Lopinavir / Ritonavir
Classification – HIV medicine
Why Lopinavir/ Ritonavir combination?
A fixed-dose combination, widely used against HIV infection.
Lopinavir induces viral cell death, and ritonavir prolongs its effect.
Uses of Lopinavir/Ritonavir
- • HIV infection
Working of the Lopinavir-Ritonavir Combination
- • It inhibits the HIV protease enzyme
- • Inhibits cell multiplication and replication
- • Causes viral cell death
Benefits
- • It significantly lowers the viral load.
- • Improves immune function
- • Increases CD-4 cell count
Common Side Effects
- • Nausea
- • Vomiting
- • Tiredness
- • Increased cholesterol levels
- • Increased blood sugar
- • Headache
- • Rash, itchiness
Serious Side Effects
- • Hepatotoxicity – elevated liver enzymes
- • QT prolongation
- • Severe heart complications
- • Lactic acid buildup
- • Pancreatitis
- • Allergic reaction
Precautions
To be used cautiously in:
- • Severe liver disorders
- • Renal impairment
- • Cardiovascular diseases
- • High cholesterol levels
- • Pancreatitis
- • Bleeding disorders
- • Elderly
- • Children
- • Pregnant and breastfeeding women
Important Monitoring Considerations
- • Liver functions
- • Kidney functions
- • Blood sugar and blood pressure
- • Signs of pancreatitis
Drug Interactions
Dose adjustment is required when used with:
- • Anticonvulsant drugs
- • Cardiovascular drugs
- • Antihypertensives
- • Anti-fungal and
- • Anti-tubercular drugs
- • Cholesterol-lowering medicines – statins
- • Various herbal formulations – ergotamine derivatives
- • Sedatives
Contraindications
- • Severe liver dysfunction
- • Hypersensitivity or allergic reaction to the drug or its excipients
Warnings
To be used under medical prescription. Do not stop in Hepatitis B patients.
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