Drugs >  Lopinavir and Ritonavir
Lopinavir and Ritonavir
Pronunciation
Brand Names
Therapeutic Categories
Reasons not to take this medicine
What is this medicine used for?
How does it work?
How is it best taken?
What do I do if I miss a dose?
What are the precautions when taking this medicine?
What are the common side effects of this medicine?
What should I monitor?
Reasons to call healthcare provider immediately
How should I store this medicine?
General statements

Pronunciation
(loe PIN a veer & rye TON a veer)

Brand Names
Kaletra™

Therapeutic Categories
Antiretroviral Agent, Reverse Transcriptase Inhibitor (Non-Nucleoside)

Reasons not to take this medicine

  • If you have an allergy to lopinavir, ritonavir, or any other part of the medicine.
  • If you are taking any of these medicines: Flecainide, propafenone, astemizole, terfenadine, midazolam, triazolam, cisapride, dihydroergotamine, ergonovine, ergotamine, methylergonovine, pimozide.


What is this medicine used for?

  • This medicine is used to treat HIV infection. It is usually taken with other medicines.


How does it work?

  • Lopinavir stops the HIV virus from increasing. It binds up an enzyme that is needed for reproduction of the virus.
  • Ritonavir increases the levels of lopinavir in the blood.


How is it best taken?

  • To gain the most benefit, do not miss doses.
  • Take with food.
  • Swallow capsule whole. Do not chew, break, or crush.
  • A liquid (solution) is available for patients who cannot swallow pills.


What do I do if I miss a dose?

  • Take a missed dose as soon as possible.
  • If it is almost time for the next dose, skip the missed one. Return to your regular schedule.
  • Do not take a double dose or extra doses.
  • Do not change dose or stop taking medicine without talking with healthcare provider.


What are the precautions when taking this medicine?

  • Use caution if you have hemophilia. Some patients have increased bleeding.
  • Use caution if you have had pancreatitis. Talk with healthcare provider.
  • Use caution if you have diabetes. Your blood sugars may increase. Watch closely.
  • Use caution if you have liver disease. Talk with healthcare provider.
  • Check medicines with healthcare provider. This medicine may not mix well with other medicines.
  • Do not take this medicine with St. John's wort.
  • Do not run out of this medication. Get it refilled today!
  • Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, throat; or any other symptoms involved.
  • Protect against sexual spread of disease. Use an effective method of birth control. Talk with healthcare provider if you have questions.
  • Birth control pills do not protect against the spread of sexual diseases. In addition, birth control pills may not work very well to prevent pregnancy with this medicine.
  • Breast-feeding is not recommended in HIV disease.


What are the common side effects of this medicine?

  • Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard candy, or chewing gum may help.
  • Diarrhea.
  • Increased cholesterol and triglyceride levels in the blood. Levels should be checked before starting medicine.
  • Headache.
  • Weakness or feeling tired.
  • Changes in body fat. Increased fat in upper back, neck, chest and belly areas. Decreased fat in arms, legs and face may occur.


What should I monitor?

  • Check blood work. Talk with healthcare provider.
  • If you are diabetic, follow blood glucose levels closely. You may see an increase in levels.
  • Follow up with healthcare provider.


Reasons to call healthcare provider immediately

  • Signs of a life-threatening reaction. These include wheezing; tightness in the chest; fever; itching; bad cough; blue skin color; fits; swelling of face, lips, tongue, throat.
  • Nausea, vomiting, or belly pain.
  • Any rash.
  • No improvement in condition or feeling worse.


How should I store this medicine?

  • Store in the refrigerator. Protect from excessive heat.
  • Can store at room temperature but must use within 2 months.


General statements

  • Do not share your medicine with others and do not take anyone else's medicine.
  • Keep all medicine out of the reach of children and pets.
  • Keep a list of all your medicines (prescription, herbal/supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, pharmacist, physician assistant).
  • Talk with healthcare provider before starting any new medicine, including over-the-counter or natural products (herbs, vitamins).


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