updated: December 1, 2022 Nirmatrelvir is an oral protease inhibitor that is active against MPRO, a viral protease that plays an essential role in viral replication by cleaving the 2 viral It has demonstrated antiviral activity against all coronaviruses that are known to infect Nirmatrelvir is packaged with ritonavir (as Paxlovid), a strong cytochrome P450 (CYP) 3A4 inhibitor and pharmacokinetic boosting agent that has been used to boost HIV protease inhibitors. Coadministration of ritonavir is required to increase Nirmatrelvir concentrations to the target therapeutic range.

Feb 24, 2022 · assess the availability of other equally effective COVID-19 treatment options that have lower risks . of drug interactions. • Clinicians should consider the magnitude and significance of the potential interaction when choosing management strategies for patients who are receiving ritonavir-boosted nirmatrelvir. Potential strategies include:

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