Original GlobalRPh source
- Product / population
- Preserved GlobalRPh source, not a freshly verified product label
- Renal measure
- Use the method specified in the original source
Historical source: not automatically current. Review current official labeling and separately attributed additions before use.
Usual dosing and product-use comments
Take orally with other antiretrovirals, preferably with meals. Mild/moderate gastrointestinal symptoms and paresthesias may diminish during treatment.
Historical full-dose HIV treatment in adults: 600 mg twice daily. To improve tolerability, start no lower than 300 mg twice daily and increase by 100 mg twice daily every 2-3 days to a maximum 600 mg twice daily.
Pediatric patients older than 1 month: 350-400 mg/m2 twice daily, maximum 600 mg twice daily. Start 250 mg/m2 twice daily and increase by 50 mg/m2 twice daily every 2-3 days. When 400 mg/m2 is not tolerated, maintain the highest tolerated dose with other antiretrovirals but consider alternative therapy. The source recommends oral solution for children over 1 month unable to swallow capsules and refers its detailed administration to the full solution label.
Pharmacokinetic boosting distinction
Lower ritonavir doses are required with atazanavir, darunavir, fosamprenavir, saquinavir and tipranavir. Consult each companion protease-inhibitor label and clinical-study information; the full-treatment 600 mg twice-daily regimen is not a universal boosting dose.
Renal Dosing
No adjustment required.
Hemodialysis
Insufficient data; the source considers adjustment unlikely.