Lopinavir and ritonavir

Lopinavir and ritonavir is a combination antiviral medicine used to treat human immunodeficiency virus (HIV), which can lead to acquired immunodeficiency syndrome (AIDS). Lopinavir and ritonavir is not a cure for HIV or AIDS.

Lopinavir and ritonavir is for use in adults and children who are at least 14 days old.

Lopinavir and ritonavir may also be used for purposes not listed in this medication guide.

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed, especially when giving the medicine to a child.

Swallow the tablet whole and do not crush, chew, or break it.

The tablets can be taken with or without food.

Lopinavir and ritonavir liquid should be taken with food. Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

Ask your doctor before giving lopinavir and ritonavir liquid through a feeding tube.

Lopinavir and ritonavir doses are based on weight in children. Your child's dose needs may change if the child gains or loses weight.

You will need frequent medical tests.

Use all HIV medications as directed and read all medication guides you receive. Do not change your dose or dosing schedule without your doctor's advice. Every person with HIV should remain under the care of a doctor.

Store lopinavir and ritonavir liquid in the refrigerator or at room temperature.

Store the tablets at room temperature, away from heat and moisture. Keep the pills in their original container. If you store the liquid at room temperature, you must use it within 60 days.

Tell your doctor about all your current medicines and any that you start or stop using. Many drugs can interact, and some drugs should not be used together.

Lopinavir and ritonavir can cause a serious heart problem. Call your doctor right away if you have fast or pounding heartbeats, fluttering in your chest, shortness of breath, or sudden dizziness (like you might faint).

Tell your doctor if you notice signs of liver or pancreas problems: loss of appetite, pain in the upper stomach (that may spread to your back), nausea or vomiting, itching, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes).

You should not use lopinavir and ritonavir if you have ever had a severe allergic reaction to lopinavir or ritonavir.

Some medicines can cause unwanted or dangerous effects when used with lopinavir and ritonavir. Your doctor may change your treatment plan if you also use:

• apalutamide;
• alfuzosin;
• cisapride;
• colchicine;
• dronedarone;
• elbasvir/grazoprevir;
• lomitapide;
• lurasidone, pimozide;
• ranolazine;
• rifampin;
• lovastatin, simvastatin;
• triazolam, or oral midazolam;
• sildenafil (Revatio for pulmonary arterial hypertension);
• St. John's wort; or
• an ergot medicine (ergotamine, dihydroergotamine, methylergonovine).

Tell your doctor if you have ever had:

• liver disease (especially hepatitis B or C);
• heart problems;
• long QT syndrome (in you or a family member);
• pancreas problems;
• diabetes;
• high cholesterol;
• low levels of potassium in your blood; or
• a bleeding disorder such as hemophilia.

Tell your doctor if you are pregnant, and use your medications properly to control your infection. HIV can be passed to your baby if the virus is not controlled during pregnancy. Your name may be listed on a registry to track any effects of antiviral medicine on the baby.

Lopinavir and ritonavir oral solution (liquid) contains alcohol and propylene glycol. Do not use the liquid form of this medicine if you become pregnant.

Lopinavir and ritonavir can make hormonal birth control less effective, including birth control pills, injections, implants, skin patches, and vaginal rings. To prevent pregnancy while using lopinavir and ritonavir, use a barrier form of birth control: condom, diaphragm, cervical cap, or contraceptive sponge.

Women with HIV or AIDS should not breastfeed a baby. Even if your baby is born without HIV, the virus may be passed to the baby in your breast milk.

Get emergency medical help if you have signs of an allergic reaction (hives, difficulty breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).

Lopinavir and ritonavir may cause serious side effects. Call your doctor right away if you have:

• fast or pounding heartbeats, fluttering in your chest, shortness of breath, and sudden dizziness (like you might faint);
• signs of a kidney stone--pain in your side or lower back, blood in your urine, painful or difficult urination;
• high blood sugar--increased thirst, increased urination, fruity breath odor, weight loss; or
• signs of liver or pancreas problems--loss of appetite, upper stomach pain (that may spread to your back), nausea or vomiting, itching, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Lopinavir and ritonavir affect your immune system, which may lead to certain side effects (even weeks or months after you've taken this medicine). Tell your doctor if you have:

• signs of a new infection--fever, night sweats, swollen glands, cold sores, cough, wheezing, diarrhea, weight loss;
• trouble speaking or swallowing, problems with balance or eye movement, weakness or a prickly feeling; or
• swelling in your neck or throat (enlarged thyroid), menstrual changes, impotence.

Lopinavir and ritonavir liquid contains alcohol and propylene glycol, which may cause drowsiness or slow breathing in a baby taking this medicine. Tell your doctor if you notice these symptoms in your baby.

Lopinavir and ritonavir can cause changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist).

Common side effects of lopinavir and ritonavir may include:

• nausea, vomiting, diarrhea; or
• high cholesterol or triglycerides.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Take the medicine as soon as you can, but skip the missed dose if it is close to the time for your next dose. Do not take two doses at the same time.

Missing doses may raise the chance of your virus becoming resistant to medication.

Seek emergency medical help or call the Poison Help line at 1-800-222-1222. Taking too much lopinavir and ritonavir oral liquid could be deadly for a child.

Lopinavir and ritonavir liquid has alcohol and propylene glycol in it. Do not drink alcohol while taking lopinavir and ritonavir.

Using this medicine will not stop your disease from spreading. Talk to your doctor about safe ways to prevent HIV transmission during sex. Sharing drug or medicine needles is never safe, even for a healthy person.

Lopinavir and ritonavir can lead to a serious heart issue. Your risk may increase if you are also taking certain other medicines for infections, asthma, heart problems, high blood pressure, depression, mental illness, cancer, malaria, or HIV.

Some medicines can reduce the effectiveness of lopinavir and ritonavir when taken together. If you are taking lopinavir and ritonavir liquid and also taking didanosine (Videx), take the didanosine at least 1 hour before or 2 hours after taking lopinavir and ritonavir liquid.

Many drugs can influence how lopinavir and ritonavir work, and some should not be taken together. Inform your doctor about all your current medications and any new medicine you start or stop. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are included here.